Group Engagement for High Blood Pressure

(BRIDGE Trial)

This trial aims to find better ways to lower blood pressure in people who have had a stroke. High blood pressure significantly increases the risk of another stroke, so the study focuses on two methods: home blood pressure checks and group learning sessions about blood pressure (group medical visits). The trial will determine if using both methods together is more effective in maintaining low blood pressure and aiding stroke recovery. Ideal participants are those who have recently experienced a mild to moderate stroke, have high blood pressure, and can access the internet. As an unphased study, this trial offers participants a unique opportunity to contribute to innovative strategies for stroke recovery and blood pressure management.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.

Research has shown that checking blood pressure at home and attending group medical visits is generally safe for people with high blood pressure. One study found that using a web-based method along with home monitoring helped 56% of participants better control their blood pressure. These methods are effective and easy to manage.

Additionally, team-based care, which often includes group medical visits, is considered a cost-effective way to improve blood pressure control. Studies have not found any serious side effects, suggesting these methods are likely safe for most people.

Researchers are excited about group medical visits combined with home blood pressure monitoring because it emphasizes social support and education, potentially improving adherence to treatment plans. Unlike traditional one-on-one appointments, group visits foster a sense of community and shared learning, which may help patients manage their high blood pressure more effectively. Additionally, home monitoring empowers patients to track their own progress, encouraging a proactive approach to their health. This combination could lead to better long-term outcomes compared to standard care, which often focuses solely on medication.

Research has shown that checking blood pressure at home can improve management. In this trial, participants in the control arm will use home blood pressure monitoring alone. One study found that people who monitored their blood pressure at home needed to adjust their medication more often, which helped them find the right dose for control. Another study found that when people combined home monitoring with expert advice, more participants reached their blood pressure targets. However, adding social support to remote monitoring did not consistently improve blood pressure control. Overall, these findings suggest that home blood pressure checks can be a useful tool for managing high blood pressure.¹⁶⁷⁸⁹