Self-Monitoring Strategies for High Blood Pressure
(INSPIRED Trial)

Recruiting in Palo Alto (17 mi)

Overseen byElaine Khoong, MD, MS

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: University of California, San Francisco

No Placebo Group

Trial Summary

What is the purpose of this trial?This clinical trial aims to assess the impact of patient-focused and clinical-focused implementation strategies on blood pressure control. The investigators will assess the costs of these strategies and how effective they were at safely and equitably increasing home blood pressure monitoring.

Eligibility Criteria

This trial is for individuals with high blood pressure, particularly from diverse racial and ethnic backgrounds. Participants should be interested in managing their hypertension through self-measured blood pressure monitoring and willing to engage with group classes, apps, online portals, and SMS reminders.

Inclusion Criteria

Any race or ethnicity

Must be receiving primary care at any of the six enrolled clinics

Can read and write English, Spanish, or Cantonese

+5 more

Exclusion Criteria

Pregnancy (and 12 months postpartum)

Pacemaker use

I have not had a heart attack or stroke in the past year.

+4 more

Participant Groups

The study tests how effective different strategies are at helping people control their blood pressure at home. It includes training on using a BP monitor and app, education on self-management of hypertension, support via text messages, and caregiver involvement.

2Treatment groups

Experimental Treatment

Active Control

Group I: High-IntensityExperimental Treatment7 Interventions

Patient level: In addition to the Low-Intensity Arm strategies, patients will be asked to attend four educational group sessions with other trial patients. Patients will also be asked to involve support persons in their hypertension management. The educational messages that patients receive will also explicitly encourage involvement of a support person. Clinic level: training on standardized workflows and EHR tools, audit and feedback

Group II: Low-Intensity (Usual Care)Active Control4 Interventions

Patient level: training on how to use a blood pressure (BP) monitor and online patient portal (ex. MyChart), receive reminders to take their BP at home, receive educational messages, and access to language-concordant educational materials. Clinic level: training on standardized workflows and EHR tools, audit and feedback