E3 Multidisciplinary Team for High Blood Pressure

Recruiting in Palo Alto (17 mi)

Overseen byKristen Pallok, MD

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Recruiting

Sponsor: Rush University Medical Center

No Placebo Group

Trial Summary

What is the purpose of this trial?

This study aims to compare a multidisciplinary clinical hypertension and social needs intervention to enhanced standard of care for hypertension management in primary care clinics with regards to hypertension control outcomes.

Research Team

Kristen Pallok, MD

Principal Investigator

Rush University Medical Center

Eligibility Criteria

This trial is for African American and/or Latinx adults over 18 with uncontrolled stage 2 hypertension (BP ≥140/90), who see a Rush primary care provider, own a smartphone, and have an email. It's not for those in other remote hypertension programs, past E3 program participants, organ transplant recipients, or dialysis patients.

Inclusion Criteria

Patient is following with Rush primary care provider in eligible Rush primary care clinics

Patient has a smart phone (Android or iOS)

African American and/or Latinx

See 3 more

Exclusion Criteria

Patient is already participating in another remote hypertension monitoring program

Patient has already participated in the E3 Hypertension program or the E3 Diabetes program

I have received an organ transplant.

See 2 more

Treatment Details

Interventions

E3 Multidisciplinary Team (Behavioral Intervention)
E3 Self-Guided Hypertension Education Program (Behavioral Intervention)

Trial OverviewThe study compares a team-based intervention including clinical management and social support to enhanced standard care in managing high blood pressure among primary care patients. The focus is on the effectiveness of this multidisciplinary approach.

Participant Groups

2Treatment groups

Experimental Treatment

Active Control

Group I: Hypertension Team Based GroupExperimental Treatment1 Intervention

A multidisciplinary team composed of a pharmacist, social worker, and nurse coupled to a self-monitoring blood pressure phone app will provide hypertension monitoring, medication titration, diet and lifestyle education, and referrals for social needs. The team will interact with the patients predominantly via tele-health remotely for 6 months.

Group II: Hypertension Self-Guided GroupActive Control1 Intervention

A research assistant ensures patients in the self-guided group have a home blood pressure monitor on enrollment and will call patients at 3 and 6 months to ensure the blood pressure monitor is functioning correctly and to remind patients to check their blood pressure and follow-up with their primary care doctors. Patients will continue with standard clinical care for hypertension in addition to receiving timed, mailed educational materials on hypertension, remote monitoring, diet and lifestyle recommendations for 6 months.