High Blood Pressure > Integrated Monitoring And Local Wrap-around Hypertension Program

Remote Blood Pressure Monitoring for High Blood Pressure

Recruiting in Palo Alto (17 mi)

+2 other locations

Overseen By Catherine Sarkisian, MD, MSHS

Age: 18+

Sex: Any

Travel: May be covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: University of California, Los Angeles

No Placebo Group

Trial Summary

What is the purpose of this trial?

This study sets out to evaluate a University of California-wide (Davis, San Francisco, and Los Angeles) quality improvement initiative to increase remote (home) blood pressure monitoring and improve blood pressure control for persons with hypertension. Participants at each site will be randomized to one of two types of remote monitoring: integrated versus manual. Participants using the integrated monitoring will have their home blood pressure readings sent directly to their participating health systems. Participants using the manual monitoring will record their own blood pressures and report them to their health care system as per usual care.

Eligibility Criteria

This trial is for adults with high blood pressure who use a non-connected blood pressure cuff at home, take up to three antihypertensive medications, and can access an online healthcare portal. They should have had two high BP readings in the last year and seen their primary care physician within that time. People with severe hypertension or certain health conditions like advanced kidney disease or recent heart problems cannot participate.

Inclusion Criteria

I am 18 years old or older.

I take up to three blood pressure medications.

Exclusion Criteria

I have high blood pressure due to another health condition.

My kidney function is reduced but not severely (Stage 3b or better).

My thyroid condition is not under control.

I have not had a heart attack or similar event in the last 3 months.

I have a heart block or irregular heartbeat.

I am not currently in hospice or receiving end-of-life care.

I have been diagnosed with pheochromocytoma.

I often have very low blood pressure.

I have been diagnosed with severe narrowing of the aortic valve.

I have a narrowed artery to my kidney.

I have been diagnosed with Conn's syndrome.

My kidneys are in the final stage of failure.

I am already getting help for my high blood pressure from another service.

Participant Groups

The study compares two remote monitoring methods for managing high blood pressure: one where patients manually record their BP and report it, versus another where the readings are automatically sent to their health system. The goal is to see which method better controls blood pressure across different University of California locations.

Group I: Integrated Experimental Treatment 1 Intervention

Participants will have their home blood pressure readings sent directly to their participating health systems. Participants will also receive a wrap-around intervention.

Group II: Manual Active Control 1 Intervention

Participants will record their own blood pressures and report them to their health care system as per usual care.

Find A Clinic Near You

Research locations nearby Select from list below to view details:

University of California, Davis Davis, CA

University of California, San Francisco San Francisco, CA

University of California, Los Angeles Los Angeles, CA

Who is running the clinical trial?

University of California, Los Angeles Lead Sponsor

University of California Office of the President- Quality and Population Health Management Collaborator

University of California, Davis Collaborator

University of California, San Francisco Collaborator

References