Remote Monitoring and Virtual Collaborative Care For Hypertension Control to Prevent Cognitive Decline Phase II (vCCC 2)

  • End date
    Aug 20, 2024
  • participants needed
  • sponsor
    University of Kansas Medical Center
Updated on 4 October 2022
raised blood pressure
home blood pressure monitoring


This is a randomized, controlled, pragmatic trial designed as a "type I hybrid effectiveness-implementation trial" that tests a hypertension program integrating a virtual Collaborative Care Clinic (vCCC), home blood pressure monitoring, and telehealth for lowering blood pressure (BP) in two health systems.


This study tests a hypertension program integrating a virtual Collaborative Care Clinic (vCCC), home blood pressure monitoring, and telehealth for lowering blood pressure (BP) in two health systems (University of Kansas Health System [UKHS] and the University of Utah Health [UUtah]). The vCCC is staffed by clinical pharmacists who remotely monitor home BP and use telehealth to work with patients to lower systolic blood pressure (SBP) to <130 mmHg, as recommended by the current American College of Cardiology/American Heart Association (ACC/AHA) guidelines. Eligible patients with uncontrolled hypertension (HTN) are identified automatically through the electronic health record (EHR) during visits to their Primary Care Provider (PCP) and referred for enrollment into the vCCC.

Condition Hypertension
Treatment Virtual Collaborative Care Clinic
Clinical Study IdentifierNCT05138601
SponsorUniversity of Kansas Medical Center
Last Modified on4 October 2022


Yes No Not Sure

Inclusion Criteria

Age 65 and older
Active patient in participating primary care clinic
Access to compatible "smartphone" or device (i.e., Android, Kindle or Apple with internet connectivity or mobile network)
Elevated BP as defined by
SBP >140 at current visit AND documented history of hypertension OR SBP > 140 at current visit and at another visit in last 18 months OR SBP >160 at current visit
Sufficiently fluent in English to participate in study procedures
Adequate hearing to complete study procedures
Able to give their own signed consent
Health insurance coverage by Medicare

Exclusion Criteria

Clinically significant illness that may affect safety or completion per their treating PCP or study physician
Needing interpreter for clinic visits (through Electronic Health Record)
Currently in hospice care
Currently receiving chemotherapy
Unable to take accurate BP measurement, either due to inability to follow protocol to check BP or due to medical conditions such as lymphedema or dialysis access on both arms
Currently participating in another intervention trial
End stage kidney disease on dialysis
Diagnosis of dementia (i.e., dementia, Alzheimer's disease, vascular dementia, dementia with Lewy bodies, frontotemporal dementia)
Chronic active disease with expected life expectancy < 2 years as determined by the study team
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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