Remote Monitoring for Equity in Advancing Control of Hypertension (REACH)

  • STATUS
    Recruiting
  • End date
    Jun 30, 2026
  • participants needed
    540
  • sponsor
    University of California, San Francisco
Updated on 4 October 2022
hypertension
uncontrolled hypertension

Summary

The goal of this study is to support patients with hypertension self-management using both home blood pressure monitors and digital messaging programs. The investigators will first engage patients with technology training to use home monitors, online portal websites to view their medical record information online, and texting and mobile phone applications. Then investigators will assess the effectiveness of home blood pressure monitors and enhanced patient-clinician digital communication on blood pressure control during a 12-month intervention.

Description

This study aims to launch an effectiveness-implementation hybrid randomized trial to adapt a multi-faceted hypertension (HTN) management program shown to work in integrated healthcare delivery systems to a safety net healthcare system, San Francisco Health Network (SFHN). In Aim 1 of this study, investigators will offer patients brief in-person training to support their use of the online patient portal and basics about text messaging. Investigators will examine pre-post training changes in technology use overall as well as by specific patient subgroups with known differences in technology uptake. In Aim 2 investigators will conduct a two-arm randomized clinical trial to assess the effectiveness of enhanced digital communication via portal messaging and texting vs. usual care on primary outcomes of blood pressure (BP) control and BP medication adherence at 12 months. In Aim 3 investigators will use a mixed methods approach to evaluate key implementation outcomes, guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, of adapting an existing, evidence-based home BP monitoring program.

Details
Condition Hypertension
Treatment Cellular Home blood pressure (BP) monitoring
Clinical Study IdentifierNCT05481892
SponsorUniversity of California, San Francisco
Last Modified on4 October 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

English-and Spanish-speaking patients
Patient within the San Francisco Health Network (SFHN)
Has seen primary care provide within the past 2 years
Uncontrolled hypertension (HTN) in the HTN registry
Complete Aim 1 training, in addition to patients who have not completed Aim 1 training
Over the age of 18

Exclusion Criteria

Under the age of 18
Controlled HTN
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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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