Behavioral Economics Trial To Enhance Regulation of Blood Pressure (BETTER-BP)

Last updated: January 15, 2025
Sponsor: NYU Langone Health
Overall Status: Active - Not Recruiting

Phase

N/A

Condition

Circulation Disorders

Williams Syndrome

Vascular Diseases

Treatment

Regret Lottery

Control Condition

Clinical Study ID

NCT04114669
19-00952
  • Ages > 18
  • All Genders

Study Summary

BETTER-BP (Behavioral Economics Trial To Enhance Regulation of Blood Pressure) is a phase II, single-center, prospective, pragmatic randomized clinical trial within the New York City Health and Hospitals (NYC-H+H) system and NYU Langone Family Health Centers. The trial will recruit from 3 NYC-H+H ambulatory clinics as well as NYU Langone Family Health Centers, and will use a lottery incentive program to promote adherence to antihypertensive medication that will be delivered via smartphone for 6 months. The trial will randomize 435 patients with hypertension determined to have poor adherence (<80% adherence with antihypertensive medication), in a 2:1 (intervention:control) ratio. Baseline enrollment will occur over 36 months with an expected 12 months follow-up per participant.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • A diagnosis of hypertension.

  • An active prescription for ≥1 antihypertensive medication (any of the followingclasses: thiazide diuretic, ACE inhibitor, angiotensin receptor blocker, betablocker, calcium channel blocker, centrally acting alpha agonist, directvasodilator).

  • 1 ambulatory systolic blood pressure ≥140 mmHg (on therapy).

  • Suboptimal adherence (self-report).

Exclusion

Exclusion Criteria:

  • Incarcerated

  • Pregnant

  • Unable to use study software (Way To Health) in English or Spanish

  • Unable/unwilling to consent

  • Clear barrier to technology use (e.g. visual or hearing impairment)

  • Projected life expectancy <12 months

Study Design

Total Participants: 401
Treatment Group(s): 2
Primary Treatment: Regret Lottery
Phase:
Study Start date:
July 14, 2020
Estimated Completion Date:
October 30, 2025

Connect with a study center

  • NYU Langone Health

    New York, New York 10016
    United States

    Site Not Available

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