REACH OUT: to Reduce High Blood Pressure in the Emergency Department

NCT02301455 | Completed

• 1 other identifier: HUM00091668
• Study Type: interventional
• Target: 104
• Locations: 1 country
• Sites: 1

Brief Summary

One of the most powerful predictors of stroke is hypertension, with estimates of approximately 33% of adults in the United States experiencing this condition. Hypertension is very prevalent in the emergency department (ED), but significantly undertreated. The overall goal of this project is to develop a text messaging intervention to improve hypertension care in the ED. This will first be done by testing the feasibility of identifying hypertensive patients in the ED, and the response rate to text messages.

Conditions

Hypertension; Stroke

Keywords

hypertension treatment; stroke prevention

Outcome Measures

Primary Outcomes (1)

• Proportion of people who respond to text messages and are persistently hypertensive

  3 weeks

Secondary Outcomes (4)

• Change in systolic and diastolic blood pressure

  4 months

• Feasibility of a screening algorithm

  4 months

• Feasibility of subject follow-up mechanism

  4 months

• Mean group differences and standard deviations for systolic blood pressure

  4 months

Study Arms (3)

Control, Not hypertensive

NO INTERVENTION

Participants who after 3 weeks do not have high blood pressure or are not responsive to text messages.

Text messages, hypertensive

EXPERIMENTAL

Participants who after 3 weeks have high blood pressure and are responsive to text messages, who are then randomized to receive text messages.

Behavioral: Text messaging

No text messages, hypertensive

NO INTERVENTION

Participants who after 3 weeks have high blood pressure and are responsive to text messages, who are then randomized to not receive text messages.

Interventions

Text messaging BEHAVIORAL

persistently hypertensive participants will be randomized to receive these tailored, motivational text messages

Text messages, hypertensive

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult (≥18 y/o)
• At least one BP of systolic blood pressure (SBP) ≥160 or a diastolic blood pressure (DBP) ≥100 or only BP performed prior to enrollment is SBP ≥160 or a DBP ≥100 (If the patient has repeated measurements after achieving Criteria 1, but prior to being enrolled, at least one of the repeat BP remains SBP ≥140 or a DBP ≥90)
• Must have mobile phones with text-messaging capability
• Likely to be discharged from the ED

You may not qualify if:

• Adult who is in an urgent condition
• Unable to read
• Non-English speaking
• Incarcerated/ institutionalized resident
• Pregnant, or has a pre-existing condition that makes follow-up for 4 months unlikely.

Sponsors & Collaborators

• University of Michigan: lead

Study Sites (1)

Unknown Facility

Ann Arbor, Michigan, United States

Location

Related Publications (1)

• Meurer WJ, Dome M, Brown D, Delemos D, Oska S, Gorom V, Skolarus L. Feasibility of Emergency Department-initiated, Mobile Health Blood Pressure Intervention: An Exploratory, Randomized Clinical Trial. Acad Emerg Med. 2019 May;26(5):517-527. doi: 10.1111/acem.13691. Epub 2019 Feb 19.

  PMID: 30659702 DERIVED

MeSH Terms

Conditions

Hypertension; Stroke

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: October 23, 2014
• First Posted: November 26, 2014
• Study Start: October 1, 2014
• Primary Completion: August 1, 2015
• Study Completion: August 1, 2015
• Last Updated: February 9, 2018

Record last verified: 2018-02

Locations

US (1)