Primary Technology Enhanced Care in Hypertension
PTEC
Evaluation of Clinical Pathways for Patients With Hypertension on Follow-up in the Polyclinics
1 other identifier
interventional
240
1 country
1
Brief Summary
This study evaluates the impact of the use of a technology-enabled home blood pressure monitor amongst hypertensive patients in primary care. Half of the patients will receive the blood pressure monitor for home monitoring, while the other half will receive usual care at the polyclinic. The hypothesis is tele-monitoring along with nurse led tele-support and medical review (i.e. tele-treatment) can enhance primary care management of hypertension by improving patient outcomes and reducing health costs.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable hypertension
Started Sep 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 17, 2018
CompletedFirst Submitted
Initial submission to the registry
October 1, 2018
CompletedFirst Posted
Study publicly available on registry
October 9, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2019
CompletedOctober 11, 2018
October 1, 2018
10 months
October 1, 2018
October 10, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Blood pressure control
Change in systolic and diastolic blood pressure (in mmHg) after 6 months. Readings will be obtained monthly from the MHS portal.
6 months
Secondary Outcomes (9)
Time to blood pressure control
6 months
Proportion of participants with controlled blood pressure
6 months
Healthcare utilization of participants
6 & 12 months
Healthcare costs incurred by participants
6 & 12 months
Number of medications prescribed to participants
6 months
- +4 more secondary outcomes
Study Arms (2)
Control
NO INTERVENTIONUsual care of 3 to 6-monthly clinic visit
Intervention
EXPERIMENTALNetwork-based home blood pressure monitor (Fora P20b Blood Pressure Monitor) and telephone consult with care team
Interventions
A network-based home blood pressure monitor will be loaned to patients in the intervention group, who will be asked to monitor their blood pressure at least once every week using the network based home blood pressure monitor, which automatically uploads measured blood pressure readings to the portal for care managers (CM) to review blood pressure readings and provide updates to the patient on blood pressure control. If a patient's blood pressure is elevated, the CM can titrate medications over the phone and provide follow up tele-consultation and necessary treatment.
Eligibility Criteria
You may qualify if:
- Adult patients
- Patients with hypertension only, or hypertension and hyperlipidemia
- Patients who are cared for by teamlets
- Patients who are technology savvy and are able and willing to use telemedicine devices, or have a family member who is willing to assist in using telemedicine for blood pressure control
- Clinic teams who are directly involved in patient care
You may not qualify if:
- Patients who have cognitive impairment
- Pregnant patients
- Patients with hypertension and other chronic illnesses other than hyperlipidemia, such as diabetes.
- Patients with a history of ischemic heart disease, congestive heart failure, stroke, transient ischemic attack, atrial fibrillation and renal impairment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ang Mo Kio Polyclinic
Singapore, 569666, Singapore
Related Publications (5)
Duan Y, Xie Z, Dong F, Wu Z, Lin Z, Sun N, Xu J. Effectiveness of home blood pressure telemonitoring: a systematic review and meta-analysis of randomised controlled studies. J Hum Hypertens. 2017 Jul;31(7):427-437. doi: 10.1038/jhh.2016.99. Epub 2017 Mar 23.
PMID: 28332506BACKGROUNDPurcell R, McInnes S, Halcomb EJ. Telemonitoring can assist in managing cardiovascular disease in primary care: a systematic review of systematic reviews. BMC Fam Pract. 2014 Mar 7;15:43. doi: 10.1186/1471-2296-15-43.
PMID: 24606887BACKGROUNDChandak A, Joshi A. Self-management of hypertension using technology enabled interventions in primary care settings. Technol Health Care. 2015;23(2):119-28. doi: 10.3233/THC-140886.
PMID: 25515051BACKGROUNDBosworth HB, Olsen MK, Grubber JM, Neary AM, Orr MM, Powers BJ, Adams MB, Svetkey LP, Reed SD, Li Y, Dolor RJ, Oddone EZ. Two self-management interventions to improve hypertension control: a randomized trial. Ann Intern Med. 2009 Nov 17;151(10):687-95. doi: 10.7326/0003-4819-151-10-200911170-00148.
PMID: 19920269BACKGROUNDTeo SH, Chew EAL, Ng DWL, Tang WE, Koh GCH, Teo VHY. Implementation and use of technology-enabled blood pressure monitoring and teleconsultation in Singapore's primary care: a qualitative evaluation using the socio-technical systems approach. BMC Prim Care. 2023 Mar 16;24(1):71. doi: 10.1186/s12875-023-02014-8.
PMID: 36927496DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Valerie Teo
National Healthcare Group Polyclinics
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Family Physician, Associate Consultant, Deputy Head, Ang Mo Kio Polyclinic
Study Record Dates
First Submitted
October 1, 2018
First Posted
October 9, 2018
Study Start
September 17, 2018
Primary Completion
June 30, 2019
Study Completion
December 31, 2019
Last Updated
October 11, 2018
Record last verified: 2018-10