Patient-Portal vs Text-based Hypertension Monitoring Among Black Medicaid/Medicare Patients

NCT05186831 | Completed

• 1 other identifier: University of Pennsylvania
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The coronavirus disease 2019 (COVID-19) pandemic has uprooted conventional health care delivery for routine ambulatory care, requiring health systems to rapidly adopt telemedicine capabilities. The digital divide, has been well documented with lower rates of technology and broadband adoption among racial/ethnic minorities. Additionally, Black patients suffer a disproportionate burden of hypertension and cardiovascular disease. This study will implement a text-based home hypertension monitoring program among Black Medicaid patients with hypertension and cardiovascular disease (CVD) and compare its uptake to the currently available blood pressure monitoring program using the patient portal that is integrated into the electronic health record (EHR).

Conditions

Hypertension; Cardiovascular Diseases

Keywords

Racial disparities; Digital technology; Hypertension

Outcome Measures

Primary Outcomes (2)

• Number of BP measurements reported

  Number of BP results reported over the study period

  14 days

• Proportion of patients submitting 1 or more BP measurement

  Proportion of patients per study arm reporting at least one BP measurement

  14 days

Secondary Outcomes (1)

• Patient satisfaction

  Within 2 weeks of end of study period

Study Arms (2)

Text-based monitoring

EXPERIMENTAL

Patients will be asked to take their BP two times daily and text their BP to the study phone number twice a day for 14 days.

Behavioral: Texting

Online patient portal

ACTIVE COMPARATOR

Patients will be asked to take their BP two times daily. They will be given instructions on how to upload BP readings to the online patient portal and will be asked to upload all BP readings. This represents enhanced standard of care.

Behavioral: Online patient portal

Interventions

Texting BEHAVIORAL

Patients will be asked to text their BP. They will receive an automated response to their texts.

Text-based monitoring

Online patient portal BEHAVIORAL

Patients will be asked to upload their BP to the online patient portal. They will receive information on how to sign up and use the patient portal. Patients can upload their BP readings daily or at the end of the study period.

Online patient portal

Eligibility Criteria

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

You may qualify if:

• Self-identified Black race
• Medicaid or Medicare insurance
• Hypertension
• Cardiovascular disease or presence of at least 1 cardiovascular risk factor
• Seen for in-person consultation at the Heart and Vascular clinic at the Hospital of the University of Pennsylvania

You may not qualify if:

• Does not speak English
• Already owns a BP cuff
• Does not have internet access or a phone 15 with texting capabilities

Sponsors & Collaborators

• University of Pennsylvania: lead

Study Sites (1)

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

MeSH Terms

Conditions

Hypertension; Cardiovascular Diseases

Condition Hierarchy (Ancestors)

Vascular Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Medicine

Study Record Dates

• First Submitted: December 21, 2021
• First Posted: January 11, 2022
• Study Start: October 19, 2020
• Primary Completion: December 29, 2020
• Study Completion: January 14, 2021
• Last Updated: January 11, 2022

Record last verified: 2021-12

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Study data will be shared within a 4 week timeframe of request.
• Access Criteria: Submission of a protocol describing analysis plan.

Locations

US (1)