Increasing the Use of Self Measured Home Blood Pressure Logs in the Management of Hypertension

NCT07556783 | Completed

• 1 other identifier: 2370579-1
• Study Type: interventional
• Target: 170
• Locations: 1 country
• Sites: 1

Brief Summary

The Telephone-Based Patient Outreach to Improve Home Blood Pressure Monitoring (HBPM) in Chronic Hypertension study is a pragmatic, randomized, open-label quality improvement implementation trial designed to evaluate the effectiveness of a structured telephone outreach intervention in increasing the proportion of patients with chronic hypertension who present to clinic visits with a completed home blood pressure log compared to the receipt of usual primary care services over a 90-day period. The study aims to address the inconsistent integration of HBPM-an evidence-based strategy endorsed by major guidelines to improve diagnostic accuracy and longitudinal management-into routine primary care workflows where no standardized educational or documentation process currently exists. Patients with documented chronic uncontrolled hypertension, defined as three documented readings exceeding 130/80 mmHg, are eligible for participation. Typically, patients at this academic primary care practice lack a standardized process for receiving education on home monitoring or a dedicated mechanism for documenting logs, which can lead to therapeutic inertia and missed opportunities to optimize treatment. The intervention is designed around a structured telephone outreach program led by medical students using a standardized script to provide direct patient education on the clinical value of HBPM and to encourage the completion and presentation of BP logs during subsequent primary care visits.

Conditions

Hypertension

Outcome Measures

Primary Outcomes (1)

• HBPM Log Adherence

  The primary outcome was the proportion of patients with a documented home blood pressure log in the electronic health record (EHR). A "documented log" was operationally defined as any notation in the medical record indicating that a patient presented with, reported, or submitted home blood pressure readings, whether through a scanned paper log, free-text documentation in a clinical note, or an entry in a structured data field

  Adherence was measured at follow-up within a 90-day window of the intervention.

Secondary Outcomes (1)

• Change in Blood Pressure

  The most recent follow-up measurement recorded within a 90-day window of the intervention.

Study Arms (2)

Usual Care

NO INTERVENTION

The control arm represents usual care, wherein patients receive standard medical management for chronic hypertension without any additional telephone outreach or targeted education regarding blood pressure logging workflows.

A structured, telephone-based educational outreach to encourage HBPM

EXPERIMENTAL

The intervention arm consists of a structured, telephone-based educational outreach led by medical students using a standardized script to provide brief education on the clinical value of HBPM and to encourage patients to maintain and present a monitoring log at their subsequent clinic visit. This arm utilizes a maximum of two call attempts per patient with no voicemail messages left to determine if a simple, low-resource reminder can influence patient behavior.

Other: A structured, telephone-based educational outreach to encourage HBPM

Interventions

A structured, telephone-based educational outreach to encourage HBPM OTHER

Telephone-based educational outreach to encourage HBPM

A structured, telephone-based educational outreach to encourage HBPM

Eligibility Criteria

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

You may qualify if:

• Patients must have a documented diagnosis of chronic uncontrolled hypertension
• "Uncontrolled" was defined as having three documented blood pressure readings exceeding 130/80 mmHg within the electronic health record.

You may not qualify if:

• None

Sponsors & Collaborators

• AdventHealth: lead

Study Sites (1)

AdventHealth Winter Park

Orlando, Florida, 32792, United States

Location

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 23, 2026
• First Posted: April 29, 2026
• Study Start: November 19, 2025
• Primary Completion: April 8, 2026
• Study Completion: April 8, 2026
• Last Updated: April 29, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will share

Locations

US (1)