Using a Telemedicine System to Promote Patient Care Among Underserved Individuals
Status unconfirmed · Not applicable
Conditions studied: Hypertension
In brief
We have established a Telemedicine System for chronic disease management. Based on a personal health record, we have successfully used this system in diverse populations, in over 600 patients, and in multiple disease states (heart failure, CVD risk reduction, gestational diabetes). In this proposal, we will enhance this Telemedicine system to support patient centered care (PCC) by increasing access, incorporating hypertension treatment guideline, quality measures, automating reminders and feedback for both patients and health care providers. Inner-city, primarily African-American patients (N=252) with uncontrolled hypertension (BP\<140/90 mmHg) and who are followed by primary care physicians will be randomized to either a usual care or a telemedicine group (Telemedicine plus usual care). Blood pressure, weight, BMI, blood glucose and lipids, and physical activity will be measured at baseline and at 6 months. We hypothesize that more subjects in the telemedicine group will achieve goal blood pressure than in the control group. This will occur through increases in knowledge, self-management, shared decision-making, and improved doctor-patient interaction. Primary end- point will be the proportion of subjects who achieve goal blood pressure. Secondary end-points will include: Rate of self-monitoring, steps per day, weight, CVD knowledge, number of patients at medication guidelines, and increased satisfaction with practice. Telemedicine utilization will also be determined. We believe that telemedicine can facilitate PCC and reduce blood pressure in a cost effective manner.
Key facts
- Study ID
- NCT00644267
- Run by
- Temple University
- People needed
- 242
- Starts
- 2008-04-01
- Expected to finish
- 2010-10-01
- Last updated by the study team
- 2010-10-01
Who can join
Age: 18 and older, up to 85. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- uncontrolled hypertension
- systolic blood pressure > 140
- access to a telephone or internet
You may not qualify if…
- angina
- cognitive defects, dementia
- end stage renal disease
- living in nursing or boarding homes
- pregnant
- unable to sign informed consent
- unable to use a scale, sphygmomanometer, pedometer
Where it is running
- Temple University School of Medicine — Philadelphia, Pennsylvania, United States
Full record on ClinicalTrials.gov
Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.