Behavioral Economics Trial To Enhance Regulation of Blood Pressure (BETTER-BP)

Completed · Not applicable

Conditions studied: High Blood Pressure

In brief

BETTER-BP (Behavioral Economics Trial To Enhance Regulation of Blood Pressure) is a phase II, single-center, prospective, pragmatic randomized clinical trial within the New York City Health and Hospitals (NYC-H+H) system and NYU Langone Family Health Centers. The trial will recruit from 3 NYC-H+H ambulatory clinics as well as NYU Langone Family Health Centers, and will use a lottery incentive program to promote adherence to antihypertensive medication that will be delivered via smartphone for 6 months. The trial will randomize 435 patients with hypertension determined to have poor adherence (\<80% adherence with antihypertensive medication), in a 2:1 (intervention:control) ratio. Baseline enrollment will occur over 36 months with an expected 12 months follow-up per participant.

Key facts

Study ID

NCT04114669

Run by

NYU Langone Health

People needed

401

Starts

2020-07-14

Expected to finish

2025-09-12

Last updated by the study team

2026-05-27

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• A diagnosis of hypertension.
• An active prescription for ≥1 antihypertensive medication (any of the following classes: thiazide diuretic, ACE inhibitor, angiotensin receptor blocker, beta blocker, calcium channel blocker, centrally acting alpha agonist, direct vasodilator).
• 1 ambulatory systolic blood pressure ≥140 mmHg (on therapy).
• Suboptimal adherence (self-report).

You may not qualify if…

• Incarcerated
• Pregnant
• Unable to use study software (Way To Health) in English or Spanish
• Unable/unwilling to consent
• Clear barrier to technology use (e.g. visual or hearing impairment)
• Projected life expectancy <12 months

Where it is running

• NYU Langone Health — New York, New York, United States

Full record on ClinicalTrials.gov

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