Home Blood Pressure Monitoring to Improve Hypertension

Completed · Not applicable

Conditions studied: Hypertension

In brief

The goal of this single group pre-post-study is to test the possibility of self-monitoring with shared medical appointments program for lifestyle education in improving blood pressure (BP) of patients with uncontrolled hypertension. The main questions it aims to address is: 1. To assess if patients with uncontrolled hypertension and their physicians will be interested in trying a program that includes self-monitoring with 6-week support for lifestyle changes and coping skills to improve BP and hypertension control. 2. To assess if patients with uncontrolled hypertension can safely participate in a program that includes self-monitoring with 6-week support for lifestyle changes and coping skills to improve their BP and ability to self-manage hypertension Participants will: * Send self-reports of their home BPs, diet, physical activity and emotions * Attend 6-week education program of lifestyle changes and coping skills delivered by physicians, holistic psychotherapists and yoga therapists.

Key facts

Study ID

NCT05604040

Run by

The Cleveland Clinic

People needed

33

Starts

2022-10-14

Expected to finish

2024-06-16

Last updated by the study team

2024-11-25

Who can join

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

You may qualify if…

• Uncontrolled hypertension based on Clinic BP measurement of systolic BP>140 or diastolic BP >90 mm Hg (as the cutoff in the current common hypertension performance measures and ACO metrics)
• PCP recommends or patient desires a trial of self-monitoring and lifestyle modifications
• Patient owns a smart phone and be willing to complete self-reports of BP during study participation.

You may not qualify if…

• On dialysis
• Pregnant
• Have a terminal illness,
• Clinic BP > systolic>180, diastolic>110
• Arm circumference that exceeds the limit for the largest home BP monitor cuff
• Severe cognitive impairment
• Major cardiovascular or cerebrovascular event in the past 6 months (Coronary artery disease, heart valve problems, arrhythmias, heart failure, stroke)
• Any physical or mental impairment that would affect patients' ability to participate(Ability to participate will be assessed by demonstrated ability to use available home BP machine and complete self-report during recruitment).

Where it is running

• Cleveland Clinic — Beachwood, Ohio, United States

Full record on ClinicalTrials.gov

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