Collaboration Oriented Approach to Controlling High Blood Pressure
Running, not enrolling · Not applicable
Conditions studied: Hypertension, Multiple Chronic Conditions
In brief
Hypertension is a significant contributor to poor cardiovascular outcomes. Self-management support tools can increase patient behaviors to improve blood pressure. The investigators created a clinical decision support app, called COACH, to integrate home blood pressure data and goals into EHR reporting and workflow with communications informed by behavioral economics principles to support shared decision-making. The study aims to measure the effectiveness of the COACH intervention in a pragmatic multi-site randomized trial in a primary care setting.
Key facts
- Study ID
- NCT06124716
- Run by
- Oregon Health and Science University
- People needed
- 550
- Starts
- 2024-01-12
- Expected to finish
- 2026-06-30
- Last updated by the study team
- 2026-04-09
Who can join
Age: 18 and older, up to 100. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Adult patients aged 18-100 years old
- Patient receives care at a participating primary care clinic and has been seen in the last year
- Patient has high BP, defined as an average of 4 BPs > 140 systolic or > 90 diastolic (clinic) or > 135 OR > 85 (home)
- Patient is enrolled in online health portal
- Patient can communicate in English
- Patient has been recommended by their physician who thinks the patient would benefit from a home blood pressure monitoring program.
You may not qualify if…
- Patient is pregnant at the time of consent
- Patient who, in the opinion of the primary care clinician, has severe cognitive impairment
- Patient is on hospice care and/or has a life expectancy of less than 2 years
- Patient has end stage renal disease
- Patient for whom tight blood pressure control presents a greater risk, such as those with a history of adverse events from hypertension treatment (falls, dizziness, electrolyte disturbances, hypotension, active heart failure)
- Patient has any other disease or disorder that in the opinion of the investigator or the patient's primary care clinician, could put participants at risk and affect trial results, or hinder participation will exclude them from participating
Where it is running
- University of Missouri-Columbia — Columbia, Missouri, United States
- Oregon Health & Science University — Portland, Oregon, United States
- Vanderbilt University Medical Center — Nashville, Tennessee, United States
Full record on ClinicalTrials.gov
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