Building Engagement Using Financial Incentives Trial - Hypertension

Completed · Not applicable

Conditions studied: Hypertension, Health Behavior, Healthcare Patient Acceptance, Patient Engagement, Adherence, Patient

In brief

The goal of this pilot clinical trial is to determine feasibility and explore whether immediate versus delayed patient financial incentives improve patient engagement with self-monitoring of blood pressure in patients with uncontrolled hypertension at Louisiana federally qualified health centers (FQHCs). The main questions it aims to answer are: * Do patients randomized to receive financial incentives on a weekly basis during the study (immediate) have better adherence to blood pressure self-monitoring compared to patients randomized to receive financial incentives at the end of the study (delayed)? * Do patients randomized to immediate financial incentives have better blood pressure control compared to patients randomized to delayed incentives? Participants will: * attend a baseline visit to measure blood pressure, respond to a baseline survey, and receive remote patient monitoring devices and instructions to take home with them (home blood pressure monitor, wrist-worn sensor to track sleep activity, and associated apps) * receive a random allocation to one of two groups: control condition (receive cash incentives at the end of the study for measuring blood pressure as instructed) or intervention condition (receive weekly cash incentives throughout the study for measuring blood pressure as instructed) * use remote patient monitoring devices during a two month study period, receive weekly reports on adherence to blood pressure monitoring, and receive weekly financial incentives (intervention condition only) * attend one follow-up visit at 2 months to measure their blood pressure, complete a follow-up survey, return the remote patient monitoring devices, and receive financial incentives for blood pressure monitoring (control condition only) Researchers will compare the immediate and delayed incentive groups to see if there are differences in blood pressure monitoring adherence rates and blood pressure control.

Key facts

Study ID

NCT06195839

Run by

Tulane University

People needed

50

Starts

2024-05-22

Expected to finish

2025-09-11

Last updated by the study team

2025-09-17

Who can join

Age: 40 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age ≥40 years
• receive care at a participating FQHC
• taking blood pressure medication
• uncontrolled blood pressure at most recent clinic visit (systolic blood pressure ≥130 mm Hg or diastolic blood pressure ≥80 mm Hg)
• ability to understand and speak English
• able to access a smartphone

You may not qualify if…

• currently participating in another clinical trial or research study on blood pressure, medication-taking, or sleep
• unable or unwilling to give informed consent

Where it is running

• CommuniHealth Services — Bastrop, Louisiana, United States
• David Raines Community Health Center — Shreveport, Louisiana, United States

Full record on ClinicalTrials.gov

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