Identifying Successful Strategies for Implementing Team-Based Home Blood Pressure Monitoring in Primary Care

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The overall goal of this study is to identify and rigorously evaluate strategies for implementing and sustaining team-based home blood pressure monitoring (TB-HBPM) within primary care. The TB-HBPM intervention is a multifaceted program involving patient transmission of blood readings to EHR and clinical decision support. Implementation strategies include group-based education on hypertension measurement, target blood pressure goals, drug and lifestyle management, referral to community resources, and team training designed to optimize the coordination of hypertension care, and monthly audit and feedback reports to teams and clinicians. Hypertension control rates are suboptimal in many primary care practices with persistent racial disparities in control. Team-based home blood pressure monitoring (TB-HPBM) involving patient transmission of their home blood pressure readings in real-time to their clinical team has been shown to improve blood pressure control. There is an urgent need to implement TB-HBPM into practice. The overall objective of this research is to assess implementation strategies that mitigate barriers and leverage facilitators to TB-HBHM on hypertension control and disparities between Black and White patients. The study team and investigators will use mixed methods to assess the process and generate knowledge to facilitate broader uptake of TB-HBPM.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 85
Healthy Volunteers: f
View:

• Current HFM patient 18-85 years of age with hypertension diagnosis

• Diagnosis of hypertension based on ICD-10 codes of I10-I14

• at least one HFM health visit and hypertension diagnosis beginning no later than 7/1/2021.

Locations
United States
New York
Highland Family Medicine
RECRUITING
Rochester
Contact Information
Primary
Kevin Fiscella
Kevin_Fiscella@urmc.rochester.edu
585-324-4563
Backup
Emma Strujo
Emma_Strujo@urmc.rochester.edu
585-324-4553
Time Frame
Start Date: 2022-10-01
Estimated Completion Date: 2026-07
Participants
Target number of participants: 5760
Treatments
Other: Suite TB-HBPM pre intervention
Each suite/cluster throughout the institution will begin in the baseline usual care phase in the first year.
Other: Suite TB-HBPM throughout intervention implementation
Each suite will be randomized to implement the TB-HBPM program during one of three wedges separated by six months between each, 1.5 years later.
Other: Suite TB-HBPM post intervention implementation
Post implementation phase of the suites 2 years after introduction of intervention.
Related Therapeutic Areas
Sponsors
Collaborators: National Institutes of Health (NIH), National Heart, Lung, and Blood Institute (NHLBI)
Leads: University of Rochester

This content was sourced from clinicaltrials.gov