Collaboration Oriented Approach to Controlling High Blood Pressure
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.
• 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.