RecruitingNot ApplicableNCT06124716

Collaboration Oriented Approach to Controlling High Blood Pressure

Sponsor

Oregon Health and Science University

Enrollment

550 participants

Start Date

Jan 12, 2024

Study Type

INTERVENTIONAL

Conditions

Hypertension Multiple Chronic Conditions

Summary

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.

Eligibility

Min Age: 18 YearsMax Age: 100 Years

Inclusion Criteria6

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.

Exclusion Criteria6

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