0

Telemedicine for High Blood Pressure

SC
Overseen BySunit Chhetri
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Wake Forest University Health Sciences
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how telemedicine (remote healthcare services) can help manage high blood pressure in the Black community. Researchers aim to understand how factors like patient and community involvement affect participation in this new approach. Participants will receive either the Team Based Equity Conscious Telemedicine Hypertension Intervention or continue with their usual care to determine which is more effective. The study seeks Black individuals who have had high blood pressure readings during recent clinic visits. As an unphased trial, this study offers a unique opportunity to contribute to innovative healthcare solutions and improve community health outcomes.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that the Team Based Equity Conscious Telemedicine Hypertension Intervention is safe?

Research has shown that team-based telemedicine programs for managing high blood pressure are promising, particularly for Black patients who have not been well-served by traditional methods. These programs use home blood pressure monitors and digital messaging to assist patients in managing their condition.

Interest in these programs is growing, but specific data on their safety remains limited. Early studies, however, have demonstrated that these programs can effectively control blood pressure without major safety issues. This indicates that the treatment is generally well-tolerated, though more research is needed to fully understand its safety.

The telemedicine approach aims to help patients manage their blood pressure effectively, improving health without causing harm. Overall, existing studies suggest that these telemedicine programs are a safe option for managing high blood pressure.12345

Why are researchers excited about this trial?

Researchers are excited about the Telemedicine Hypertension Intervention because it approaches high blood pressure management with a focus on equity and accessibility. Traditional treatments often involve in-person visits and medication, but this intervention is delivered remotely, making it more convenient for patients who might have barriers to regular clinic visits. It also emphasizes team-based care, involving not just doctors, but also community leaders and family members, which could lead to more personalized and culturally sensitive support. This innovative approach aims to improve outcomes by addressing social determinants of health and providing care that's tailored to the specific needs of Black patients with high blood pressure.

What evidence suggests that the Team Based Equity Conscious Telemedicine Hypertension Intervention is effective for high blood pressure?

Research has shown that team-based care effectively controls high blood pressure. Studies have found that a care team manages blood pressure better than standard care. Telemedicine, which allows doctors to connect with patients remotely, has also effectively lowered blood pressure. However, current telemedicine programs may not work as well for Black patients compared to White patients. This trial tests the Team Based Equity Conscious Telemedicine Hypertension Intervention to address these issues by focusing on personalized and fair care. This intervention combines the benefits of team-based care and telemedicine to manage high blood pressure more effectively, especially in underserved communities.12678

Who Is on the Research Team?

YP

Yashashwi Pokharel, MD, MSCR

Principal Investigator

Wake Forest University Health Sciences

Are You a Good Fit for This Trial?

This trial is for individuals with high blood pressure. It aims to understand various factors affecting patient recruitment and participation in a telemedicine approach tailored to hypertension management.

Inclusion Criteria

African American or Black
Patients with last clinic systolic Blood Pressure >140 mmHg or diastolic Blood Pressure >90 mmHg or both

Exclusion Criteria

Diminished ability to measure home BP (dementia, or psychosis)
I've had recent health issues that could affect my blood pressure.
Terminal illness

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive the TET-HTN intervention over six months

6 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Team Based Equity Conscious Telemedicine Hypertension Intervention
Trial Overview The study is testing the effectiveness of a team-based, equity-focused telemedicine intervention for managing high blood pressure compared to usual care. Participants will also undergo feasibility interviews.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: Usual CareExperimental Treatment1 Intervention
Group II: Team based Equity conscious Telemedicine Hypertension (TET-HTN) interventionExperimental Treatment1 Intervention
Group III: Interview GroupExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Wake Forest University Health Sciences

Lead Sponsor

Trials
1,432
Recruited
2,506,000+

Citations

Piloting a team-based telemedicine care for hypertension ...Current telemedicine programs to manage hypertension are less effective in Black compared with White patients in the US.
Team-Based Care to Improve Blood Pressure ControlThe CPSTF found that team-based care is a cost-effective intervention to improve blood pressure control.1 Uncontrolled high blood pressure is a preventable risk ...
Effectiveness of team-based care interventions in improving ...We evaluated the effectiveness of team-based care interventions in improving blood pressure (BP) outcomes among adults with hypertension in Africa.
Telemedicine Management of Hypertension Effective for ...The primary outcomes were differences in systolic BP (SBP), diastolic BP (DBP), and trial-defined BP control rate in telemedicine management of ...
Remote Monitoring for Equity in Advancing Control of ...The goal of this study is to support patients with hypertension self-management using both home blood pressure monitors and digital messaging programs.
Piloting a team-based telemedicine care for hypertension ...A holistic telemedicine program has the potential to control blood pressure among marginalized Black patients by using pharmacotherapy based on home blood.
Achieving Blood Pressure Goals and Addressing Inequities ...Some pilot studies have shown promising results from complex interventions to lower BP in patients with stroke using telehealth and remote BP ...
Addressing Hypertension Outcomes Using Telehealth and ...A 2015 economic systematic review of team-based care interventions to control blood pressure found that they almost all were cost-effective ...
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Terms of Service·Privacy Policy·Cookies·Security