Telehealth Consult for Hypertension

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Mount Sinai Hospital Center Emergency Dept, New York, NY
Hypertension
Telehealth Consult - Other
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether a telehealth intervention can improve blood pressure control and primary care engagement in patients with uncontrolled hypertension.

See full description

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether Telehealth Consult will improve 3 primary outcomes and 2 secondary outcomes in patients with Hypertension. Measurement will happen over the course of 12 months.

12 months
Attrition rate
Blood pressure
Number of participant who had follow up care
Recruitment rate
Retention rate

Trial Safety

Safety Estimate

1 of 3

Trial Design

3 Treatment Groups

TRIO PLUS Tablet and nurse at day 3 and 7
1 of 3
TRIO PLUS tablet and nurse at day 3
1 of 3
TRIO PLUS Group
1 of 3
Experimental Treatment
Non-Treatment Group

This trial requires 48 total participants across 3 different treatment groups

This trial involves 3 different treatments. Telehealth Consult is the primary treatment being studied. Participants will be divided into 2 treatment groups. Some patients will receive a placebo treatment. The treatments being tested are not being studied for commercial purposes.

TRIO PLUS Tablet and nurse at day 3 and 7Virtual nurse encounter at 3 days and 7 days
TRIO PLUS tablet and nurse at day 3Virtual nurse encounter at 3 days
TRIO PLUS Group
Device
No encounter

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 12 months
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 12 months for reporting.

Who is running the study

Principal Investigator
K. T. S.
Kimberly T Souffront, Principal Investigator
Icahn School of Medicine at Mount Sinai

Closest Location

Mount Sinai Hospital Center Emergency Dept - New York, NY

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
After ensuring that there are no exclusions, confirm the patient's blood pressure a second time. show original
The patient has a systolic blood pressure of 140 or greater, a diastolic blood pressure of 90 or greater, and/or both. show original
At least two high blood pressure readings were taken when the patient was at the emergency department. show original
Age ≥ 18 years

Patient Q&A Section

What are common treatments for hypertension?

"The present study demonstrates that there are many medications and behavioral changes that are used in the treatment of hypertension. For instance, the study showed that, among the surveyed patients, only 34.3% of patients were taking antihypertensive medications, with angiotensin-converting enzyme inhibitors being the most commonly prescribed. There were also significant differences in patient behavior with regard to lifestyle factors, including exercise regimens and diet. Recent findings suggest that there are a variety of possible treatment options to consideration for patients with hypertension." - Anonymous Online Contributor

Unverified Answer

What is hypertension?

"Hypertension is an important component of metabolic syndrome, particularly in the elderly population at higher risk for ischemic heart disease. It is imperative to treat hypertension as early as possible by effective lifestyle modification; however, it must be treated in a safe and effective fashion." - Anonymous Online Contributor

Unverified Answer

How many people get hypertension a year in the United States?

"About 71 million Americans are diagnosed with hypertension each year. Approximately 40% or 612 of all hypertensive patients have at least one of their conditions of primary prevention or secondary prevention. Nearly half of those diagnosed will be treated and a similar number will have at least half of their visits dedicated to treatment." - Anonymous Online Contributor

Unverified Answer

Can hypertension be cured?

"As with all diseases that are controllable, a goal of cure cannot be achieved. However, a reduction in the impact of hypertension on morbidity and mortality may be possible." - Anonymous Online Contributor

Unverified Answer

What causes hypertension?

"The cause of blood pressure, heart attack and stroke are not understood. Risk factors such as smoking and high salt intake are known, but the genetics and exact cause of hypertension remains unknown.\n" - Anonymous Online Contributor

Unverified Answer

What are the signs of hypertension?

"Simple measurements and tests can be used to detect signs of hypertension. Systolic pressures of 180 mm Hg or greater over 3 years denote hypertensive heart disease; systolic blood pressure of 160 mm Hg or above over 3 years denote systolic hypertension. Diastolic hypertension can cause heart failure. On the other hand, hypertension can increase the likelihood of certain heart disease. Symptoms of low blood pressure (such as fainting or dizziness), heart palpitations, and feeling faint from standing up after lying down are also found in the signs and symptoms of hypertension." - Anonymous Online Contributor

Unverified Answer

Is telehealth consult typically used in combination with any other treatments?

"This is the first study reporting the utilization of telehealth follow-up in conjunction with any other medical treatments. The majority of participants with uncontrolled hypertension did not receive any other treatments or advice to manage their blood pressure. The majority of participants who received the additional treatments reported improvement in their diabetes and cholesterol or improved adherence to their medication regimens. Recent findings are similar to the results in the literature that telemonitoring improves the outcomes of patients with diabetes, is a powerful and effective tool for adherence to treatment, and is effective in the prevention of cardiovascular disease." - Anonymous Online Contributor

Unverified Answer

What is the latest research for hypertension?

"We identified a good number of recent publications related to hypertension, but all have drawbacks to be considered in their assessment. Furthermore, there is hardly any evidence that a standard antihypertensive therapy has a role in the prevention of CVD." - Anonymous Online Contributor

Unverified Answer

Have there been other clinical trials involving telehealth consult?

"This is the first such study that evaluated the outcome after having a telehealth consult. Previous studies have predominantly focused on technical issues such as the number of doctors involved and the technology used. As such, these studies should be considered in the design and selection of future studies, especially given the potential improvement on the quality of care." - Anonymous Online Contributor

Unverified Answer

Who should consider clinical trials for hypertension?

"There are many aspects which may decide who should or should not participate in a clinical trial. The major issue is whether the results will be of general applicability; the second issue is whether the results of the trial are meaningful for the patients concerned. These issues should be considered by both the clinician and the patient in making a recommendation for a trial to participate in." - Anonymous Online Contributor

Unverified Answer

What is the primary cause of hypertension?

"This is our population based study. It has not been done earlier. It also has not been done in Western India. Therefore, we could assume that it might be different as it would be in other countries like United States or South Korea." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets hypertension?

"The average age of people with hypertension is about 40 years old. The average age is almost the same for both sexes. Those with hypertension have a greater waist circumference than the general population. This shows the correlation between obesity and hypertension is high. And in China as well, hypertension is very common." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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