Group Engagement for High Blood Pressure
(BRIDGE Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to find better ways to lower blood pressure in people who have had a stroke. High blood pressure significantly increases the risk of another stroke, so the study focuses on two methods: home blood pressure checks and group learning sessions about blood pressure (group medical visits). The trial will determine if using both methods together is more effective in maintaining low blood pressure and aiding stroke recovery. Ideal participants are those who have recently experienced a mild to moderate stroke, have high blood pressure, and can access the internet. As an unphased study, this trial offers participants a unique opportunity to contribute to innovative strategies for stroke recovery and blood pressure management.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.
What prior data suggests that these methods are safe for lowering blood pressure after a stroke?
Research has shown that checking blood pressure at home and attending group medical visits is generally safe for people with high blood pressure. One study found that using a web-based method along with home monitoring helped 56% of participants better control their blood pressure. These methods are effective and easy to manage.
Additionally, team-based care, which often includes group medical visits, is considered a cost-effective way to improve blood pressure control. Studies have not found any serious side effects, suggesting these methods are likely safe for most people.
This trial tests these methods for individuals who have had a stroke, but past research supports their safety for managing high blood pressure. Always consult a healthcare provider to determine the best approach for your health needs.12345Why are researchers excited about this trial?
Researchers are excited about group medical visits combined with home blood pressure monitoring because it emphasizes social support and education, potentially improving adherence to treatment plans. Unlike traditional one-on-one appointments, group visits foster a sense of community and shared learning, which may help patients manage their high blood pressure more effectively. Additionally, home monitoring empowers patients to track their own progress, encouraging a proactive approach to their health. This combination could lead to better long-term outcomes compared to standard care, which often focuses solely on medication.
What evidence suggests that these methods could be effective for lowering blood pressure after a stroke?
Research has shown that checking blood pressure at home can improve management. In this trial, participants in the control arm will use home blood pressure monitoring alone. One study found that people who monitored their blood pressure at home needed to adjust their medication more often, which helped them find the right dose for control. Another study found that when people combined home monitoring with expert advice, more participants reached their blood pressure targets. However, adding social support to remote monitoring did not consistently improve blood pressure control. Overall, these findings suggest that home blood pressure checks can be a useful tool for managing high blood pressure.16789
Are You a Good Fit for This Trial?
The BRIDGE trial is for individuals who have had a mild to moderate stroke (ischemic or hemorrhagic) and have high blood pressure. Participants must be able to read and speak English, have internet access, and an established primary care physician at MGH. They should also either have a history of hypertension or be newly diagnosed with it.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants are randomized to either home blood pressure monitoring alone or a combination of virtual group visits and home blood pressure monitoring
Follow-up
Participants are monitored for blood pressure control and intervention acceptability
What Are the Treatments Tested in This Trial?
Interventions
- Group medical visits and home blood pressure monitoring
Trial Overview
This study compares two methods aimed at lowering blood pressure in people who've had a stroke: home blood pressure monitoring and group medical visits where participants learn about managing their condition. The hypothesis is that combining these approaches will more effectively reduce blood pressure post-stroke.
How Is the Trial Designed?
1
Treatment groups
Active Control
Home blood pressure monitoring alone
Find a Clinic Near You
Who Is Running the Clinical Trial?
Massachusetts General Hospital
Lead Sponsor
American Heart Association
Collaborator
Citations
Effectiveness of Home Blood Pressure Monitoring, Web ...
Patients assigned to BPM-Web had a nonsignificant increase in the percentage with controlled BP (<140/90 mm Hg) compared to UC (36%; [95% CI, 30% to 42%] versus ...
Role of Home Blood Pressure Monitoring in Overcoming ...
Home BP monitoring led to more frequent antihypertensive medication reductions (relative risk, 2.02 [95% CI, 1.32 to 3.11]) and was associated with less ...
Remote Blood Pressure Monitoring With Social Support for ...
Findings of this trial indicate that neither remote monitoring of BP alone nor combined with social support result in improved BP control in adults with ...
Efficiency of remote monitoring and guidance in blood ...
Attainment rates of target BP increased rapidly in the first 3 months, and continued to rise only in the remote group, reaching 69.65%. The ...
Blood pressure outcomes at 12 months in primary care ...
Outcomes at 3, 6, 9 and 12 months were: controlling high BP (most recent BP < 140/90 mm Hg), antihypertensive medication intensification, and ...
Clinician Decisions After Remote Notification of Elevated ...
This cohort study uses data from a randomized clinical trial to assess the range of clinician responses to elevated blood pressure alerts ...
7.
ama-assn.org
ama-assn.org/public-health/prevention-wellness/clinical-case-study-telehealth-hypertensionClinical Case Study: Telehealth for Hypertension
This interactive session provided participants with an overview of techniques for managing hypertension via telehealth and remote remote patient monitoring.
Team-Based Care to Improve Blood Pressure Control
The 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 ...
9.
templehealth.org
templehealth.org/services/population-health/temple-care-integrated-network/tcin-newsletter/case-study-connecting-with-patients-through-blood-pressureCase Study: Connecting with Patients through Blood ...
The attributed EXCEL Medical practices achieved a performance rate of 71.6% in the target HEDIS measure, “controlling blood pressure” for the covered year 2021 ...
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