Use of Automated Office Blood Pressure Monitoring

Study Overview
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Brief Summary
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Blood pressure measurements by three methods Office Blood Pressure Measurement (OBPM), Automated Office Blood Pressure Measurement (AOBPM), and Home Blood Pressure Measurement (HBPM) were collected retrospectively across three visits for patients (N=28) referred to a specialty hypertension (HTN) clinic. Demographic data were analyzed using summary statistics. The differences between AOBPM, HBPM, and OBPM were examined using mixed models repeated measures analysis for time and method for each visit.

Official Title
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Use of Automated Office Blood Pressure Monitoring in Older Working-age Adults

Conditions
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Hypertension, Uncontrolled Hypertension, Hypertension, White Coat, Hypertension, Resistant to Conventional Therapy

Intervention / Treatment
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* Device: Blood pressure measurement device


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 19 years and older Uncontrolled BP Prescribed three or more antihypertensive medications at the time of referral Higher risk for poor CV outcomes than patients with essential HTN OBPM systolic BP of greater than 140 mmHg and diastolic BP of greater than or equal to 90 mm Hg upon initial clinic assessment. Exclusion Criteria: Less than 19 years old Had a systolic BP of less than 140 mm Hg and diastolic BP of less than 90 mmHg upon initial clinic assessment. Also, patients on less than three antihypertensive medications, with less than three visits, and who have controlled OBPM were excluded.

Ages Eligible for Study
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Minimum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Office Blood Pressure Measurement (OBPM)<br>Traditional office blood pressure monitoring in the primary care clinical environment. | Device: Blood pressure measurement device<br>* The use of three different devices: traditional office blood pressure measurement cuff (OBPM), automated office blood pressure measurement cuff (AOBPM), and home blood pressure measurement cuff (HBPM).<br>|
| Experimental: Automated Office Blood Pressure Measurement (AOBPM)<br>Blood pressure measurement using a validated BpTRU device | Device: Blood pressure measurement device<br>* The use of three different devices: traditional office blood pressure measurement cuff (OBPM), automated office blood pressure measurement cuff (AOBPM), and home blood pressure measurement cuff (HBPM).<br>|
| Experimental: Home Blood Pressure Measurement (HBPM)<br>Blood pressure measurement at patient's home using home monitoring device. | Device: Blood pressure measurement device<br>* The use of three different devices: traditional office blood pressure measurement cuff (OBPM), automated office blood pressure measurement cuff (AOBPM), and home blood pressure measurement cuff (HBPM).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants using Traditional office blood pressure measurement (OBPM) | Blood pressure control: Traditional office blood pressure measurement less than 140/90 mm Hg | Baseline | 
| Number of participants using Traditional office blood pressure measurement (OBPM) | Blood pressure control: Traditional office blood pressure measurement less than 140/90 mm Hg | Up to 8 weeks | 
| Number of participants using Traditional office blood pressure measurement (OBPM) | Blood pressure control: Traditional office blood pressure measurement less than 140/90 mm Hg | Up to 16 weeks | 
| Number of participants using Automated office blood pressure measurement (AOBPM) | Blood pressure control: Automated office blood pressure measurement less than 130/80 mm Hg | Baseline | 
| Number of participants using Automated office blood pressure measurement (AOBPM) | Blood pressure control: Automated office blood pressure measurement less than 130/80 mm Hg | Up to 8 weeks | 
| Number of participants using Automated office blood pressure measurement (AOBPM) | Blood pressure control: Automated office blood pressure measurement less than 130/80 mm Hg | Up to 16 weeks | 
| Number of participants using Home blood pressure measurement (HBPM) | Blood pressure control: Home blood pressure measurement less than 130/80 mm Hg | Baseline | 
| Number of participants using Home blood pressure measurement (HBPM) | Blood pressure control: Home blood pressure measurement less than 130/80 mm Hg | Up to 8 weeks | 
| Number of participants using Home blood pressure measurement (HBPM) | Blood pressure control: Home blood pressure measurement less than 130/80 mm Hg | Up to 16 weeks |