Utilizing Telemedicine for Hypertension Treatment Lifestyle Modification in Central Harlem

Study Overview
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Brief Summary
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The purpose of this study is to test the feasibility of creating a health education telemedicine curriculum that can be delivered by Weill Cornell Medicine faculty and medical students and NY-Presbyterian Hospital resident physicians to community dwelling adults in an under-resourced local community.

Official Title
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Hypertension Control in the Age of COVID-19: Utilizing Telemedicine for Hypertension Treatment Lifestyle Modification in Central Harlem

Conditions
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Hypertension

Intervention / Treatment
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* Behavioral: Lifestyle Modification Webinars Focused on Hypertension Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female greater than or equal to 18 years of age. Self-report of a hypertension diagnosis. Exclusion Criteria: Pregnant or breastfeeding. End-stage renal disease on hemodialysis.

Ages Eligible for Study
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Minimum Age: 18 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: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Hypertension telemedicine curriculum<br>All participants participate in the 12-week telemedicine curriculum. All participants will be asked to record their steps via pedometer and their blood pressure measurements via automatic blood pressure arm cuff. | Behavioral: Lifestyle Modification Webinars Focused on Hypertension Control<br>* Participation in a 12-week health education telemedicine curriculum<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participant's Satisfaction with the Curriculum at 12 Weeks | Participant's satisfaction with the curriculum will be measured via 5-point Likert scale survey that was created by our research team. Scores will range from a low of Strongly disagree to a high of Strongly agree. | Week 12 | 
| Change in Number of Participants Virtually Attending the Health Education Seminars | Virtual attendance to the health education seminars will be collected. The number of participants who virtually attend all health education seminars over the 12 week period will be collected and change in number of participants attending will be assessed. | Baseline to 12 weeks. | 
| Change in Participant's Rate of Completion of Weekly Blood Pressure Recordings | Participant's rate of completion of the weekly blood pressure recording logs will be measured and analyzed. | Baseline to 12 weeks. | 
| Change in Participant's Rate of Completion of Weekly Steps Recordings | Participant's rate of completion of the weekly step recording logs will be measured and analyzed. | Baseline to 12 weeks. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean Change in Systolic Blood Pressure Measurement. | Participants will self-report weekly up to 4 blood pressure readings taken at baseline through week 12 with their automatic blood pressure arm cuff. The change in systolic blood pressure measurements in this time frame will be assessed. | Baseline to week 12 | 
| Mean Change in Diastolic Blood Pressure Measurement. | Participants will self-report weekly up to 4 blood pressure readings taken at baseline through week 12 with their automatic blood pressure arm cuff. The change in diastolic blood pressure measurements in this time frame will be assessed. | Baseline to week 12 | 
| Mean Change in Number of Daily Steps Measured by Pedometer. | Participants will self-report weekly the number of steps taken as measured by their wrist pedometer at baseline through week 12. | Baseline to week 12 | 
| Change in Self-Reported Health Attitudes and Behaviors As Assessed by Survey. | The name of the survey is  Knowledge, attitudes, and perceptions towards hypertension and cardiovascular disease. The survey was adapted from the Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System. It consists of both quantitative and qualitative questions assessing participants' demographics, participants' knowledge and attitudes about diet and exercise, and participants' knowledge about hypertension and other related cardiac diseases (i.e. stroke, coronary artery disease). The survey will be administered at enrollment and post-intervention at week 12. Pre- and post-surveys will be compared for accuracy of answers and change in self-reported behaviors. | Baseline, week 12 |