Improving Adherence to Home Blood Pressure Monitoring With Pharmacist Support

Study Overview
=================
Brief Summary
-----------------
The purpose of this research study is to evaluate the impact of monitoring blood pressure from home everyday with pharmacist support.

Detailed Description
-----------------
High blood pressure is very common and increases risk of heart, kidney, brain, and eye disease. It is important to diagnose and treat high blood pressure to reduce risk of these complications. Getting blood pressure checked only when someone sees a doctor is not the best way to diagnose high blood pressure or to make sure blood pressure is well managed. Checking blood pressure at home gives a better idea of whether someone's blood pressure is normal or too high. As part of their usual blood pressure monitoring, participants will be given an Omron 3 series or 5 series blood pressure monitor which has been cleared by the US Food and Drug Administration and validated to meet accuracy and performance requirements. For one month, participants will monitor their blood pressure once a day and then return the device to the clinic at the end of the study. Participants will text their blood pressure result to the American Heart Association's Check, Change, Control (CCC) secure online tracker. As part of the research study, participants will also be randomized to either receive or not receive weekly check-in phone calls from a pharmacist to review their blood pressures and the number of times they tested in that week. Approximately 50 individuals will participate in this study. Participation in this study will last 1 month.

Official Title
-----------------
Improving Adherence to Home Blood Pressure Monitoring With Pharmacist Support

Conditions
-----------------
Hypertension

Intervention / Treatment
-----------------
* Behavioral: Weekly check-in


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 18 years of age and older Uncontrolled hypertension (BP > 130/80 mm Hg) Exclusion Criteria: non-English speaking patients patients without a mobile phone or texting capability

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: With check-ins<br>Daily blood pressure monitoring with weekly check-ins | Behavioral: Weekly check-in<br>* Weekly check-in phone calls from a pharmacist to review blood pressures and the number of times tested in that week<br>|
| No Intervention: Without check-ins<br>Daily blood pressure monitoring without weekly check-ins | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in adherence to home blood pressure monitoring | Proportion of days blood pressure is measured based on data from the blood pressuring monitor | 1 month | 
| Change in proportion of participants with a blood pressure <130/80 mm Hg. | Proportion of participants with a blood pressure <130/80 mm Hg. | 1 month |