Clinical trial NCT02898584: Utilizing Consumer Health Informatics to Support Management of Hypertension by Clinical Pharmacists in Primary Care
Official title: Utilizing Consumer Health Informatics to Support Management of Hypertension by Clinical Pharmacists in Primary Care
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hypertension
Lead sponsor: University of Michigan
Sponsor class: OTHER
First posted: 2016-09-13
Enrollment: 16
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The purpose of this research study is to test the feasibility, acceptability, and preliminary effectiveness of the use of a mobile pharmacist-led intervention that incorporates home BP monitoring and medication reminders with patients recruited from a primary care setting, as well as identify challenges and potential solutions to broader implementation of a mobile pharmacist-led home-based BP monitoring intervention in primary care clinics through key stakeholder interviews.


Eligibility criteria: Inclusion Criteria:

* Have a smart phone compatible with mobile intervention
* Have been previously diagnosed with hypertension
* Have uncontrolled hypertension (systolic blood pressure \> 140 and/or diastolic blood pressure \> 90 on repeat measurement)
* Be under the care of a primary care physician at the recruitment clinic
* Be taking at least one antihypertensive medication
* Be English speaking

Exclusion Criteria:

* Patients under the care of a clinical pharmacist for hypertension management, or under the care of a cardiologist
* Pregnant patients and anyone with the following unrelated, but serious medical conditions will also be excluded, as they may make blood pressure control difficult or necessitate frequent hospitalization: previous diagnosis of resistant hypertension; steroid dependent asthma or emphysema; cirrhosis or hepatic failure; stage C or D chronic heart failure; stage IV or V chronic kidney disease; and cancer (terminal or undergoing active chemotherapeutic or radiation therapy)
* Patients with other serious medical conditions (e.g., stroke, dementia) that may affect their ability to self-monitor blood pressure

Primary outcomes:
measure: Change in blood pressure
timeFrame: from baseline to 12 weeks
Secondary outcomes:
measure: Change in medication adherence as measured by the Adherence to Refills and Medications Scale (ARMS)
timeFrame: from baseline to 12 weeks
Other outcomes:
Locations:
city: Ann Arbor
country: United States
facility: University of Michigan
state: Michigan
Study officials:
affiliation: University of Michigan
name: Lorraine R Buis, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Buis LR, Roberson DN, Kadri R, Rockey NG, Plegue MA, Danak SU, Guetterman TC, Johnson MG, Choe HM, Richardson CR. Understanding the Feasibility, Acceptability, and Efficacy of a Clinical Pharmacist-led Mobile Approach (BPTrack) to Hypertension Management: Mixed Methods Pilot Study. J Med Internet Res. 2020 Aug 11;22(8):e19882. doi: 10.2196/19882.
citation: Buis LR, Roberson DN, Kadri R, Rockey NG, Plegue MA, Choe HM, Richardson CR. Utilizing Consumer Health Informatics to Support Management of Hypertension by Clinical Pharmacists in Primary Care: Study Protocol. JMIR Res Protoc. 2017 Oct 10;6(10):e193. doi: 10.2196/resprot.8059.