Automated Feedback for High Blood Pressure
(AUTO 2 Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests whether automated feedback and automatic transmission of blood pressure readings can help people manage high blood pressure more effectively. Participants will use a home blood pressure monitor and either manually enter results or allow an app to send them directly to their health records. The trial will compare these methods to determine which is most effective in controlling blood pressure over a year. Individuals with high blood pressure (140/90 mm Hg or higher) who receive care from a Northwestern Medicine doctor may be suitable candidates. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could enhance blood pressure management for many.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this automated feedback and transmission method is safe for managing high blood pressure?
Research has shown that using automated feedback and remote blood pressure monitoring is generally safe. Studies have found that automatically sending blood pressure data to healthcare providers effectively lowers blood pressure and is well-received by patients. This method outperforms usual care in managing high blood pressure without adding extra risks.
Research indicates that sending patients messages about their blood pressure results helps them manage their condition. This approach encourages more accurate home tracking of blood pressure, aiding in better hypertension control.
When combined, automated feedback and remote monitoring remain effective and safe. Evidence from various studies supports their use in improving blood pressure control without significant side effects. Overall, these methods are considered safe options for managing high blood pressure at home.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it explores innovative ways to manage high blood pressure using technology. Unlike traditional methods where patients manually record and share their blood pressure data, this trial investigates automated systems that streamline the process. Participants might use an app that directly transmits their blood pressure readings to their electronic health records (EHR) or receive automated feedback through their EHR portal. This approach aims to enhance patient engagement and accuracy in monitoring, potentially leading to better blood pressure control and more personalized care.
What evidence suggests that this trial's treatments could be effective for high blood pressure?
This trial will compare different methods of managing high blood pressure. Research has shown that automatically sending blood pressure readings from home, as tested in the "Automated Transmission of Remotely Monitored Blood Pressure" arm, can lower blood pressure more effectively than regular care. The "Automated Patient Feedback on Self Blood Pressure Monitoring" arm evaluates the impact of receiving automatic feedback on blood pressure readings, helping participants understand and manage their blood pressure more effectively. Additionally, the "Automated Transmission of Remotely Monitored Blood Pressure and Automated Feedback" arm combines these methods, potentially leading to better blood pressure control and providing more accurate information for doctors.12678
Who Is on the Research Team?
Stephen D Persell, MD,MPH
Principal Investigator
Northwestern University
Are You a Good Fit for This Trial?
This trial is for adults aged 18-84 with high blood pressure that isn't well controlled, who get their hypertension care at Northwestern Medicine and have or are willing to set up a patient portal account.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive a blood pressure monitor and either manually record or automatically transmit their blood pressure readings, with or without automated feedback
Follow-up
Participants are monitored for persistence of effects on blood pressure management
What Are the Treatments Tested in This Trial?
Interventions
- Automated feedback about home blood pressure results
- Automated Transmission of Remotely Measured Blood Pressure
- Self report of home measured blood pressure via patient EHR portal
Trial Overview
The study compares sending patients automated feedback about their home blood pressure readings versus no feedback, and also looks at the difference between automatic transmission of these readings versus self-reporting them through an online portal.
How Is the Trial Designed?
4
Treatment groups
Active Control
Participants receive a blood pressure monitor and an application to directly transmit measurements to their EHR record.
Participants receive a blood pressure monitor and are encouraged to enter blood pressure results into their EHR patient portal.
Participants receive a blood pressure monitor and are encouraged to enter blood pressure results into their EHR patient portal. Participants receive messages through the EHR patient portal about their home blood pressure results.
Participants receive a blood pressure monitor and an application to directly transmit measurements to their EHR record. Participants receive messages through the EHR patient portal about their home blood pressure results.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Northwestern University
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator
Citations
Wireless Home Blood Pressure Monitoring System With ...
Wireless Home Blood Pressure Monitoring System With Automatic Outcome-Based Feedback and Financial Incentives to Improve Blood Pressure in ...
Self-Measured Blood Pressure Monitoring at Home: A Joint ...
Self-measured BP monitoring, the measurement of BP by an individual outside of the office at home, is a validated approach for out-of-office BP measurement.
Remote Patient Monitoring Is Associated with Improved ... - PMC
RPM is associated with improved HTN control and provides further evidence supporting telehealth programs which can aid in chronic disease management.
4.
newsroom.heart.org
newsroom.heart.org/news/ai-helped-older-adults-report-accurate-blood-pressure-readings-at-homeAI helped older adults report accurate blood pressure ...
Use of an AI voice agent to prompt self-reported blood pressure readings helped to improve accuracy of blood pressure measures and patient ...
Automatic transmission of home blood pressure data can be ...
This systematic review and meta-analysis shows that HBPT with automatic data transmission systems is more effective in lowering blood pressure than usual care.
Lessons From a Remote Blood Pressure Monitoring Trial
Given the increasing evidence that remote home BP monitoring improves clinical outcomes, future studies should explore practical implementation ...
7.
connectwithcare.org
connectwithcare.org/wp-content/uploads/2025/05/Effect-of-Remote-Patient-Monitoring-on-Stage-2-Hypertension.pdfEffect of Remote Patient Monitoring on Stage 2 Hypertension
This study demonstrates the association between remote patient monitoring (RPM) with care coaching and a significant reduction in high blood ...
Implementation of a Cell‐Enabled Remote Blood Pressure ...
A cell‐enabled postpartum remote BP monitoring program was successful in uniformly monitoring BP and capturing hypertension among a diverse, ...
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