Supported HBPM Program for High Blood Pressure
(MonitorBP Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a new method for people to monitor and manage high blood pressure at home. It aims to determine if a supported home blood pressure monitoring (HBPM) program, combined with a strategy to encourage its use, can effectively assist patients with uncontrolled hypertension. Participants will either continue their usual care or access this new program. This trial suits adults with high blood pressure who have recently visited their primary care doctor. As an unphased trial, it offers a unique opportunity for patients to contribute to innovative research that could enhance home management of high blood pressure.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It is best to consult with the trial coordinators or your doctor for guidance.
What prior data suggests that this supported HBPM program is safe for high blood pressure management?
Research shows that checking blood pressure at home is generally safe for managing high blood pressure. Studies have found that these programs help people better control their blood pressure and understand their condition.
A supported home blood pressure monitoring program, which includes helpful tips for effective use, has been tested in everyday settings. These studies found no major safety issues. Instead, they showed that the program improved blood pressure control and increased home monitoring.
Based on current research, the supported home blood pressure monitoring program is safe and well-tolerated by patients.12345Why are researchers excited about this trial?
Researchers are excited about the Supported HBPM (Home Blood Pressure Monitoring) program because it offers a fresh take on managing high blood pressure. Unlike standard treatments that rely solely on medication and periodic doctor visits, this program empowers patients to monitor their blood pressure at home. It combines this self-monitoring with a multifaceted strategy aimed at boosting patient engagement and adherence. By enabling more consistent blood pressure tracking and active patient involvement, the program could lead to better control of hypertension and reduce the risk of related complications.
What evidence suggests that this trial's treatments could be effective for high blood pressure?
Research shows that checking blood pressure at home is crucial for managing high blood pressure. Studies have found that home blood pressure monitoring (HBPM) can predict heart and blood vessel problems. In this trial, participants in the intervention clinics will access a Supported HBPM program and a multifaceted implementation strategy to increase uptake among primary care patients with uncontrolled hypertension. This approach, which includes support and guidance, helps people control their blood pressure effectively. For instance, an online HBPM program improved blood pressure control before dialysis and helped patients learn more about their condition. Additionally, HBPM programs involving healthcare professionals, such as pharmacists, have successfully managed high blood pressure. Overall, using HBPM with support can simplify tracking and managing blood pressure at home.12367
Who Is on the Research Team?
Ian Kronish, MD
Principal Investigator
Columbia University
Are You a Good Fit for This Trial?
This trial is for adults aged 18-85 with high blood pressure who are patients at certain New York medical practices, including those specializing in HIV medicine. They must have had a primary care visit within a specific timeframe and cannot participate if they have advanced dementia, frailty, pregnancy, stage 5 kidney disease, terminal illness or if their medical director opts out.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Pre-Implementation
Data is retrospectively collected from a 12-month period before implementation to assess baseline outcomes
Implementation
Implementation of the Supported HBPM program across practices, with intervention clinics receiving access to the program and control clinics continuing usual care
Follow-up
Participants are monitored for changes in blood pressure and medication adherence after the implementation period
What Are the Treatments Tested in This Trial?
Interventions
- Supported HBPM program plus multifaceted implementation strategy
- Usual care
Find a Clinic Near You
Who Is Running the Clinical Trial?
Columbia University
Lead Sponsor
Weill Medical College of Cornell University
Collaborator
New York Presbyterian Hospital
Collaborator
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator