Home BP Monitoring
Home BP Monitoring for Diagnosis of Hypertension in African American Adolescents
Most cases of high blood pressure in teens are missed for a number of reasons. One reason is that the most common way to make a diagnosis is to make three or more blood pressure measurements in a doctor's office on separate days. This can be inconvenient. Also, measuring blood pressure in the office might be inaccurate, since children (including teens) might have high values in the office but normal values at home. For these reasons, investigators wish to study a different way to identify teens with high blood pressure. Home BP measurements have been used in Europe to make a diagnosis, but not yet in the United States, and never in a higher risk population of teens. African American teens are at higher risk for high blood pressure than other teens. Investigators will compare the values received from the home BP machines to another method (24 hour ambulatory BP monitoring or ABPM) which is the best standard for diagnosis. Investigators also want to learn more about participants experience and their child's experience with both methods. A small sample of participating teens and parents will be invited to participate in short telephone interviews. This study plans to enroll a total of 750 teens at UH. Recruitment will not take place from other organizations.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Goutham Rao, MD
- Phone Number: (216)844-3791
- Email: goutham.rao@uhhospitals.org
Study Locations
-
-
Ohio
-
Cleveland, Ohio, United States, 44106
- Recruiting
- University Hospitals Cleveland Medical Center
-
Contact:
- Goutham Rao, MD
- Phone Number: (216)844-3791
- Email: Goutham.Rao@UHhospitals.org
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Self-identify or identified by a parent as African-American or of partly African American ancestry
Exclusion Criteria:
- Prior hypertension diagnosis
- Prescribed BP medication
- History of congenital heart disease
- History of solid organ transplant
- Prescribed and using stimulants and other medications on a regular basis known to raise blood pressure such as testosterone and nicotine replacement
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Home Blood Pressure Machine
Participants will be asked to measure blood pressure twice daily for three days in a row. |
Participants will be asked to measure blood pressure twice daily for three days in a row at home. |
|
Experimental: 24-Hour Blood Pressure Machine
Participants will be asked to wear this machine for 24 hours. |
Participants will be asked to wear the machine for 24 hours. |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of participants who meet criteria for hypertension based on average home BP reading.
Time Frame: Up to 2 weeks
|
Up to 2 weeks
|
|
Number of participants who meet criteria for hypertension based on 24-hour ambulatory BP reading.
Time Frame: Up to 24 hours
|
Up to 24 hours
|
|
Percent agreement between home BP-reading based diagnosis versus 24-hour ABPM
Time Frame: Up to 2 weeks
|
Up to 2 weeks
|
|
True positive rate -- Number of home bp positives over ABPM positives
Time Frame: Up to 2 weeks
|
Up to 2 weeks
|
|
True negative rate -- Number of home bp negatives over ABPM negatives
Time Frame: Up to 2 weeks
|
Up to 2 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of subjects who complete home BP protocol
Time Frame: Up to 2 weeks
|
Up to 2 weeks
|
|
Number of subjects who complete both home BP verus 24-hour ABPM protocols
Time Frame: Up to 3 weeks
|
Up to 3 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Rao Goutham, MD, University Hospitals Cleveland Medical Center
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- STUDY20221105
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.