Virtual Lifestyle Medicine Group Visits for High Blood Pressure
A Scalable, Lifestyle Medicine Intervention for Hypertension Using Virtual Group Shared Medical Appointments
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: Puja B Gandhi, MD, MPH, DipABLM
- Phone Number: (713) 500-6714
- Email: Puja.Gandhi@uth.tmc.edu
Study Contact Backup
- Name: Natalia Williams
- Phone Number: (713) 486-3844
- Email: Natalia.Williams@uth.tmc.edu
Study Locations
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Texas
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Houston, Texas, United States, 77030
- The University of Texas Health Science Center at Houston
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Contact:
- Puja B Gandhi, MD, MPH, DipABLM
- Phone Number: (713) 500-6714
- Email: Puja.Gandhi@uth.tmc.edu
-
Contact:
- Natalia Williams
- Phone Number: (713) 486-3844
- Email: Natalia.Williams@uth.tmc.edu
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Current diagnosis of hypertension (ICD codes I10.0-I14.0 billed within the last 5 years Essential HTN, Essential HTN, Primary HTN)
- Currently receives care at a UTPhysicians; Last seen by a PCP at Victory location within the last 1 year.
- Able to participate in a virtual format
- Willingness to participate and engage in home blood pressure monitoring
Exclusion Criteria:
- Unstable cardiovascular disease (recent Myocardial Infarction (MI), unstable angina, decompensated HF)
- Advanced Chronic kidney disease (CKD) (eGFR < 30) without nephrology co-management
- Active cancer treatment
- Severe cognitive impairment (unable to engage)
- Uncontrolled psychiatric illness (e.g., active psychosis)
- Resistant hypertension (requiring> 3 medications at maximum doses)
- Unable to participate in English class format
- Unstable internet or lack of smartphone
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Lifestyle Medicine Virtual Group Visit Program plus usual medical care
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Participants will be given a home BP monitor upon enrollment and the group will engage in twice monthly virtual shared medical appointments (vSMAs) for 4 visits.
Prior to each visit, participants will be asked to complete home BP monitoring (twice in the morning and twice in the evening for 3 days before visit), with readings reviewed during visits and medications adjusted as clinically indicated.
Participants will complete four sessions over an 8-week period, with one session type offered in each 2 week block.
Participants will be given a home BP monitor upon enrollment and will be instructed by phone and with an electronic health record (EHR) portal message on proper technique for home BP readings.
Participants will continue to have follow-up visits with their PCP as clinically indicated.
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Active Comparator: Usual medical care only
|
Participants will be given a home BP monitor upon enrollment and will be instructed by phone and with an electronic health record (EHR) portal message on proper technique for home BP readings.
Participants will continue to have follow-up visits with their PCP as clinically indicated.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in diastolic blood pressure readings
Time Frame: 2-4 weeks after randomization,6 months after randomization
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2-4 weeks after randomization,6 months after randomization
|
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Change in systolic blood pressure readings
Time Frame: 2-4 weeks after randomization,6 months after randomization
|
2-4 weeks after randomization,6 months after randomization
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Percentage of eligible participants who agree to participate
Time Frame: end of study (6 months after randomization)
|
end of study (6 months after randomization)
|
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Number of primary care physicians (PCPs) whose patients are included in the program
Time Frame: end of study (6 months after randomization)
|
end of study (6 months after randomization)
|
|
Median number of sessions attended by each participant
Time Frame: end of study (6 months after randomization)
|
end of study (6 months after randomization)
|
|
Adherence as assessed by the number of of blood pressure (BP) readings submitted between each session
Time Frame: end of study (6 months after randomization)
|
end of study (6 months after randomization)
|
|
Adherence to home BP monitoring as assessed by the number of of home BP sessions submitted between each session
Time Frame: end of study (6 months after randomization)
|
end of study (6 months after randomization)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Puja B Gandhi, MD, MPH, DipABLM, The University of Texas Health Science Center, Houston
Study record dates
Study Major Dates
Study Start (Estimated)
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
- HSC-MS-26-0577
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
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