Virtual Lifestyle Medicine Group Visits for High Blood Pressure

July 6, 2026 updated by: Puja Bharat Gandhi, The University of Texas Health Science Center, Houston

A Scalable, Lifestyle Medicine Intervention for Hypertension Using Virtual Group Shared Medical Appointments

The purpose of this study is to learn whether virtual Lifestyle medicine shared medical appointments (LMSMAs) can help people better manage their blood pressure and improve their overall health.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

18

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

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

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Lifestyle Medicine Virtual Group Visit Program plus usual medical care
Behavioral: Lifestyle Medicine Virtual group
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.
Behavioral: Usual Care Group
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.
Active Comparator: Usual medical care only
Behavioral: Usual Care Group
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

Outcome Measure
Time Frame
Change in diastolic blood pressure readings
Time Frame: 2-4 weeks after randomization,6 months after randomization
2-4 weeks after randomization,6 months after randomization
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

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)
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)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

The University of Texas Health Science Center, Houston

Investigators

  • Principal Investigator: Puja B Gandhi, MD, MPH, DipABLM, The University of Texas Health Science Center, Houston

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

August 3, 2026

Primary Completion (Estimated)

January 3, 2027

Study Completion (Estimated)

February 7, 2027

Study Registration Dates

First Submitted

July 6, 2026

First Submitted That Met QC Criteria

July 6, 2026

First Posted (Actual)

July 13, 2026

Study Record Updates

Last Update Posted (Actual)

July 13, 2026

Last Update Submitted That Met QC Criteria

July 6, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • HSC-MS-26-0577

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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.

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