Virtual Lifestyle Medicine Group Visits for High Blood Pressure
A Scalable, Lifestyle Medicine Intervention for Hypertension Using Virtual Group Shared Medical Appointments
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Puja B Gandhi, MD, MPH, DipABLM
- Telefonnummer: (713) 500-6714
- E-mail: Puja.Gandhi@uth.tmc.edu
Undersøgelse Kontakt Backup
- Navn: Natalia Williams
- Telefonnummer: (713) 486-3844
- E-mail: Natalia.Williams@uth.tmc.edu
Studiesteder
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-
Texas
-
Houston, Texas, Forenede Stater, 77030
- The University of Texas Health Science Center at Houston
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Kontakt:
- Puja B Gandhi, MD, MPH, DipABLM
- Telefonnummer: (713) 500-6714
- E-mail: Puja.Gandhi@uth.tmc.edu
-
Kontakt:
- Natalia Williams
- Telefonnummer: (713) 486-3844
- E-mail: Natalia.Williams@uth.tmc.edu
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
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
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: 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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Aktiv komparator: Usual medical care only
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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.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change in diastolic blood pressure readings
Tidsramme: 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
Tidsramme: 2-4 weeks after randomization,6 months after randomization
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2-4 weeks after randomization,6 months after randomization
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Percentage of eligible participants who agree to participate
Tidsramme: end of study (6 months after randomization)
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end of study (6 months after randomization)
|
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Number of primary care physicians (PCPs) whose patients are included in the program
Tidsramme: end of study (6 months after randomization)
|
end of study (6 months after randomization)
|
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Median number of sessions attended by each participant
Tidsramme: end of study (6 months after randomization)
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end of study (6 months after randomization)
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Adherence as assessed by the number of of blood pressure (BP) readings submitted between each session
Tidsramme: end of study (6 months after randomization)
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end of study (6 months after randomization)
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Adherence to home BP monitoring as assessed by the number of of home BP sessions submitted between each session
Tidsramme: end of study (6 months after randomization)
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end of study (6 months after randomization)
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Puja B Gandhi, MD, MPH, DipABLM, The University of Texas Health Science Center, Houston
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- HSC-MS-26-0577
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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