REACH OUT: to Reduce High Blood Pressure in the Emergency Department

NCT ID: NCT02301455

Last Updated: 2018-02-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

104 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2015-08-31

Brief Summary

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One of the most powerful predictors of stroke is hypertension, with estimates of approximately 33% of adults in the United States experiencing this condition.

Hypertension is very prevalent in the emergency department (ED), but significantly undertreated. The overall goal of this project is to develop a text messaging intervention to improve hypertension care in the ED. This will first be done by testing the feasibility of identifying hypertensive patients in the ED, and the response rate to text messages.

Detailed Description

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Conditions

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Hypertension Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control, Not hypertensive

Participants who after 3 weeks do not have high blood pressure or are not responsive to text messages.

Group Type NO_INTERVENTION

No interventions assigned to this group

Text messages, hypertensive

Participants who after 3 weeks have high blood pressure and are responsive to text messages, who are then randomized to receive text messages.

Group Type EXPERIMENTAL

Text messaging

Intervention Type BEHAVIORAL

persistently hypertensive participants will be randomized to receive these tailored, motivational text messages

No text messages, hypertensive

Participants who after 3 weeks have high blood pressure and are responsive to text messages, who are then randomized to not receive text messages.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Text messaging

persistently hypertensive participants will be randomized to receive these tailored, motivational text messages

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Adult (≥18 y/o)
* At least one BP of systolic blood pressure (SBP) ≥160 or a diastolic blood pressure (DBP) ≥100 or only BP performed prior to enrollment is SBP ≥160 or a DBP ≥100 (If the patient has repeated measurements after achieving Criteria 1, but prior to being enrolled, at least one of the repeat BP remains SBP ≥140 or a DBP ≥90)
* Must have mobile phones with text-messaging capability
* Likely to be discharged from the ED

Exclusion Criteria

* Adult who is in an urgent condition
* Unable to read
* Non-English speaking
* Incarcerated/ institutionalized resident
* Pregnant, or has a pre-existing condition that makes follow-up for 4 months unlikely.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Lesli E. Skolarus, MD

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ann Arbor, Michigan, United States

Site Status

Countries

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United States

References

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Meurer WJ, Dome M, Brown D, Delemos D, Oska S, Gorom V, Skolarus L. Feasibility of Emergency Department-initiated, Mobile Health Blood Pressure Intervention: An Exploratory, Randomized Clinical Trial. Acad Emerg Med. 2019 May;26(5):517-527. doi: 10.1111/acem.13691. Epub 2019 Feb 19.

Reference Type DERIVED
PMID: 30659702 (View on PubMed)

Other Identifiers

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HUM00091668

Identifier Type: -

Identifier Source: org_study_id

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