Home Blood Pressure Monitoring to Improve Hypertension
Hypertension

About this trial
This is an interventional health services research trial for Hypertension focused on measuring blood pressure monitoring, home, shared medical appointments, lifestyle changes, coping skills
Eligibility Criteria
Inclusion Criteria: Uncontrolled hypertension based on Clinic BP measurement of systolic BP>140 or diastolic BP >90 mm Hg (as the cutoff in the current common hypertension performance measures and ACO metrics) PCP recommends or patient desires a trial of self-monitoring and lifestyle modifications Patient owns a smart phone and be willing to complete self-reports of BP during study participation. Exclusion Criteria: On dialysis Pregnant Have a terminal illness, Clinic BP > systolic>180, diastolic>110 Arm circumference that exceeds the limit for the largest home BP monitor cuff Severe cognitive impairment Major cardiovascular or cerebrovascular event in the past 6 months (Coronary artery disease, heart valve problems, arrhythmias, heart failure, stroke) Any physical or mental impairment that would affect patients' ability to participate(Ability to participate will be assessed by demonstrated ability to use available home BP machine and complete self-report during recruitment).
Sites / Locations
- Cleveland Clinic
Arms of the Study
Arm 1
Experimental
Self-monitoring and education program for lifestyle changes
Participants will send self-reports of their home BPs, diet, physical activity and emotions while attending a 6-week education program of lifestyle changes and coping skills. Participants will get summary reports of their home BP and lifestyle monitoring. Participants primary care physicians will be notified of persisting high BPs and final average home BP levels. Researchers will monitor home BP levels and change in hypertension control state