Supporting Self-Management of Healthy Behaviors in Chronic Kidney Disease (SMART-HABITS)
Renal Insufficiency, Chronic, Hypertension
About this trial
This is an interventional other trial for Renal Insufficiency, Chronic
Eligibility Criteria
Inclusion Criteria:
- adult patients with hypertension (treated with three or less anti-hypertensive medications) and chronic kidney disease stage 3 or 4 managed in participating nephrology practices
- have a smartphone that they are willing to carry with them the majority of the time while enrolled in the study
- able to comprehend English,
- have ability to walk.
- mean blood pressure of <=180/100 mmHg from historical blood pressure readings in the electronic medical record
- able and willing to provide informed consent
Exclusion Criteria:
- inability to provide consent or read or speak English
- had MI or stroke within the previous six months,
- diagnosis of dementia or cognitive impairment
- inability to walk
- already participating in another physical activity study
- belong to vulnerable population
- likely to receive a kidney transplant within 1 month of enrollment into the trial
- living in a long-term care or rehabilitation institution
- likely to have their care transferred to another facility outside participating clinic areas during the course of the study
- planning to travel or live consecutively out of the country for more than one month
- participating in another intervention trial,
- hypertension not managed by the nephrologist in the clinic
- prescribed more than three anti-hypertensive medications (i.e. resistant hypertension),
- any other reason they do not expect to be able to complete the study.
Sites / Locations
- Penn Presbyterian Medical Center
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Texting Arm
mHealth app Arm
Participants will receive automated text message reminders to check their blood pressure (BP) at least three days per week (participants will choose which days and times to receive reminders). Participants will transmit BP readings with text message to the Way to Health server. If a BP reading is not received within 3 hours, another reminder will be sent. Automated text message feedback will be sent with a tailored message. Participants will asked to set a daily step goal of at least 3,000 steps per day and transmit their step count information from their FitBit. Participants will be reminded once a day to sync their FitBit. Motivating messages will be sent weekly. After 4 weeks, and 8 weeks of the study, a usability survey will be sent. Weekly and daily feedback will be sent. At the conclusion of week 6, individuals will "crossover" and will continue for an additional 6 weeks using the opposite technology to communicate BP readings.
Participants randomized to the mHealth app (Omron Connect) arm will receive reminder messages to check their BP via push notifications from the Omron Connect app at least three times weekly. Upon receipt of the BP reading to the research platform from Omron Connect, participants will receive automatic tailored text message feedback similar to the texting arm. Participants will asked to set a daily step goal of at least 3,000 steps per day and transmit their step count information from their FitBit. Participants will be reminded once a day to sync their FitBit. Motivating messages will be sent weekly. After 4 weeks, and 8 weeks of the study, a usability survey will be sent. Weekly and daily feedback will be sent. At the conclusion of week 6, individuals will "crossover" and will continue for an additional 6 weeks using the opposite technology to communicate BP readings.