Uncontrolled Hypertension Among the Homeless
Hypertension
About this trial
This is an interventional health services research trial for Hypertension focused on measuring Hypertension, Homeless Persons, mHealth, Short message service, texting, blood pressure, medication adherence
Eligibility Criteria
Inclusion Criteria:
- Currently experiencing homelessness
- Current diagnosis of hypertension
- SBP above 140mmHg or DBP above 90mmHg at most recent clinic visit
- English or Spanish speaking
- Currently presenting to Project Renewal shelter-clinics for medical care
- Connected to multidisciplinary social and health services at Project Renewal
Exclusion Criteria:
- Pregnant or within 3 months post-partum
- Heart attack or stroke within previous 6 months
- History of aortic aneurysm
- Diagnosis of end-stage renal disease or currently on dialysis
- Inability to read or respond to SMS texts
- Any condition preventing participants from providing informed consent
- SBP >175mmHg or DBP >105mmHg unless medical provider determines patient has no symptoms suggesting a hypertensive emergency or urgency
Sites / Locations
- George Washington UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Hypertension-Specific Education
General Health Education
6 months of mHealth HTN management support via SMS texts including reminders for medication adherence, appointment attendance, and HTN-specific health education and support. Texts will be delivered to support medication adherence and lifestyle changes, and participants will receive appointment reminders before each appointments with a follow-up text and robocall if the appointment is missed.
6 months of mHealth including basic healthcare and general health promotion via SMS texts. Blood pressure measurements and adherence assessments will be collected at every shelter visit.