A pharmacist intervention for monitoring and treating hypertension using bidirectional texting: PharmText BP.

Abstract:

BACKGROUND:New approaches are needed to better monitor blood pressure (BP) between physician visits, especially for patients in rural areas or for those who lack transportation. We have developed a custom-built bi-directional texting platform for home BP measurements that can then be managed by clinical pharmacists located remotely. The purpose of this study is to evaluate whether the BP texting approach combined with a pharmacist-based intervention improves BP management and to determine if the approach is cost effective. METHODS:This study is a randomized, prospective trial in four primary care offices that serve patients in rural areas. Subjects will receive standardized research BP measurements at baseline, 6 and 12 months. The primary outcome will be differences between the intervention and control group in mean systolic BP at 12 months. Secondary outcomes will include systolic BP at 6 months; diastolic BP at 6 and 12 months, number of medication changes and costs. CONCLUSIONS:This study plans to enroll subjects through 2022, follow-up will be completed in 2023 and results will be available in 2024. This study will provide information on whether a combined approach using texting of home BP values and a pharmacist-based telehealth services can improve BP control.

journal_name

Contemp Clin Trials

authors

Polgreen LA,Carter BL,Polgreen PM,Snyder PM,Sewell DK,Bayman EO,Francis SL,Simmering JE,Parker C,Finkelstein R

doi

10.1016/j.cct.2020.106169

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

106169

eissn

1551-7144

issn

1559-2030

pii

S1551-7144(20)30247-0

journal_volume

98

pub_type

杂志文章