Study Comparing Group Medical Visits with Home Blood Pressure Monitoring to Home Monitoring Alone for Blood Pressure Control After Stroke

What this Trial Is About

Researchers are evaluating two new ways to help people who have had a stroke lower their blood pressure, which is the leading cause of having another stroke and can harm brain health. This study aims to compare home blood pressure monitoring alone with a combination of home monitoring plus group medical visits conducted virtually. The goal is to improve secondary stroke prevention and support brain recovery by testing these two approaches in stroke survivors with hypertension. Participants will be assigned randomly to one of two groups. One group will receive instructions for home blood pressure monitoring only, while the other group will receive the same home monitoring plus participate in virtual group medical visits that provide education and peer support. The study uses a Hybrid Type 1 randomized control trial design to test the effectiveness of these interventions and will measure adoption and acceptability using established research frameworks. During the study, participants will monitor their blood pressure at home and take part in virtual group sessions if assigned to that group. Researchers will assess blood pressure control, focusing on systolic blood pressure measured at three months. The study also includes evaluating how well the interventions are adopted and accepted by participants. Participants must have internet access and a primary care doctor at Massachusetts General Hospital to take part. The study will run until April 2028, with ongoing monitoring and data collection throughout the trial.

BRIDGE: Blood Pressure Reduction and Intervention Delivery Via Group Engagement