Randomized Clinical Trial Comparing Technology-Enabled Management and Usual Care for High Blood Pressure in Adults Aged 30 to 90

What this Trial Is About

This trial studies adults aged 30 to 90 years with hypertension, comparing technology-enabled blood pressure management to usual care. It involves diverse recruitment strategies, including digital outreach and patient registries, aiming to improve participant diversity and engagement. The study is randomized with two groups, assessing different ways to manage hypertension and focusing on blood pressure control and medication use. Participants are assigned to either a mobile health technology system that supports physician-directed, semi-automated hypertension management or to receive usual care. The study includes three cohorts with distinct recruitment methods, including manual and AI-assisted patient screening to ensure balanced and diverse enrollment. Efforts also involve culturally tailored outreach for Spanish-speaking participants and underrepresented populations. Participants will have baseline and follow-up visits at 3 and 6 months to measure outcomes such as blood pressure levels, antihypertensive drug use, and physician-related factors. Researchers will monitor medication doses and blood pressure changes, and gather survey data on clinician behavior and satisfaction. The study lasts at least six months, with ongoing assessments to evaluate the effectiveness and efficiency of the different management approaches.

Technology-enabled Management Versus Usual Care for Blood Pressure