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OpenTrials
Completed

NCT Number: NCT02301455

REACH OUT: to Reduce High Blood Pressure in the Emergency Department

One of the most powerful predictors of stroke is hypertension, with estimates of approximately 33% of adults in the United States experiencing this condition.

Hypertension is very prevalent in the emergency department (ED), but significantly undertreated. The overall goal of this project is to develop a text messaging intervention to improve hypertension care in the ED. This will first be done by testing the feasibility of identifying hypertensive patients in the ED, and the response rate to text messages.

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Key information

Conditions

Hypertension Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Nervous System Diseases Stroke Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ann Arbor, Michigan, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adult (≥18 y/o)
  • At least one BP of systolic blood pressure (SBP) ≥160 or a diastolic blood pressure (DBP) ≥100 or only BP performed prior to enrollment is SBP ≥160 or a DBP ≥100 (If the patient has repeated measurements after achieving Criteria 1, but prior to being enrolled, at least one of the repeat BP remains SBP ≥140 or a DBP ≥90)
  • Must have mobile phones with text-messaging capability
  • Likely to be discharged from the ED

Exclusion criteria

  • Adult who is in an urgent condition
  • Unable to read
  • Non-English speaking
  • Incarcerated/ institutionalized resident
  • Pregnant, or has a pre-existing condition that makes follow-up for 4 months unlikely.

Treatment and study plan

Text messaging

Behavioral

persistently hypertensive participants will be randomized to receive these tailored, motivational text messages

Primary outcomes

  1. Proportion of people who respond to text messages and are persistently hypertensive

    Time frame: 3 weeks

Secondary outcomes

  1. Change in systolic and diastolic blood pressure

    Time frame: 4 months

  2. Feasibility of a screening algorithm

    Time frame: 4 months

    Proportion of subjects recruited compared to proportion of subjects approached. Subject eligibility identified by screening algorithm.

  3. Feasibility of subject follow-up mechanism

    Time frame: 4 months

    Proportion of subjects responding to follow-up text messages

  4. Mean group differences and standard deviations for systolic blood pressure

    Time frame: 4 months

Sponsors and collaborators

Lead sponsor

University of Michigan

Other

Registry information

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Nov 26, 2014
Registry last updated
Feb 9, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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