Evidence map›Paper›PMID 36738916›Full record

ArticleContemporary clinical trials2023

Randomized trial protocol for remote monitoring for equity in advancing the control of hypertension in safety net systems (REACH-SNS) study.

Valy Fontil, Elaine C Khoong, Beverly B Green, James D Ralston, Crystal Zhou, Faviola Garcia, Charles E McCulloch, Urmimala Sarkar, Courtney R Lyles

Erratum issuedAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Valy FontilInstitute for Health Excellence in Health Equity, New York University Grossman School of Medicine, United States of America; Department of Population Health, New York University Grossman School of Medicine, United States of America. Electronic address: valy.fontil@nyulangone.org.
Elaine C KhoongDepartment of Medicine, Division of General Internal Medicine at San Francisco General Hospital, University of California San Francisco, United States of America; UCSF Center for Vulnerable Populations, San Francisco General Hospital, United States of America.
Beverly B GreenKaiser Permanente Washington Health Research Institute, United States of America.
James D RalstonKaiser Permanente Washington Health Research Institute, United States of America.
Crystal ZhouDivision of Cardiology, University of California San Francisco, United States of America.
Faviola GarciaDepartment of Medicine, Division of General Internal Medicine at San Francisco General Hospital, University of California San Francisco, United States of America.
Charles E McCullochDepartment of Epidemiology and Biostatistics, University of California San Francisco, United States of America.
Urmimala SarkarDepartment of Medicine, Division of General Internal Medicine at San Francisco General Hospital, University of California San Francisco, United States of America; UCSF Center for Vulnerable Populations, San Francisco General Hospital, United States of America; Department of Epidemiology and Biostatistics, University of California San Francisco, United States of America.
Courtney R LylesDepartment of Medicine, Division of General Internal Medicine at San Francisco General Hospital, University of California San Francisco, United States of America; UCSF Center for Vulnerable Populations, San Francisco General Hospital, United States of America; Department of Epidemiology and Biostatistics, University of California San Francisco, United States of America.

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Remote monitoring for Equity in Advancing Control of Hypertension (REACH)R01HL159372 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LYLES, COURTNEY REES · 2021 to 2025
$3.3M
CEREBROVASCULAR ION CHANNELS IN HYPERTENSIONR01HL051932 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI SIMARD, J. MARC · 1994 to 2007
$2.0M
Designing a Remote Monitoring Intervention for Value & Equity in Hypertension (DRIVE-HTN)K23HL157750 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KHOONG, ELAINE · 2021 to 2025
$921k
NHLBI NIH HHS K23 HL157750NHLBI NIH HHS R01 HL051932NHLBI NIH HHS R01 HL159372NIDDK NIH HHS P30 DK092924
6 · The paper itself

Abstract

backgroundSelf-measured blood pressure monitoring (SMBP) is essential to effective management of hypertension. This study aims to evaluate effectiveness and implementation of SMBP that leverages: cellular-enabled home BP monitors without a need for Wi-Fi or Bluetooth; simple communication modalities such as text messaging to support patient engagement; and integration into existing team-based workflows in safety-net clinics.

methodsThis study will be conducted with patients in San Francisco who are treated within a network of safety-net clinics. English and Spanish-speaking patients with diagnosed hypertension will be eligible for the trial if they have recent BP readings ≥140/90 mmHg and do not have co-morbid conditions that make home BP monitoring more complex to manage. This study will implement a three-arm randomized controlled trial to compare varying levels of implementation support: 1) cellular-enabled BP monitors (with minimal implementation support), 2) cellular-enabled BP monitors with protocol-based implementation support (text reminders for patients; aggregated BP summaries sent to primary care providers), and 3) cellular-enabled BP monitors and pharmacist-led support (pharmacist coaching and independent medication adjustments).

resultsFor the main analysis, we will use mixed effects linear regression to compare the change in primary outcome of systolic BP. Secondary outcomes include BP control (<140/90 mmHg), medication intensification, patient-reported outcomes, and implementation processes (i.e., engagement with the intervention). DISCUSSION: This study will design and test a digital health intervention for use in marginalized populations treated within safety net settings, evaluating both effectiveness and implementation to advance more equitable health outcomes.

Indexed as

HypertensionText MessagingBlood PressureBlood Pressure DeterminationBlood Pressure Monitoring, AmbulatoryCommunicationHumansRandomized Controlled Trials as TopicDigital healthHome blood pressure monitoringHypertensionRemote patient monitoringSelf-monitoring of blood pressure

Identifiers

PMID36738916
PMCPMC10132961

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.