ArticlePilot and feasibility studies2025
Piloting a team-based telemedicine care for hypertension focused on Black patients.
Article in Pilot and feasibility studies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05424744 (Telemedicine Management of Hypertension), which is not on this map. Cited by 4 papers.
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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.
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.
Telemedicine Management of Hypertension: A Pre-Implementation Study
Who cites it
4 citing papers in PubMed.
- Determinants of Successful Implementation: A Mixed-Methods Evaluation of a Team-Based Telehealth Hypertension Management Program for Underserved Patients.Journal of the American Heart Association · 2026Trial
- Efficacy of device-measured physical activity on cardiometabolic outcomes among individuals with abnormal glucose tolerance in Ghana: A pilot randomized controlled trial.Global epidemiology · 2026Article
- Effects of a device-measured physical activity intervention on visual outcomes, including contrast sensitivity, and glycaemic control in individuals with abnormal glucose tolerance: a pilot randomised trial post-CarMeR study.Pilot and feasibility studies · 2026Article
- Prospective feasibility study of a telehealth platform for community-based NCD risk assessment by community health leaders in rural northern Thailand.SAGE open medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
backgroundCurrent telemedicine programs to manage hypertension are less effective in Black compared with White patients in the US. Insufficient support for self-care skills and unaddressed social needs may explain the differences. We evaluated feasibility of a team-based telemedicine program using home blood pressure (BP) monitoring (HBPM) guided pharmacotherapy and supporting patients' self-care skills and social needs.
methodsWe conducted a single-arm pilot study in two safety-net clinics in North Carolina, enrolling 20 adults with uncontrolled hypertension on stable antihypertensive regimen with smartphone access, and English proficiency. We excluded individuals with conditions impairing home BP monitoring, complex chronic illnesses, or recent acute health events. The 12-week intervention included daily HBPM, HBPM-guided pharmacotherapy, telephone-based self-management support by trained nurses, and social support from community health workers (CHW) and social workers. We evaluated feasibility for recruitment and retention and completion of intervention components, pre-specified as ≥ 70% of expected HBPM (7 times/week/patient) and ≥ 80% self-management calls/patient (8 in clinic 1 and 12 in clinic 2).
resultsAmong 135 patients approached, 28.9% (n = 39) were eligible. We enrolled 20 patients (17 Black patients, 9 women) and 18 (90%) completed the study. Patients measured their BP an average of 9.4 (SD 8.6) times/week (134.3% of expected) and completed 78.3% of expected calls. We provided social support to 11 patients 19 times including support at home visits by CHWs, mostly for food and medications. There were challenges in supporting other social needs like housing. There was mean (SD) of 1.1 (0.8) medication activation/patient (dose or medication changes), and 8 minor technical issues about HBPM/telemonitoring application use, which were promptly resolved.
conclusionOur team-based telemedicine hypertension intervention shows feasibility for recruitment, retention, and HBPM, partial feasibility for social support, and almost met feasibility for self-management support. Community informed approaches can further improve program implementation.
trial registrationClinicalTrials.gov, NCT05424744, Registered 9 June 2022, https://clinicaltrails.gov/study/NCT05424744 . TRIAL
fundingDepartment of Cardiovascular Medicine, Wake Forest University School of Medicine.
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