Evidence map›Paper›PMID 41723583›Full record

Trial reportTranslational behavioral medicine2026

Applying behavior change theory to intervention design: promoting clinic-level implementation of self-measured blood pressure monitoring in safety net primary care settings.

Lina Tieu, Elaine C Khoong, Nilpa D Shah, Melissa M Gosdin, Sophia J Wang, Anjana Sharma, Nooshin Abtahi, Rachel J Stern, Crystal Zhou, Urmimala Sarkar and 2 more

Erratum issued Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06113458 (Comparing Hypertension Remote Monitoring Evaluation Redesign), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT06113458 naenrolling by invitationnot on this map

Comparing Hypertension Remote Monitoring Evaluation Redesign

TypeinterventionalSponsorUniversity of California, San FranciscoRan2024 to 2028Enrolled2,500ConditionsHypertensionArmsStandard and One-time Training, Standard and Practice Facilitation, High-intensity and One-time Training, High-intensity and Practice Facilitation
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Lina TieuCenter for Healthcare Policy and Research, University of California, Davis, Sacramento, CA, United States.ORCID 0000-0002-9980-0774
Elaine C KhoongDepartment of Medicine, Division of General Internal Medicine, University of California, San Francisco, CA, United States.ORCID 0000-0002-2514-3572
Nilpa D ShahDepartment of Medicine, Division of General Internal Medicine, University of California, San Francisco, CA, United States.ORCID 0000-0001-8199-7145
Melissa M GosdinCenter for Healthcare Policy and Research, University of California, Davis, Sacramento, CA, United States.
Sophia J WangSchool of Medicine, University of California, San Francisco, CA, United States.
Anjana SharmaUCSF Action Research Center for Health, Zuckerberg San Francisco General Hospital, University of California, San Francisco, CA, United States.ORCID 0000-0001-5541-2414
Nooshin AbtahiContra Costa Health, Martinez, CA, United States.
Rachel J SternVentura County Health Care Agency, Ventura, CA, United States.
Crystal ZhouDepartment of Clinical Pharmacy, University of California, San Francisco, CA, United States.ORCID 0000-0002-0763-0721
Urmimala SarkarDepartment of Medicine, Division of General Internal Medicine, University of California, San Francisco, CA, United States.ORCID 0000-0003-4213-4405
Courtney R LylesCenter for Healthcare Policy and Research, University of California, Davis, Sacramento, CA, United States.ORCID 0000-0002-1111-8595
CHARMED Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-measured blood pressure (SMBP) monitoring is an evidence-based practice effective for improving the diagnosis and control of hypertension. Healthcare settings face challenges integrating it into clinical care. PURPOSE: This study applied behavior change theory to design a clinic-based intervention to integrate SMBP within safety net primary care settings.

methodsWe conducted multi-phase, mixed methods research to adapt a clinic-level intervention across 25 safety net primary care clinics within three California public healthcare systems as part of the Championing Hypertension Remote Monitoring for Equity and Dissemination (CHARMED) Study. From February to August 2024, clinic champions participated in surveys and focus groups to assess: (i) current practices in hypertension management, (ii) implementation barriers, and (iii) strategies for optimizing the use of SMBP within clinics. Using the Behavior Change Wheel, we designed and tailored the intervention to improve clinical practices for SMBP.

resultsOver 50 clinicians/staff participated. Surveys revealed varying SMBP use due to knowledge gaps, lack of standardized processes, and insufficient financial and human resources. Focus groups highlighted the importance of increasing SMBP knowledge among patients and care teams (capability); promoting structured workflows/templates for documenting and acting on SMBP data (opportunity); and building care team buy-in for SMBP (motivation). These insights guided the final intervention activities.

conclusionsUsing behavior change theory and stakeholder-engaged methods, we developed a multi-component clinic-focused intervention to promote tailored SMBP implementation within safety net primary care clinics. This evidence-based, adaptable approach may inform future efforts to implement SMBP at multiple levels of care. CLINICAL TRIAL INFORMATION: The Clinical Trials Registration #NCT06113458.

Indexed as

Behavior TherapyBlood Pressure Monitoring, AmbulatoryHypertensionSafety-net ProvidersAdherence InterventionsCaliforniaHumansPrimary Health CareRemote Patient MonitoringSurveys and Questionnairesbehavior change theorydigital healthhome blood pressure monitoringhypertensionremote patient monitoring

Identifiers

PMID41723583
PMCPMC13064984

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.