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Behavioural Intervention

Enhanced COACH CDS Tool for High Blood Pressure (COACH Trial)

N/A

Recruiting

Led By David Dorr, MD, MS, FACMI, FAMIA

Research Sponsored by Oregon Health and Science University

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Adult patients aged 18-100 years old

Be older than 18 years old

Must not have

Patient has end stage renal disease

Patient has secondary hypertension

Timeline

Screening 3 weeks

Treatment Varies

Follow Up 2 months, 6 months

Awards & highlights

No Placebo-Only Group

Summary

This trial will test a clinical app (COACH) to help people with hypertension manage their blood pressure, ultimately improving their heart health.

Who is the study for?

This trial is for adults aged 18-100 with high blood pressure, who are patients at a participating clinic and use an online health portal. They must have had multiple recent high BP readings and be recommended by their doctor for home monitoring. Exclusions include pregnancy, secondary hypertension, severe cognitive impairment, life expectancy under 2 years, end stage renal disease or risks from tight BP control.

What is being tested?

The study tests the COACH app's effectiveness in managing blood pressure within primary care settings. Participants will either use the Enhanced COACH CDS Tool designed to integrate home BP data into electronic health records or receive Usual Care with standard support tools.

What are the potential side effects?

Since this trial involves using a decision support tool rather than medication, traditional side effects are not expected. However, participants may experience stress or anxiety related to self-monitoring and potential technical issues with the app.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

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I am between 18 and 100 years old.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

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My kidneys are in the final stage of failure.

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I have high blood pressure caused by another health condition.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ 2 months, 6 months

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~2 months, 6 months

This trial's timeline: 3 weeks for screening, Varies for treatment, and 2 months, 6 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Blood Pressure Control

Secondary study objectives

COACH Application System Usability Evaluation

Demographic factors contributing to blood pressure control

Participant report of health behaviors including Self Efficacy, Social Support, Outcome Expectations and Self-regulation

+1 more

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Experimental Treatment

Active Control

Group I: Enhanced COACHExperimental Treatment1 Intervention

Enhanced blood pressure management recommendations that use cognitive and behavioral science to increase the likelihood of self-management goal setting to lower blood pressure. The CDS tool allows participant access to BP visualizations, reminders, and affectively tailored messaging about blood pressure management.

Group II: Usual Care COACHActive Control1 Intervention

Equivalent of usual care delivered through the CDS tool: Blood pressure management with basic information, reduced reminders, and no affective alerts.

0 / 3Eligibility criteria met