Remote Monitoring and Social Support for Hypertension Management

Hypertension (HTN) is an important risk factor for cardiovascular disease, yet only about half of adults with hypertension have good control. Remote monitoring interventions for HTN have shown promise, but results are difficult to sustain in typical primary care practices. We focus on remote monitoring of blood pressure and medication adherence in the context of an urban primary care practice. We will also evaluate including a friend or family member to act as feedback partner for social support. We plan to use the Way to Health (WTH) platform to facilitate this new HTN service-delivery model that enhances the existing program. In this pragmatic randomized controlled trial, we will enroll 150 patients (60 remote monitoring, 60 remote monitoring + social support, 30 control) with poorly controlled HTN to participate for 4 months. Patients in the intervention groups will receive blood pressure monitors and feedback about adherence, with information escalated to the clinician as needed. Those in the social support group will also have adherence information sent to the feedback partner on a routine basis. The primary outcome will be the systolic blood pressure during the 4 month visit, controlling for the initial systolic blood pressure. The results of this pilot will provide insight into how remote monitoring and social support interventions can improve outcomes in HTN in the context of a busy primary care practice.