A texting-based blood pressure surveillance intervention

Roula S Zahr; Chris A Anthony; Philip M Polgreen; Jacob E Simmering; Christopher J Goerdt; Angela B Hoth; Michelle L Miller; Manish Suneja; Alberto M Segre; Barry L Carter; Joseph E Cavanaugh; Linnea A Polgreen

doi:10.1111/jch.13674

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A texting-based blood pressure surveillance intervention

Journal article

Open access

Peer reviewed

A texting-based blood pressure surveillance intervention

Roula S Zahr, Chris A Anthony, Philip M Polgreen, Jacob E Simmering, Christopher J Goerdt, Angela B Hoth, Michelle L Miller, Manish Suneja, Alberto M Segre, Barry L Carter, …

The journal of clinical hypertension (Greenwich, Conn.), Vol.21(10), pp.1463-1470

10/2019

DOI: 10.1111/jch.13674

PMCID: PMC7334880

PMID: 31503408

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Abstract

The authors examined whether using home BP measurements collected via a custom-built bi-directional-texting platform incorporated into patients' electronic medical records would lead to treatment calibration and improved BP management. Patients were randomized to either the intervention group and collected home measurements based on reminders and reported via bi-directional texting, or to the control group, with home BP measurement reporting via standard practice (eg, phone, electronic medical record portal) and instructed to return 7 morning and 7 evening BP measurements. Outcomes included number of BP measurements submitted, the number of medication changes, reduction in BP, and BP control. 72% of the intervention group submitted at least 14 readings, compared with 45% of the control group. BP control improved in both groups. However, the authors found no statistically significant difference in BP or the number of BP-medication changes at 1, 3, or 6 months compared with the control group.

Adult

Aged

Antihypertensive Agents - therapeutic use

Blood Pressure - drug effects

Blood Pressure - physiology

Blood Pressure Determination - methods

Case-Control Studies

Electronic Health Records

Female

Humans

Hypertension - drug therapy

Hypertension - physiopathology

Male

Middle Aged

Outcome Assessment, Health Care

Text Messaging - instrumentation

Details

Title: Subtitle: A texting-based blood pressure surveillance intervention
Creators: Roula S Zahr - Department of Internal Medicine, Oregon Health Sciences University, Portland, OR, USA
Chris A Anthony - Department of Orthopaedic Surgery, University of Iowa, Iowa City, IA, USA
Philip M Polgreen - Department of Epidemiology, University of Iowa, Iowa City, IA, USA
Jacob E Simmering - Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
Christopher J Goerdt - Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
Angela B Hoth - Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
Michelle L Miller - Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
Manish Suneja - Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
Alberto M Segre - Department of Computer Science, University of Iowa, Iowa City, IA, USA
Barry L Carter - Department of Family Practice, University of Iowa, Iowa City, IA, USA
Joseph E Cavanaugh - Department of Biostatistics, University of Iowa, Iowa City, IA, USA
Linnea A Polgreen - Department of Pharmacy Practice and Science, University of Iowa, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: The journal of clinical hypertension (Greenwich, Conn.), Vol.21(10), pp.1463-1470
DOI: 10.1111/jch.13674
PMID: 31503408
PMCID: PMC7334880
NLM abbreviation: J Clin Hypertens (Greenwich)
ISSN: 1524-6175
eISSN: 1751-7176
Grant note: K25 HL122305 / NHLBI NIH HHS K25HL 122305 / National Heart Lung and Blood Institute
Language: English
Date published: 10/2019
Academic Unit: Infectious Diseases; Health Management and Policy; Psychological and Brain Sciences; Biostatistics; Nursing; Pharmacy Practice and Science; Injury Prevention Research Center; Statistics and Actuarial Science; Pulmonary, Critical Care, and Occupational Medicine; Epidemiology; Economics; Fraternal Order of Eagles Diabetes Research Center; Computer Science; Nephrology; General Internal Medicine; Internal Medicine
Record Identifier: 9984214712502771

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