Home Blood Pressure Study for Recent Stroke Survivors With High Blood Pressure On Hold Due to Global Pandemic

STATUS

Recruiting
participants needed

32
sponsor

MedStar Georgetown University Hospital

Send

Updated on 19 February 2024

See if I qualify

systolic blood pressure

stroke

hypertension

blood pressure management

home blood pressure monitoring

Summary

Show definitions

The purpose of this pilot study is to assess the feasibility of implementing a home blood pressure self-management program in a population of recent stroke survivors in the Washington, D.C. area. The investigators hypothesize that hypertensive stroke survivors in the Washington, DC area who participate in the Home Blood Pressure Monitoring program will have a greater reduction in mean systolic blood pressure (SBP) from baseline to 3 months, as measured by automated office blood pressure (AOBP), as compared to usual care.

Description

The purpose of this trial is to determine if a home blood pressure self-management (HBPS) program, including home monitoring and medication adjustments, is practical to use in recent stroke survivors and whether or not it is associated with lowering blood pressure after 3 months. Data from this trial may be used to do more research and may be used by doctors when seeing patients.This research is being done because high blood pressure, also called hypertension, is the leading risk factor for stroke. Lowering blood pressure (BP) has been shown to lower the risk of future strokes. The majority of stroke survivors continue to have uncontrolled BP. Currently, blood pressure (BP) is most often measured in the doctor's office. However, those single BP measurements are not the best picture of blood pressure over time and can be influenced by the stress of being in a doctor's office, known as the "white coat effect". This is why measuring BP at home may paint a more accurate picture of a patient's true long-term BP. Home blood pressure monitoring (HBPM) is recommended in the recently updated national hypertension guidelines. Home BP monitoring plus guided BP medication self-adjustments is associated with lower BP in patients with high blood pressure. The investigators believe that a HBPS program, including medication self-adjustment and home monitoring, may help to reduce blood pressure in patients with hypertension within 3 months.

Details

Condition	Vascular Diseases, Vascular Diseases, Hypertension, Ischemic Stroke
Age	18years - 100years
Treatment	Home Blood Pressure Monitoring Device (Qardio Arm), Primary Care Provider Blood Pressure Management
Clinical Study Identifier	NCT04226157
Sponsor	MedStar Georgetown University Hospital
Last Modified on	19 February 2024

How understandable was the trial content above?

Hard to understand

Easy to understand

Eligibility		Yes	No	Not Sure
Inclusion Criteria
	Acute ischemic stroke in the past 180 days of screening
	Age >/= 18 years old
	Automated Office Blood Pressure 135 systolic or 85 diastolic at time of screening
	Stage 2 hypertension (as defined by >140 mmHg SBP and or >90 mmHg DBP on 2 occasions or history of hypertension prior to stroke or currently taking antihypertensive medications)
	Able to live independently (as defined by modified Rankin scale score of 0-2)
Exclusion Criteria
	CKD stage IV or greater (GFR < 30)
	Inability to check BP in either arm (e.g. amputation, lymphedema)
	Pregnancy
	High-grade intracranial or extracranial stenosis requiring a higher BP goal
	Unable to provide informed consent for themselves in English or Spanish
	Life expectancy less than 12 months

How to participate?

Step 1 Connect with a study center

Send a message

Enter your contact details to connect with study team

First name*

Last name*

Email*

Phone number*

Other language

I am at least 18 years old.

By sending a message, I agree to share my information with the study team for the selected site and consent to receive emails and text messages for trial updates, notifications, and related communication. TrialX values your privacy; your information will be handled in accordance with our Privacy Policy

Step 2 Get screened

Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

Learn more

Step 3 Enroll in the clinical study

If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

Learn more

Step 4 Get your study results

Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

Learn more

Similar trials to consider

Browse trials for

systolic blood pressure

stroke

hypertension

blood pressure management

home blood pressure monitoring

Not finding what you're looking for?

Every year hundreds of thousands of volunteers step forward to participate in research. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.

Home Blood Pressure Study for Recent Stroke Survivors With High Blood Pressure On Hold Due to Global Pandemic