REACH OUT: to Reduce High Blood Pressure in the Emergency Department

Stroke Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02301455
• Other study ID #: HUM00091668
• Status: Completed
• Phase: N/A
• First received: October 23, 2014
• Last updated: February 7, 2018
• Start date: October 2014
• Est. completion date: August 2015

Study information

• Verified date: February 2018
• Source: University of Michigan
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

One of the most powerful predictors of stroke is hypertension, with estimates of approximately 33% of adults in the United States experiencing this condition.

Hypertension is very prevalent in the emergency department (ED), but significantly undertreated. The overall goal of this project is to develop a text messaging intervention to improve hypertension care in the ED. This will first be done by testing the feasibility of identifying hypertensive patients in the ED, and the response rate to text messages.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 104
• Est. completion date: August 2015
• Est. primary completion date: August 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adult (=18 y/o)

• At least one BP of systolic blood pressure (SBP) =160 or a diastolic blood pressure (DBP) =100 or only BP performed prior to enrollment is SBP =160 or a DBP =100 (If the patient has repeated measurements after achieving Criteria 1, but prior to being enrolled, at least one of the repeat BP remains SBP =140 or a DBP =90)

• Must have mobile phones with text-messaging capability

• Likely to be discharged from the ED

Exclusion Criteria:

• Adult who is in an urgent condition

• Unable to read

• Non-English speaking

• Incarcerated/ institutionalized resident

• Pregnant, or has a pre-existing condition that makes follow-up for 4 months unlikely.

Related Conditions & MeSH terms

• Hypertension
• Stroke

Intervention

Behavioral:
• Text messaging
persistently hypertensive participants will be randomized to receive these tailored, motivational text messages

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of Michigan

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Proportion of people who respond to text messages and are persistently hypertensive		3 weeks
Secondary	Change in systolic and diastolic blood pressure		4 months
Secondary	Feasibility of a screening algorithm	Proportion of subjects recruited compared to proportion of subjects approached. Subject eligibility identified by screening algorithm.	4 months
Secondary	Feasibility of subject follow-up mechanism	Proportion of subjects responding to follow-up text messages	4 months
Secondary	Mean group differences and standard deviations for systolic blood pressure		4 months