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


Phase N/A Results N/A

Trial Description

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.



  • Text messaging Behavioral
    Intervention Desc: persistently hypertensive participants will be randomized to receive these tailored, motivational text messages
    ARM 1: Kind: Experimental
    Label: Text messages, hypertensive
    Description: Participants who after 3 weeks have high blood pressure and are responsive to text messages, who are then randomized to receive text messages.

Trial Design

  • Allocation: Randomized
  • Masking: Open Label
  • Purpose: Treatment
  • Intervention: Parallel Assignment


Type Measure Time Frame Safety Issue
Primary Proportion of people who respond to text messages and are persistently hypertensive 3 weeks No
Secondary Change in systolic and diastolic blood pressure 4 months No
Secondary Feasibility of a screening algorithm 4 months No
Secondary Feasibility of subject follow-up mechanism 4 months No
Secondary Mean group differences and standard deviations for systolic blood pressure 4 months No