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.
- 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|