1
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Feasibility of emergency department initiated, mobile health, blood pressure intervention: an exploratory, randomized clinical trial

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Study Objective:

          We aimed to assess the feasibility of a text messaging intervention by determining the proportion of emergency department (ED) patients who responded to prompted home blood pressure (BP) self-monitoring and had persistent hypertension. We also explored the effect of the intervention on systolic blood pressure (SBP) over time.

          Methods:

          We conducted a randomized, controlled trial of ED patients with expected discharge to home with elevated BP. Participants were identified by automated alerts from the electronic health record. Those who consented received a BP cuff to take home and enrolled in the 3-week screening phase. Text responders with persistent hypertension were randomized to control or weekly prompted BP self-monitoring and healthy behavior text messages.

          Results:

          Among the 104 patients enrolled in the ED, 73 reported at least one home BP over the 3-week run-in (screening) period. 55/73 reported a home BP>=140/90, and were randomized to SMS Intervention (n=28) or Control (n=27). The intervention group had significant SBP reduction over time with a mean drop of 9.1 mm Hg (95% CI 1.1 to 17.6).

          Conclusions:

          The identification of ED patients with persistent hypertension using home BP self-monitoring and text messaging was feasible. The intervention was associated with a decrease in SBP likely to be clinically meaningful. Future studies are needed to further refine this approach and determine its efficacy.

          Related collections

          Author and article information

          Journal
          9418450
          20159
          Acad Emerg Med
          Acad Emerg Med
          Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
          1069-6563
          1553-2712
          22 December 2019
          19 February 2019
          May 2019
          01 May 2020
          : 26
          : 5
          : 517-527
          Affiliations
          [1. ]Department of Emergency Medicine, University of Michigan, Ann Arbor, MI
          [2. ]Department of Neurology, University of Michigan, Ann Arbor, MI
          [3. ]Stroke Program, University of Michigan, Ann Arbor, MI
          [4. ]Mercy Medical Center-EREPMG of Clinton, PC, Clinton, IA
          [5. ]Oakland University William Beaumont School of Medicine, Royal Oak, MI
          [6. ]Columbia University School of Nursing, New York, NY
          Author notes
          Address for Correspondence: William J. Meurer MD, MS, wmeurer@ 123456med.umich.edu , Department of Emergency Medicine, Taubman Center B1-354, 1500 E. Medical Center Drive, Ann Arbor, MI 48109
          Article
          PMC6945785 PMC6945785 6945785 nihpa1063437
          10.1111/acem.13691
          6945785
          30659702
          37ae5730-ef55-44c2-8a9b-9589861dba32
          History
          Categories
          Article

          Self-Monitoring,Emergency Medicine,Hypertension,Clinical Trial

          Comments

          Comment on this article