Overview

This trial is active, not recruiting.

Condition hypertension
Treatments telehealth, educational materials
Sponsor American Association of Homes and Services for the Aging
Collaborator Agency for Healthcare Research and Quality (AHRQ)
Start date October 2009
End date January 2011
Trial size 144 participants
Trial identifier NCT00987025, HHSA290200600024I, TO #2, HHSA29032001T

Summary

The purpose of TEAhM is to determine if telehealth blood pressure stations can be installed and used in senior nutrition centers and to do a preliminary comparison of blood pressure outcomes among nutrition center clients who use the telehealth blood pressure stations compared to participants who do not use the stations. Specifically, the goals of the project are to determine if these monitors can be successfully implemented in this community-based setting, the degree to which older adults with hypertension are comfortable using the technology, and whether remote nurse monitoring of blood pressure using this technology is a feasible supplement to office-based care.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation non-randomized
Intervention model parallel assignment
Masking open label
Primary purpose supportive care
Arm
(Experimental)
Telehealth participants will be recruited from centers that have a telehealth blood pressure station installed. Participants will be asked to use the station once per week. Blood pressure measures will be monitored by nurse researchers - out of range values will result in appropriate medical recommendations.
telehealth
Use of telehealth blood pressure station every week
(Active Comparator)
Control participants will receive education material.
educational materials
Control

Secondary Outcomes

Measure
Proportion of participants with blood pressure within range
time frame: 10 months
Number of physician visits
time frame: 10 months
Number of emergency department visits
time frame: 10 months
Comfort with technology
time frame: 10 months

Eligibility Criteria

Male or female participants at least 55 years old.

Inclusion Criteria: - Age ≥55 years - Current use of nutrition center resources ≥1 time/week - Physician-diagnosed hypertension - Clinically stable if on oral therapy - Physician willingness to interact with nurse reviewers (intervention arm only) Exclusion Criteria: - Age < 55 years - Self-reported dialysis or renal failure - Cognitive impairment as evaluated by study staff - Failure to provide consent - Failure to meet all inclusion criteria

Additional Information

Official title Technologies for Enhancing Access and Health Management
Principal investigator Helaine E Resnick, PhD, MPH
Description TEAhM will be conducted in four senior nutrition centers in the state of Ohio. Using these facilities as field centers, we will recruit 144 older, hypertensive adults who receive nutrition assistance at these centers. Wright State staff will obtain permission from enrolled participants in the intervention centers to contact primary care physicians for the purpose of obtaining recommended intervention protocols and defining referral criteria for changes in blood pressure treatment. We will install telehealth kiosks at two of the four nutrition centers. Participants who enroll at the two centers with kiosks will be considered "intervention participants" and those who enroll at the two centers without the kiosks will be considered "control participants." The kiosks will enable participants to conduct self-monitoring of their blood pressure at the nutrition facility. Blood pressure data from intervention participants will be sent to a central server managed by Healthanywhere, the telehealth partner in this project. Nurse-researchers from WSU will receive email alerts about out of range blood pressure measures, monitor blood pressure readings once a week, and make referrals for medical care according to criteria defined by participants' primary care physicians at the time of enrollment. Control and intervention participants will receive educational materials on general wellness that are publicly available. Demographic information, background health, comfort with technology, and baseline blood pressure measures will be collected at baseline in on paper forms by WSU nurse researchers. Follow up blood pressure measures and other health utilization measures and reported health events will be collected from both intervention and control facilities during follow-up phone contacts with study personnel every two months. Blood pressure will be measured for all participants at the end of the study.
Trial information was received from ClinicalTrials.gov and was last updated in May 2010.
Information provided to ClinicalTrials.gov by American Association of Homes and Services for the Aging.