CClinicalTrials.gg
CompletedNCT04841317Updated Mar 22, 2024Results posted

Mobile Technology for Blood Pressure Management

An interventional study of Mobile technology intervention in Hypertension, sponsored by Stanford University. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-03-22.

Sponsored by Stanford University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
31
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of this study is to assess the feasibility and effectiveness of a mobile-technology based system that integrates patient-facing and clinician-facing components to assist the management of hypertension.

02

Conditions studied

  • Hypertension

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03

In context

Hypertension

6,689 studies on the registry are indexed under Hypertension; 964 are open to participants now.

This study's enrollment of 31 is below the median of 90 across 4,994 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Stanford University is the lead sponsor of 2,117 studies on the registry; 425 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 197 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 18 years or older with an established diagnosis of essential hypertension

Exclusion criteria

Exclusion Criteria:

  • Patients on more than 2 antihypertensives at time of enrollment
  • Clinical diagnosis of secondary hypertension, that is, hypertension due to a secondary cause, including but not limited to the following:
  • Renal artery stenosis
  • Primary hyperaldosteronism
  • Cushing syndrome
  • Coarctation of the aorta
  • Drug-induced hypertension
  • Pheochromocytoma
  • Obstructive sleep apnea
  • Hospitalization for malignant hypertension or severe hypertension (including stroke, cardiac events, acute kidney injury) in the preceding 6 months
  • Hospitalization for unstable angina or myocardial infarction in the preceding 6 months
  • Prior diagnosis of heart failure or cardiomyopathy
  • Stroke or transient ischemic attack within prior 6 months
  • Prior organ transplantation
  • Failure to obtain informed consent
  • Pregnant or currently trying to become pregnant
  • Patients who are enrolled in other research studies
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
31 participants (actual)

Study arms

  • Experimental
    Single-arm: Blood pressure intervention

    Participants will use a mobile technology system comprising of a remote home blood pressure monitoring cuff and a mobile application integrated with a clinician-facing component to view and manage remote blood pressures. Participants will use this for 12 weeks, with assessment of blood pressure outcomes and anonymous surveys regarding the technology at 12 weeks.

    Combination Product: Mobile technology intervention

Interventions

  • Combination productMobile technology intervention

    Home blood pressure cuff used by patients twice a week, with blood pressures transmitted to providers remotely

06

What researchers measure

Primary outcomes

  1. Change in Blood Pressure

    Change in systolic and diastolic blood pressure (SBP and DBP).

    Time frame: Assessed at baseline and week 12

  2. Participant Survey

    A survey regarding usability and feedback about the intervention completed by participants. Questions 1 through 5 were rated on a scale of 1 (strongly disagree) to 7 (strongly agree); question 6 was rated on a scale of 1 (extremely confident) to 5 (extremely doubtful).

    Time frame: 12 weeks

  3. Physician Survey

    A survey regarding usability and feedback about the intervention completed by physicians. Physicians provided survey responses, but were not enrolled in the study. Questions 1, 2, and 3 were rated on a scale of 1 (strongly agree) to 7 (strongly disagree); question 4 was rated on a scale of 1 (extremely confident) to 5 (extremely doubtful); question 5 was rated on a scale of 1 (extremely pleased) to 7 (extremely displeased).

    Time frame: 12 weeks

07

Results

Posted Mar 22, 2024

Participant flow

Participant flow — Overall Study
MilestoneBlood Pressure Intervention
Started30
Completed30
Not completed0

Outcome measures

PrimaryChange in Blood Pressure

Change in systolic and diastolic blood pressure (SBP and DBP).

Time frame:
Assessed at baseline and week 12
Reported as:
Mean · mmHg
Change in Blood Pressure
mmHgBlood Pressure Intervention
SBP-14.5 (-19.2 to -9.8)
DBP-6.3 (-10.2 to -6.3)
PrimaryParticipant Survey

A survey regarding usability and feedback about the intervention completed by participants. Questions 1 through 5 were rated on a scale of 1 (strongly disagree) to 7 (strongly agree); question 6 was rated on a scale of 1 (extremely confident) to 5 (extremely doubtful).

Time frame:
12 weeks
Reported as:
Mean · score on a scale
Participant Survey
score on a scaleBlood Pressure Intervention
Q1: I consider myself to be technology savvy5 ± 2.1
Q2: I found the blood pressure cuff easy to use6.2 ± 0.75
Q3: I found it helpful to receive reminders to monitor my blood pressure4.9 ± 1.76
Q4: I made blood pressure measurement readings without difficulty6.2 ± 0.75
Q5: I found the app and blood pressure cuff convenient to manage my blood pressure5.2 ± 1.94
Q6: I am able to lower my blood pressure into a healthy range1.9 ± 1.14
PrimaryPhysician Survey

A survey regarding usability and feedback about the intervention completed by physicians. Physicians provided survey responses, but were not enrolled in the study. Questions 1, 2, and 3 were rated on a scale of 1 (strongly agree) to 7 (strongly disagree); question 4 was rated on a scale of 1 (extremely confident) to 5 (extremely doubtful); question 5 was rated on a scale of 1 (extremely pleased) to 7 (extremely displeased).

Time frame:
12 weeks
Reported as:
Mean · score on a scale
Physician Survey
score on a scaleBlood Pressure Intervention
Q1: I consider myself to be technology savvy5 ± NA
Q2: I found the dashboard helpful to view and manage patient blood pressure data5 ± NA
Q3: Using this system blood pressure management is more efficient compared to usual care2 ± NA
Q4: This system will be useful to control my patients' blood pressure to a healthy range2 ± NA
Q5: How would you rate your overall satisfaction with the care provided by the Dashboard?5 ± NA

Adverse events

Collected over 12 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Blood Pressure Intervention0/18 (0%)0/18 (0%)0/18 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Blood Pressure Intervention
Mean52.87 ± 12.44
Sex: Female, Male
Sex: Female, Male(Participants)Blood Pressure Intervention
Female5
Male25
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Blood Pressure Intervention
Asian14
Hispanic or Latino3
Non-Hispanic Black2
Non-Hispanic White11
Region of Enrollment
Region of Enrollment(Participants)Blood Pressure Intervention
United States30
Systolic Blood Pressure (SBP)
Systolic Blood Pressure (SBP)(mmHg)Blood Pressure Intervention
Mean135 ± 10.01
Diastolic Blood Pressure (DBP)
Diastolic Blood Pressure (DBP)(mmHg)Blood Pressure Intervention
Mean86.2 ± 8.5
Weight
Weight(kg)Blood Pressure Intervention
Mean84.82 ± 16.9
Body Mass Index (BMI)
Body Mass Index (BMI)(kg/m^2)Blood Pressure Intervention
Mean28.14 ± 5.09

4 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Stanford University
    Stanford, California 94305, United States
09

References and documents

Publications

  • Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, DePalma SM, Gidding S, Jamerson KA, Jones DW, MacLaughlin EJ, Muntner P, Ovbiagele B, Smith SC Jr, Spencer CC, Stafford RS, Taler SJ, Thomas RJ, Williams KA Sr, Williamson JD, Wright JT Jr. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018 Jun;71(6):e13-e115. doi: 10.1161/HYP.0000000000000065. Epub 2017 Nov 13. No abstract available. Erratum In: Hypertension. 2018 Jun;71(6):e140-e144. doi: 10.1161/HYP.0000000000000076. PubMed 29133356 ↗
  • Lewington S, Clarke R, Qizilbash N, Peto R, Collins R; Prospective Studies Collaboration. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet. 2002 Dec 14;360(9349):1903-13. doi: 10.1016/s0140-6736(02)11911-8. Erratum In: Lancet. 2003 Mar 22;361(9362):1060. PubMed 12493255 ↗
  • Law MR, Morris JK, Wald NJ. Use of blood pressure lowering drugs in the prevention of cardiovascular disease: meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studies. BMJ. 2009 May 19;338:b1665. doi: 10.1136/bmj.b1665. PubMed 19454737 ↗
  • Jaffe MG, Lee GA, Young JD, Sidney S, Go AS. Improved blood pressure control associated with a large-scale hypertension program. JAMA. 2013 Aug 21;310(7):699-705. doi: 10.1001/jama.2013.108769. PubMed 23989679 ↗
  • Logan AG, Irvine MJ, McIsaac WJ, Tisler A, Rossos PG, Easty A, Feig DS, Cafazzo JA. Effect of home blood pressure telemonitoring with self-care support on uncontrolled systolic hypertension in diabetics. Hypertension. 2012 Jul;60(1):51-7. doi: 10.1161/HYPERTENSIONAHA.111.188409. Epub 2012 May 21. PubMed 22615116 ↗
  • Logan AG, McIsaac WJ, Tisler A, Irvine MJ, Saunders A, Dunai A, Rizo CA, Feig DS, Hamill M, Trudel M, Cafazzo JA. Mobile phone-based remote patient monitoring system for management of hypertension in diabetic patients. Am J Hypertens. 2007 Sep;20(9):942-8. doi: 10.1016/j.amjhyper.2007.03.020. PubMed 17765133 ↗
  • Casey DE Jr, Thomas RJ, Bhalla V, Commodore-Mensah Y, Heidenreich PA, Kolte D, Muntner P, Smith SC Jr, Spertus JA, Windle JR, Wozniak GD, Ziaeian B. 2019 AHA/ACC Clinical Performance and Quality Measures for Adults With High Blood Pressure: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. J Am Coll Cardiol. 2019 Nov 26;74(21):2661-2706. doi: 10.1016/j.jacc.2019.10.001. No abstract available. PubMed 31732293 ↗

Study documents

  • Study protocol · Jul 18, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04841317
Lead sponsor
Stanford University
Collaborators
American Heart Association
Responsible party
Paul Wang (Professor of Medicine, Stanford University) — Principal investigator
First posted
Apr 12, 2021
Start date
Mar 31, 2021
Primary completion
Dec 7, 2021
Completion
Dec 7, 2021
Results posted
Mar 22, 2024
Last update
Mar 22, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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