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CompletedNCT05539443TEAMS-BPUpdated Nov 7, 2023

Telehealth-Enhanced Assessment and Management After Stroke-Blood Pressure

An interventional study of Intensive Clinic Management (ICM) and Intensive tailored telehealth management (ITTM) in Hypertension Secondary, sponsored by Wake Forest University Health Sciences. Completed at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-11-07.

Sponsored by Wake Forest University Health Sciences · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
74
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

TEAMS-BP is a multicenter, participant-randomized controlled trial designed to compare the effectiveness of Intensive Tailored Telehealth Monitoring (ITTM) versus Intensive Clinic Management (ICM) on Blood Pressure (BP) control and patient activation for BP management following stroke

Read the detailed description

The Feasibility phase will allow for a period in which to pilot implementation and evaluation of all systems for data acquisition, clinical management, and collection of 3-month outcomes. The study uses a parallel, 2-arm design with 1-to-1 randomization to treatment group. Randomization will be performed at the participant level, stratified by center, age (18-74, 75+), and race (Black/African American, non-Black/African American).

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Conditions studied

  • Hypertension Secondary

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Keywords

  • Hypertension
  • Hypertension after stroke
03

In context

Hypertension

6,690 studies on the registry are indexed under Hypertension; 966 are open to participants now.

This study's enrollment of 74 is below the median of 90 across 4,996 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,320 studies on the registry; 199 are open to participants now.

Of its 323 completed or terminated interventional studies of FDA-regulated products, 243 (75%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of ischemic stroke defined as acute brain, spinal cord, or retinal infarction based on objective evidence on imaging (such as a focal area of restricted diffusion on Magnetic Resonance Imaging [MRI]) in a defined vascular distribution or clinical evidence of focal ischemic injury based on symptoms persisting > 24 hours; or spontaneous hemorrhagic stroke defined as a focal collection of blood within the brain parenchyma that is non-traumatic and identified by brain computed tomography (CT) or brain MRI
  • Age ≥18 years
  • Discharged directly home from acute care or inpatient rehabilitation
  • SBP>130 at the post-acute clinic visit (within 21 days of discharge) \& at Study Visit 1 (within 31 days of discharge)
  • Able to read and understand English or Spanish
  • Have access to a functioning smartphone or tablet with broadband access (required for the intervention)
  • Willing to install and use a study-compatible physical activity monitoring application on their smartphone or smartphone of a qualifying caregiver
  • Stated agreement to participate in either intervention to which they are assigned and attend all required study visits
  • Consent to receiving Short Message Service (SMS) required as part of the study interventions
  • Provision of a signed and dated informed consent form

Exclusion criteria

Exclusion Criteria:

  • Subdural hematoma or subarachnoid hemorrhage
  • Current participation in another stroke clinical trial precluding dual enrollment
  • Presence of terminal illness, such as cancer, that limits life expectancy to \<1 year
  • Diagnosis of end-stage renal disease defined as permanent kidney dysfunction requiring the use of hemodialysis or peritoneal dialysis
  • Pregnancy, lactation or planning to become pregnant
  • Late-stage Alzheimer's disease or related dementia
  • Transitioned to a facility such as skilled nursing or long-term care prior to enrollment
  • Any condition that in the opinion of the study investigator would preclude the participant from being able to safely participate in the trial
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
74 participants (actual)

Study arms

  • Experimental
    Intensive Clinic Management (ICM)

    Behavioral: Intensive Clinic Management (ICM)

  • Experimental
    Intensive tailored telehealth management (ITTM)

    Behavioral: Intensive tailored telehealth management (ITTM)

Interventions

  • BehavioralIntensive Clinic Management (ICM)

    An in-person clinic management based on the intervention tested among stroke patients in the Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) trial

  • BehavioralIntensive tailored telehealth management (ITTM)

    A remote-monitoring blood pressure (BP) management strategy incorporating individualized lifestyle coaching and care planning based on the HyperLink telehealth management trial

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What researchers measure

Primary outcomes

  1. Proportion of participants with 3-month SBP control

    Time frame: 3 months

Secondary outcomes

  1. Mean change in systolic blood pressure (SBP) at 3 months

    Defined as the SBP at baseline (Visit 1) subtracted from the SBP at 3 months (Visit 2).

    Time frame: Baseline, 3 month

  2. Mean change in Partners in Health Scale (PIH) score at 3 months

    Each of the 11 items on the PIH have eight response options ranging from (0) very good to (8) very poor. To calculate the total PIH score, the raw score is summed and transformed to a range \[0,100\], with lower PIH scores indicating higher patient activation.

    Time frame: Baseline, 3 month

  3. Proportion of participants eligible among those screened

    Time frame: 3 Month

  4. Proportion of participants providing written informed consent among those eligible

    Time frame: Baseline

  5. Proportion of participants attending both visits among those who are randomized in the study

    Time frame: 3 months

  6. Systolic Blood Pressure Mean Value

    Time frame: 3 months

  7. Proportion of respondents with top score in overall experience on the Research Participant Perception Survey (RPPS)

    The overall experience (Overall Rating) is rated on a 10-point scale from 0 (Worst) to 10 (Best). The top score is for overall score includes all participants that responded 9 or 10.

    Time frame: 3 months

  8. Proportion of participants billed

    Proportion of participants for which coaching or remote physiologic monitoring services were billed (at any point during the study) using Current Procedural Terminology (CPT) billing codes.

    Time frame: 3 months

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Study locations

1 site
  • Atrium Health Wake Forest Baptist
    Winston-Salem, North Carolina 27157, United States
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References and documents

Study documents

  • Informed consent form · Apr 25, 2023

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

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 7, 2023, 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
NCT05539443
Lead sponsor
Wake Forest University Health Sciences
Responsible party
Sponsor
First posted
Sep 14, 2022
Start date
Oct 11, 2022
Primary completion
Sep 30, 2023
Completion
Sep 30, 2023
Last update
Nov 7, 2023

Study contacts

Cheryl Bushnell, MD
principal investigator · Wake Forest Health Sciences

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.

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