Retail Outlet Health Kiosk Hypertension Trial
| Status: | Recruiting |
|---|---|
| Conditions: | High Blood Pressure (Hypertension) |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - 85 |
| Updated: | 3/27/2019 |
| Start Date: | April 2019 |
| End Date: | February 2020 |
| Contact: | Celibell Vargas |
| Email: | cv2211@cumc.columbia.edu |
| Phone: | 917-582-5542 |
The investigators propose to conduct pilot studies to support an application to conduct a
fully powered randomized trial of a text messaging intervention to increase the rate of blood
pressure control, defined as <140/90 mmHg, among hypertensive individuals using health kiosk
blood pressure devices. These pilot studies will include testing of the intervention,
recruitment, enrollment, and data collection procedures, and of the web-based interactions
between the data coordinating center and higi Sh llc (Chicago, IL), which is the company that
installs and maintains the health care kiosks and associated software infrastructure.
Completion of these pilot studies will provide preliminary data to support an application for
a full scale randomized controlled study. Potential for adaption is high because of alignment
of retail outlets, kiosk providers, and consumers for health, wellness, and self-care.
fully powered randomized trial of a text messaging intervention to increase the rate of blood
pressure control, defined as <140/90 mmHg, among hypertensive individuals using health kiosk
blood pressure devices. These pilot studies will include testing of the intervention,
recruitment, enrollment, and data collection procedures, and of the web-based interactions
between the data coordinating center and higi Sh llc (Chicago, IL), which is the company that
installs and maintains the health care kiosks and associated software infrastructure.
Completion of these pilot studies will provide preliminary data to support an application for
a full scale randomized controlled study. Potential for adaption is high because of alignment
of retail outlets, kiosk providers, and consumers for health, wellness, and self-care.
Cardiovascular disease (CVD) remains the leading cause of death in the U.S. as well as the
leading cause of health care cost. Hypertension is the leading remediable risk factor for CVD
in the U.S. and globally, with prevalence of 29% in U.S. adults. Recent data from NHANES
indicate that blood pressure (BP) is not controlled, defined as <140/90 mmHg, in 48% of
individuals in the U.S. with hypertension. Strategies to improve hypertension control have
focused on the physician-patient interaction at the office visit, system factors in the
health care provider system, and extension beyond the traditionally defined health care
system. All have had some success but are limited by not reaching individuals outside the
clinical encounter or by challenges of scale, scope, and standardization of blood pressure
measurement outside the clinical setting. Retail outlet BP devices have the potential to
address these limitations by providing free BP measurements to individuals outside the
clinical setting and at all times the retail outlet is open. These automated devices are
standardized and linked to software with the ability to collect data and provide information
to individuals using these devices, thereby providing a platform for an intervention
strategy. Higi is a privately owned company that provides health kiosks in retail outlets.
Higi presently has 10,800 kiosks in the U.S. with 4,125 in Rite Aid pharmacies. More than 44
million BP measurements per year are obtained at higi kiosks. In the one-year period 7/1/15
to 6/30/16, approximately 727,000 individuals using higi kiosks recorded >3 systolic BP
measurements >140/90 mmHg. The investigators propose to target this group using interactive
text messaging to activate individuals to take actions to improve BP control. The primary
endpoint will be BP control defined as <140/90 mmHg at 12 months post randomization.
leading cause of health care cost. Hypertension is the leading remediable risk factor for CVD
in the U.S. and globally, with prevalence of 29% in U.S. adults. Recent data from NHANES
indicate that blood pressure (BP) is not controlled, defined as <140/90 mmHg, in 48% of
individuals in the U.S. with hypertension. Strategies to improve hypertension control have
focused on the physician-patient interaction at the office visit, system factors in the
health care provider system, and extension beyond the traditionally defined health care
system. All have had some success but are limited by not reaching individuals outside the
clinical encounter or by challenges of scale, scope, and standardization of blood pressure
measurement outside the clinical setting. Retail outlet BP devices have the potential to
address these limitations by providing free BP measurements to individuals outside the
clinical setting and at all times the retail outlet is open. These automated devices are
standardized and linked to software with the ability to collect data and provide information
to individuals using these devices, thereby providing a platform for an intervention
strategy. Higi is a privately owned company that provides health kiosks in retail outlets.
Higi presently has 10,800 kiosks in the U.S. with 4,125 in Rite Aid pharmacies. More than 44
million BP measurements per year are obtained at higi kiosks. In the one-year period 7/1/15
to 6/30/16, approximately 727,000 individuals using higi kiosks recorded >3 systolic BP
measurements >140/90 mmHg. The investigators propose to target this group using interactive
text messaging to activate individuals to take actions to improve BP control. The primary
endpoint will be BP control defined as <140/90 mmHg at 12 months post randomization.
Inclusion Criteria:
- >3 systolic blood pressure measurements >140/90 mmHg (two in the previous 12 months +
one at baseline)
- Age 18-85 years
- Weight <300 pounds
- Has a cell phone
- Can provide consent
- Speaks English or Spanish
We found this trial at
1
site
630 W 168th St
New York, New York
New York, New York
212-305-2862
Phone: 917-582-5542
Columbia University Medical Center Situated on a 20-acre campus in Northern Manhattan and accounting for...
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