Implementation of an At-home Blood Pressure Measurement Protocol in a Hypertension Management Clinical Trial During the COVID-19 Pandemic

Overview

Journal J Cardiovasc Nurs

Specialties Cardiology & Vascular Diseases
Nursing

Date 2022 Apr 25

PMID 35467561

Authors

Hailey N Miller

Miriam B Berger

Sandy Askew

Elizabeth Trefney

Crystal Tyson

Laura Svetkey

Gary G Bennett

Dori M Steinberg

Affiliations

Soon will be listed here.

Abstract

Background: The Dietary Approaches to Stop Hypertension eating plan is an evidence-based treatment of hypertension; however, adherence to the Dietary Approaches to Stop Hypertension is low. To improve adherence to the Dietary Approaches to Stop Hypertension among adults with hypertension, we designed Nourish, a 2-arm, 12-month randomized controlled trial. The COVID-19 pandemic necessitated a change from in-person to remotely delivered visits, requiring substantial protocol modifications to measure blood pressure accurately and safely for secondary outcome data.

Purpose: The purpose of this article is to describe the implementation of an at-home blood pressure measurement protocol for the Nourish trial.

Conclusion: Our investigator team and study staff developed and implemented a robust and feasible blood pressure measurement protocol to be executed within an at-home format.

Clinical Implications: The described blood pressure measurement protocol provides a framework for use in future clinical trials and clinical settings in which a remote visit is preferred or required.

Citing Articles

Effects of a Digital Intervention to Improve DASH and Blood Pressure Among US Adults.

Miller H, Miller H, Askew S, Berger M, Kay M, Palipana A Hypertension. 2024; 82(2):370-381.

PMID: 39711367 PMC: 11796431. DOI: 10.1161/HYPERTENSIONAHA.124.23887.

Sociodemographic predictors of successful screening and subsequent randomization in a digital health hypertension intervention.

Miller H, Askew S, Berger M, Trefney E, Blackman Carr L, Kay M Digit Health. 2024; 10:20552076241281216.

PMID: 39360240 PMC: 11445772. DOI: 10.1177/20552076241281216.

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