Tailoring a Telemedicine Hypertension Management Intervention for Black Patients

$1.57M USD

Funder	NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
Recipient Organization	Wake Forest University Health Sciences
Country	United States
Start Date	Sep 01, 2024
End Date	Aug 31, 2029
Duration	1,825 days
Number of Grantees	1
Roles	Principal Investigator
Data Source	NIH (US)
Grant ID	`10984575`

Grant Description

PROJECT SUMMARY/ABSTRACT Clinic-based hypertension care falls short in achieving blood pressure control, particularly for Black patients with hypertension. Sporadic clinic visits do not support adequate time to improve patients' skills in hypertension self-care or provide reliable and adequate blood pressure values to clinicians to support therapeutic decisions.

Telemedicine management of hypertension (TM-HTN) is a team-based approach that overcomes many of the challenges of clinic-based care by offering more time for self-management support and better diagnostic accuracy by leveraging multiple home blood pressure values to support clinicians' confidence in titrating

medications. In a meta-analysis of US-based clinical trials, we found that TM-HTN improved blood pressure by 7.3/2.7 mmHg, compared with usual clinic-based care. However, the effect was significantly diminished in trials that enrolled a sizeable portion (39-100%) of Black patients per trial (4.4/1.1 mmHg) compared to trials

enrolling majority White patients (9.3/4.0 mmHg, p