Abstract
Objectives: Only 13.8% of 27 million hypertension patients controlled their BP in China. Although mhealth technology have been used in many health improvement context, rigorous evidence is still rarely seen. Practical and well-designed study is needed to evaluate the efficacy in patients with uncontrolled hypertension with modern mhealth technology. To determine whether an intervention that combines usual routine care, mHealth based home BP telemonitoring, patient case management with community health workers and virtual social media support improves BP control comparing with usual care plus normal BP telemonitoring at 6,12 and 18 months in patients with uncontrolled hypertension in primary care settings. Methods: The BP-CONNET study was designed as a community-based multi-center open-labeled randomized controlled comparative effectiveness trial conducted in Beijing China. Results: Between January 2017 and June 2017, BP-CONNET enrolled 601 hypertensive patients with uncontrolled BP from 19 community health centers. Three hundred and seven patients were randomized intervention group which provide mobile internet base home BP monitoring plus case management with community health worker and WeChat based virtual social media support. Two hundred and ninety-four were randomized to control group which provide usual care and normal BP telemonitoring. For the intervention group, physicians and community health workers collaborated through mobile internet based on the home BP data to provide BP case management services. The length of the intervention is 12 months, with follow-up to 18 months to determine the durability of the intervention. Conclusion: The results will provide important new evidence regarding effects of this intervention model in real world community clinic settings and primary care hypertensive population.
Published Version
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