Abstract

This pilot randomized clinical trial evaluates the increased uptake and acceptability of a text-based model for home blood pressure monitoring compared with online portal use among Black patients with Medicaid and Medicare insurance who have hypertension and cardiovascular disease.

Highlights

  • There is a disproportionate burden of uncontrolled hypertension and cardiovascular disease (CVD) among Black patients

  • Author affiliations and article information are listed at the end of this article. This pilot randomized clinical trial qualified as quality improvement by the University of Pennsylvania Institutional Review Board

  • We performed a pilot randomized trial of 20 Black patients who had Medicaid or Medicare insurance, were seen in person for a cardiology consultation, and had hypertension and CVD or 1 or more CVD risk factors based on International Statistical Classification of Diseases and Related Health Problems, Tenth Revision diagnosis codes

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Summary

Introduction

There is a disproportionate burden of uncontrolled hypertension and cardiovascular disease (CVD) among Black patients. The goal of this study was to evaluate the uptake and acceptability of a text-based model for home BP monitoring compared with an online patient portal among Black patients with Medicaid or Medicare insurance who have hypertension and CVD or CVD risk factors

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