Project 1: Practice-based Trial of Home BP Telemonitoring among Minority Stroke Survivors

Project Leader: Gbenga Ogedegbe, MD, MPH, FACP, NYU School of Medicine

Purpose: The goal of this practice-based trial is to evaluate the comparative effectiveness as well as cost-effectiveness of home blood pressure telemonitoring plus nurse case management versus home blood pressure telemonitoring alone in improving blood pressure control and preventing recurrent stroke among Black and Hispanic stroke survivors with uncontrolled hypertension.   Blood pressure telemonitoring allows patients take their blood pressure at home and have the readings transmitted electronically to a secure portal which can be accessed by a nurse case manager and/or provided to the patient’s physician.  

Design: Practice-based two-group randomized controlled trial

Participants: 450 Black and Hispanic stroke survivors with uncontrolled hypertension who receive care in hospital-based primary care practices

Interventions: Participants will be randomly assigned to one of two groups:

  • Home blood pressure telemonitoring plus tailored nurse case management provided by the New York City Health and Hospitals Corporation’s House Calls Telemonitoring Program
  • Home blood pressure telemonitoring alone

Outcomes: The primary outcomes are systolic blood pressure reduction at 12 months and rates of recurrent stroke at 24 months.  The secondary outcome is cost-effectiveness of the interventions at 12 months.

Click here to view this project’s information on NIH RePORT