Telemedicine Management of Hypertension

Telemedicine Management of Hypertension: A Pre-Implementation Study

Explore barriers, facilitators, acceptability, feasibility, and fidelity of the telemedicine management of hypertension intervention

The purpose of the current study is to conduct pre-implementation work to understand the determinants of the telemedicine management of hypertension intervention implementation, feasibility of the intervention and its tailoring, and explore potential inequitable implementation factors in African American patients to enhance the intervention's usability to inform future hybrid trial design.

Inclusion Criteria Patients:

• > 18 years of age
• diagnosis of Hypertension (HTN)
• systolic Blood Pressure > 140mmHg on last two clinic visits
• stable anti-HTN medication in the preceding six weeks
• possess smart phone
• must speak and read English

Exclusion Criteria Patients:

• conditions that diminish the ability to conduct home-based self-assessments of Blood Pressure
• chronic conditions that add complexity in HTN management
• recent acute health changes that increases likelihood of Blood Pressure instability
• terminal illness

Inclusion Criteria Stakeholders:

• identify stakeholders using Mendelow's stakeholder matrix, which helps recognize stakeholders according to their interest and power in using the intervention in their clinic - Stakeholders are from clinic and community health workers