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| Name | Class |
|---|---|
| Cone Health | OTHER |
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The purpose of the proposed observational study is to explore the relations between data-driven personalization and equitable health outcomes in a digital health intervention (DHI) for hypertension management. In the current intervention, behavioral reinforcement learning is applied to personalize intervention content to maximize the behavioral outcomes of three target behaviors critical for effective hypertension management: clinical encounters, medication adherence, and self-monitoring of blood pressure (SMBP).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Precision Nudging for Hypertension Management | All participants in this study will receive the digital health intervention. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Precision Nudging for Hypertension Management | Behavioral | The hypertension digital health intervention under study combines behavioral science theory with a type of machine learning called reinforcement learning to enable precision nudging: the selection, assembly, and delivery of behavioral science-based messages created to address barriers to, and promote, management of hypertension. The behavioral design process used for the hypertension DHI intentionally includes research on traditionally underserved populations, such as racial and ethnic minorities and people with lower incomes or educational attainment. By including the right ingredients to meet a diverse set of needs and by effectively personalizing the content each individual sees based on their own reactions, the intervention aims to improve health equity by matching each individual to the right behavioral approach. |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical encounter behavioral outcome | Adherence with recommended clinical encounters given eligibility based on blood pressure readings and medication | 0-18 months |
| Blood pressure reading clinical outcome | Blood pressure reading | 0-18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Engagement | Digital engagement (opens, clicks, responses, etc.) | 0-18 months |
| Medication adherence behavioral outcome | Self-reported medication adherence |
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Inclusion Criteria:
Exclusion Criteria:
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This observational study will follow participants enrolled in a digital health intervention for hypertension management at one of nine Cone Health Community Access Clinics.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cone Health clinics | Greensboro | North Carolina | 27401 | United States |
IPD will not be shared.
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| D055118 | Medication Adherence |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
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| 0-18 months |
| Self-monitoring of blood pressure behavioral outcome | Self-reported self-monitoring of blood pressure | 0-18 months |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |