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The purpose of this study is to learn whether virtual Lifestyle medicine shared medical appointments (LMSMAs) can help people better manage their blood pressure and improve their overall health.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lifestyle Medicine Virtual Group Visit Program plus usual medical care | Experimental |
| |
| Usual medical care only | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lifestyle Medicine Virtual group | Behavioral | Participants will be given a home BP monitor upon enrollment and the group will engage in twice monthly virtual shared medical appointments (vSMAs) for 4 visits. Prior to each visit, participants will be asked to complete home BP monitoring (twice in the morning and twice in the evening for 3 days before visit), with readings reviewed during visits and medications adjusted as clinically indicated. Participants will complete four sessions over an 8-week period, with one session type offered in each 2 week block. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in diastolic blood pressure readings | 2-4 weeks after randomization,6 months after randomization | |
| Change in systolic blood pressure readings | 2-4 weeks after randomization,6 months after randomization |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of eligible participants who agree to participate | end of study (6 months after randomization) | |
| Number of primary care physicians (PCPs) whose patients are included in the program | end of study (6 months after randomization) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Puja B Gandhi, MD, MPH, DipABLM | Contact | (713) 500-6714 | Puja.Gandhi@uth.tmc.edu | |
| Natalia Williams | Contact | (713) 486-3844 | Natalia.Williams@uth.tmc.edu |
| Name | Affiliation | Role |
|---|---|---|
| Puja B Gandhi, MD, MPH, DipABLM | The University of Texas Health Science Center, Houston | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Texas Health Science Center at Houston | Houston | Texas | 77030 | United States |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| Usual Care Group | Behavioral | Participants will be given a home BP monitor upon enrollment and will be instructed by phone and with an electronic health record (EHR) portal message on proper technique for home BP readings. Participants will continue to have follow-up visits with their PCP as clinically indicated. |
|
| Median number of sessions attended by each participant | end of study (6 months after randomization) |
| Adherence as assessed by the number of of blood pressure (BP) readings submitted between each session | end of study (6 months after randomization) |
| Adherence to home BP monitoring as assessed by the number of of home BP sessions submitted between each session | end of study (6 months after randomization) |