Initial Evaluation of Telehealth Blood Pressure Stations in Nutrition Centers (TEAhM)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00987025
Recruitment Status : Unknown
Verified May 2010 by American Association of Homes and Services for the Aging.
Recruitment status was:  Active, not recruiting
First Posted : September 30, 2009
Last Update Posted : May 28, 2010
Agency for Healthcare Research and Quality (AHRQ)
Wright State University
Healthanywhere Inc.
Information provided by:
American Association of Homes and Services for the Aging

Brief Summary:
The purpose of TEAhM is to determine if telehealth blood pressure stations can be installed and used in senior nutrition centers and to do a preliminary comparison of blood pressure outcomes among nutrition center clients who use the telehealth blood pressure stations compared to participants who do not use the stations. Specifically, the goals of the project are to determine if these monitors can be successfully implemented in this community-based setting, the degree to which older adults with hypertension are comfortable using the technology, and whether remote nurse monitoring of blood pressure using this technology is a feasible supplement to office-based care.

Condition or disease Intervention/treatment Phase
Hypertension Behavioral: Telehealth Behavioral: Educational materials Not Applicable

Detailed Description:

TEAhM will be conducted in four senior nutrition centers in the state of Ohio. Using these facilities as field centers, we will recruit 144 older, hypertensive adults who receive nutrition assistance at these centers. Wright State staff will obtain permission from enrolled participants in the intervention centers to contact primary care physicians for the purpose of obtaining recommended intervention protocols and defining referral criteria for changes in blood pressure treatment. We will install telehealth kiosks at two of the four nutrition centers. Participants who enroll at the two centers with kiosks will be considered "intervention participants" and those who enroll at the two centers without the kiosks will be considered "control participants." The kiosks will enable participants to conduct self-monitoring of their blood pressure at the nutrition facility. Blood pressure data from intervention participants will be sent to a central server managed by Healthanywhere, the telehealth partner in this project. Nurse-researchers from WSU will receive email alerts about out of range blood pressure measures, monitor blood pressure readings once a week, and make referrals for medical care according to criteria defined by participants' primary care physicians at the time of enrollment. Control and intervention participants will receive educational materials on general wellness that are publicly available.

Demographic information, background health, comfort with technology, and baseline blood pressure measures will be collected at baseline in on paper forms by WSU nurse researchers. Follow up blood pressure measures and other health utilization measures and reported health events will be collected from both intervention and control facilities during follow-up phone contacts with study personnel every two months. Blood pressure will be measured for all participants at the end of the study.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 144 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Technologies for Enhancing Access and Health Management
Study Start Date : October 2009
Estimated Primary Completion Date : January 2011
Estimated Study Completion Date : January 2011

Arm Intervention/treatment
Experimental: Telehealth
Telehealth participants will be recruited from centers that have a telehealth blood pressure station installed. Participants will be asked to use the station once per week. Blood pressure measures will be monitored by nurse researchers - out of range values will result in appropriate medical recommendations.
Behavioral: Telehealth
Use of telehealth blood pressure station every week

Active Comparator: Control
Control participants will receive education material.
Behavioral: Educational materials

Secondary Outcome Measures :
  1. Proportion of participants with blood pressure within range [ Time Frame: 10 months ]
  2. Number of physician visits [ Time Frame: 10 months ]
  3. Number of emergency department visits [ Time Frame: 10 months ]
  4. Comfort with technology [ Time Frame: 10 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   55 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age ≥55 years
  • Current use of nutrition center resources ≥1 time/week
  • Physician-diagnosed hypertension
  • Clinically stable if on oral therapy
  • Physician willingness to interact with nurse reviewers (intervention arm only)

Exclusion Criteria:

  • Age < 55 years
  • Self-reported dialysis or renal failure
  • Cognitive impairment as evaluated by study staff
  • Failure to provide consent
  • Failure to meet all inclusion criteria

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00987025

United States, Ohio
Logan County Friendly Senior Center
Bellefontaine, Ohio, United States, 43311
Miamisburg Senior Adult Center
Miamisburg, Ohio, United States, 45342
Spring Valley Senior Center
Spring Valley, Ohio, United States, 45385
Urbana-Champaign County Senior Center
Urbana, Ohio, United States, 43078
Sponsors and Collaborators
American Association of Homes and Services for the Aging
Agency for Healthcare Research and Quality (AHRQ)
Wright State University
Healthanywhere Inc.
Principal Investigator: Helaine E Resnick, PhD, MPH Association of Homes and Services for the Aging

Responsible Party: Helaine Resnick, PhD, MPH/ Principal Investigator, Association of Homes and Services for the Aging Identifier: NCT00987025     History of Changes
Other Study ID Numbers: HHSA290200600024I, TO #2
First Posted: September 30, 2009    Key Record Dates
Last Update Posted: May 28, 2010
Last Verified: May 2010

Keywords provided by American Association of Homes and Services for the Aging:
nurse monitor
nutrition center

Additional relevant MeSH terms:
Vascular Diseases
Cardiovascular Diseases