Welcome to the InS2PiRED Study!

Hypertension, or high blood pressure, is a major health problem affecting more than 119 million people in the United States. Although we know how to effectively treat hypertension, not all patients and health systems have access to or can use such treatments. It is important to understand how to implement effective treatments for hypertension across a wide range of settings serving diverse patients. 

Study Overview

Our study, InS2PiRED (Implementation Strategies for Self-Measured Blood Pressure Monitoring in Racially and Ethnically Diverse Populations), aims to support patients with high blood pressure self-management using home blood pressure monitors and providing patients with resources to engage support persons and support groups. The investigators will first engage patients with technology training to use home monitors, online patient portals, and texting and mobile phone applications. If applicable, a support person will be designated to help the patient throughout the study. There will also be support groups for some participants in our study, where we will cover teachings on diet, exercise, medication adherence, and high blood pressure awareness. Following that, investigators will assess the effectivenss of home blood pressure monitors on blood pressure control over a 12 month period. 

This research aims to benefit both people with high blood pressure and clinics interested in remote blood pressure monitoring. Our findings should be especially helpful for those who face challenges using blood pressure monitors like people with limited English proficiency, as we will test different ways of self-managing and resource engagement for patients. We also hope to assist clinics that struggle with monitoring patient care between visits, especially those that are short-staffed, by finding better ways to manage their workflows for hypertension care. 

We will recruit 330 adults with high blood pressure in this study by working with 6 clinics across San Francisco Health Network and Alameda Health Systems.