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NCT05293756Recruiting

OPtimizing Technology to Improve Medication Adherence and BP Control (OPTIMA-BP)

OPtimizing Technology to Improve Medication Adherence and Blood Pressure Control

Source: ClinicalTrials.gov · Last updated 3 Apr 2026

Brief summary (registry, in English)

Hypertension (HTN) has a greater impact on African Americans (AA) than any other U.S. racial group. Uncontrolled blood pressure (BP) contributes to higher rates of disability, death, and health resource use among AA. HTN is the single most influential risk factor for cardiovascular disease (CVD), as well as a risk factor for the incidence of stroke, diabetes, chronic kidney disease, and dementia. Importantly, older adults account for 15% of the U.S. population, and two-thirds of older adults over age 60 have HTN, with higher rates observed in AA older adults. Strategies to support self-managing HTN and BP control are crucial as the older population is projected to age considerably and become more racially and ethnically diverse. Research has documented the negative effects on health and health outcomes of poorly controlled BP and is one of the most important modifiable CVD risk factors. Lower BP targets will require aggressive management and an increase in antihypertensive medications. Therefore, to achieve lower targets in this population, greater efforts, including patient-centered methods will be needed to support self-managing HTN, especially in terms of medication adherence. As we shifted into the digital age, the use of mHealth technologies (smart phones, applications, SMS or text messaging) has been a powerful approach and mechanism for the treatment and management of chronic diseases. However, behavioral interventions that incorporate technology do not reach minorities or disadvantaged AA older adults with HTN. OPtimizing Technology to Improve Medication Adherence and BP Control (OPTIMA-BP) will leverage existing knowledge of effective technology-based components for HTN self-management to support and improve BP control using unique aspects of mHealth platforms in AA older adults. Findings from this study, if confirmed, will improve BP control and support self-managing HTN, as well as has the potential to close the health disparity gap between AA and non-AA older adults with HTN.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
208 (estimated)
First submitted
9 Mar 2022
Start date
14 Feb 2021
Primary completion date
31 May 2027
Lead sponsor
Case Western Reserve University
NCT number
NCT05293756

What you commit to

  • Study type: Interventional
  • Planned participants: 208
  • From 14 Feb 2021 to the primary completion date, 31 May 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Currently using a medication management application (app)

Other illness

  • Experienced a major CVD event or procedure (e.g., myocardial infarction, stroke, heart surgery) within the past year

Lab values

  • Patients with a diagnosis of chronic kidney disease (defined as estimated glomerular filtration rate (eGFR) \< 60 ml/min/1.73m2) and/or receiving dialysis.

Other

  • Unable to give informed consent or judged to have impaired cognitive ability or severe memory

Who the study is looking for

  • Self-identify as African American
  • 50 years of age or older
  • Diagnosed with hypertension, with a systolic blood pressure≥ 130 mmHg but less than 170 mmHg
  • Prescribed at least two hypertensive, one of which is a diuretic/thiazide and or calcium channel blocker antihypertensive medication
  • Own a smartphone with a data plan, the capability to download the Medisafe app, or view videos
  • Able to read/understand English

Age in the registry: 50 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Case Western Reserve University
Coordinator of this site? Confirm its status
ClevelandUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.