SMS text intervention for uncontrolled hypertension among hypertensive homeless adults in shelter clinics of New York City: protocol for a pragmatic randomised trial study.
SMS text intervention for uncontrolled hypertension among hypertensive homeless adults in shelter clinics of New York City: protocol for a pragmatic randomised trial study.
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DOI：
10.1136/bmjopen-2023-073041
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发表时间：
2023-10-30
期刊：
影响因子：
2.9
通讯作者：
Ogedegbe, Gbenga
中科院分区：
文献类型：
--
作者：
Asgary, Ramin;Bauder, Leah;Naderi, Rosanna;Ogedegbe, Gbenga
不受控制的高血压（HTN）在经历无家可归（PEH）的人中普遍存在，并导致严重的痛苦和经济成本。移动的健康方法，如短消息服务（SMS）短信，导致更好地控制HTN在一般人群中。尽管PEH对移动的电话的使用率很高，但尚未在该人群中评估支持HTN控制的SMS短信。我们假设，SMS测试计划将加强健康沟通，信息管理，外展和护理协调，并提供行为支持，以解决一些障碍，在PEH HTN管理。本研究将使用混合方法研究设计来解决两个目标：首先，它将在一项随机对照试验中评估6个月短信策略与注意力控制在120名患有不受控制的HTN的成人PEH中降低血压和坚持药物和临床预约的有效性。将在0、2、4和6个月时测量结局。其次，它将评估患者和供应商的可接受性和经验的短信使用半结构化访谈PEH（n=30）和供应商（n=10）。这项研究将在纽约市的收容所诊所与社区组织合作进行。主要统计分析将基于意向治疗。试验结果将按照试验报告统一标准（CONSORT）报告为具有95% CI的比较汇总统计量（缓解率或平均值差异）。访谈将被转录，编码和分析使用归纳扎根理论分析。本研究已获得乔治华盛顿大学机构审查委员会（IRB）的批准。将获得参与者的书面同意。研究结果将在同行评审期刊上传播。NCT 05187013。
Uncontrolled hypertension (HTN) is prevalent in persons experiencing homelessness (PEH) and contributes to significant suffering and financial cost. Mobile health approaches such as short messaging service (SMS) texting have led to better control of HTN in the general population. Despite the high utilisation of mobile phones by PEH, SMS texting to support HTN control has not been evaluated among this population. We hypothesise that an SMS testing programme will enhance health communication, information management, outreach and care coordination, and provide behavioural support to address some barriers to HTN management in PEH. This study will use a mixed-methods study design to address two objectives: First, it will evaluate, in a randomised controlled trial, the efficacy of a 6-month SMS texting strategy vs an attention control on blood pressure reduction and adherence to medications and clinical appointments in 120 adults PEH with uncontrolled HTN. Outcomes will be measured at 0, 2, 4 and 6 months. Second, it will assess patients’ and providers’ acceptability and experience of SMS texting using semistructured interviews with PEH (n=30) and providers (n=10). The study will be conducted in shelter clinics in New York City in collaboration with community organisations. The primary statistical analysis will be on an intention-to-treat basis. The trial results will be reported as comparative summary statistics (difference in response rate or means) with 95% CIs and in accordance with the Consolidated Standards of Reporting Trials (CONSORT). Interviews will be transcribed, coded and analysed using an inductive grounded theory analysis. This study has been approved by the Institutional Review Board (IRB) at George Washington University. Written consent will be obtained from participants. The findings will be disseminated in peer-reviewed journals. NCT05187013.
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影响因子：
12.7
作者：
Asgary, Ramin;Garland, Victoria;Sckell, Blanca
通讯作者：
Sckell, Blanca
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2.2
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通讯作者：
Schoenthaler, Antoinette
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