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HypertensionMyHEARTNCT03158051

Young Adult Hypertension Self-Management Clinical Trial

A study testing Home Blood Pressure Monitoring and Telephone Health Coaching in people with Hypertension and Blood Pressure, run by University of Wisconsin, Madison at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a 5-year randomized controlled trial in two large healthcare systems (Madison and Milwaukee, WI) to evaluate MyHEART's (My Hypertension Education And Reaching Target) impact on blood pressure among 310 geographically and racially/ethnically diverse young adults. Read more about this study

Who is it for?
Ages 18 to 39 years
What is being tested?
Home Blood Pressure Monitoring and Telephone Health Coaching
Could I receive a placebo?
No, everyone receives an active treatment
How many people
316 participants
Where
2 sitesUnited States
Study dates
2 Oct 2017to 8 Feb 2022
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 39 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Willing and capable of giving written informed consent
  • Willing to comply with all study procedures and be available for the duration of the study
  • Males and females ages 18-39 years old at the start of the study (inclusive)
  • A minimum of two hypertension ICD-10 coded visits with a provider (physician [MD, DO], physician assistant, nurse practitioner) on different dates in the last 24 months, with at least one code in the past 18 months
  • Medically homed at an IRB approved healthcare system

Who cannot join

  • History of medically determined Congestive Heart Failure
  • Unable to provide informed consent (i.e., activated healthcare power of attorney)
  • Unable or unwilling to travel to local clinic for research visits
  • Currently residing in a skilled nursing facility
  • Diagnosed with sickle cell anemia or cystic fibrosis
  • Diagnosed with stroke, myocardial infarction, and/or coronary artery revascularization in the past 2 years
Show all 23Show fewer
  • Syncope while exercising or doing strenuous activity within past 12 months
  • Currently prescribed warfarin, novel oral anticoagulant, or insulin
  • Planned organ transplant or prior transplant in the past 5 years
  • Chemotherapy or radiation therapy within 6 the past months
  • Severely impaired hearing, vision, or speech, as determined by study staff responsible for enrollment
  • Current participation or planning to participate in another clinical trial in the next 12 months
  • Pregnant or planning to become pregnant in the next 12 months
  • Planning to leave the geographic area in the next 6 months
  • Health condition that will limit both increasing physical activity and changing diet
  • Illegal drug use (other than marijuana) in the past 30 days
  • Unable to read or communicate in English
  • Currently on dialysis or seeing a Nephrologist
  • Unaware or denies history of high blood pressure or hypertension
  • Between-arm blood pressure difference >20 mmHg
  • White Coat Hypertension (24-hour ambulatory monitoring)
  • Inability to comply with or complete the protocol or other reasons at the discretion of the principal and site investigators
  • Prisoners

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • University of Wisconsin School of Medicine & Public Health

    Madison, Wisconsin, 53792

  • Aurora Health Care

    Milwaukee, Wisconsin, 53233

Other trials in United States

About this study

Official title: The MyHEART Study: A Young Adult Hypertension Self-Management Randomized Controlled Trial

This is a 5-year randomized controlled trial in two large healthcare systems (Madison and Milwaukee, WI) to evaluate MyHEART's (My Hypertension Education And Reaching Target) impact on blood pressure among 310 geographically and racially/ethnically diverse young adults.

Read the detailed description

Aim 1. To evaluate the effect of MyHEART (home blood pressure monitor distribution and heath coaching) on clinical outcomes, the change in systolic and diastolic blood pressure (primary) and hypertension control (secondary) after 6 and 12 months, compared to usual clinical care.

Aim 2. To evaluate the effect of MyHEART on hypertension self-management behavior (behavioral outcomes) at 6 and 12 months, compared to usual clinical care.

Aim 3. To examine whether MyHEART's effects on self-management behavior are mediated through variables of perceived competence, autonomy, motivation, and activation (mediation outcomes).

Being tested
Home Blood Pressure Monitoring, Telephone Health Coaching
Keywords
Hypertension, Young Adult, Self-Management, Health coach
Medical subject headings
Hypertension, Risk Reduction Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Home Blood Pressure MonitoringBehavioural

    Intervention arm participants will receive a home blood pressure monitor, home blood pressure log, and training on accurate home monitoring. They will be asked to share their home blood pressure readings during health coach telephone calls.

  • Telephone Health CoachingBehavioural

    Intervention arm participants will receive a health coach phone call every 2 weeks for 6 months, for a total of 12 calls. During each call, the health coach will review and discuss home blood pressures and address barriers and concerns to hypertension management. During each telephone call, the coach will guide the participant on selecting health behavior goals. Intervention arm participants will also receive handouts about hypertension management during the study visits and after health coach calls.

Study groups in NCT03158051
Study groupRoleWhat they receive
InterventionExperimentalTelephone health coaching, home blood pressure monitoring, individualized goal setting, and tailored educational materials
Receives: Behavioral: Home Blood Pressure Monitoring; Behavioral: Telephone Health Coaching
Usual clinical careNo interventionUsual care arm participants will receive routine hypertension clinical care per their primary care provider.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 24-hour Systolic Ambulatory Blood Pressure (mmHg)

    24-hour Systolic Ambulatory Blood Pressure measured at baseline, 6 months, and 12 months.

    Measured: baseline, 6 month, and 12 month follow-up

  2. 24-hour Diastolic Ambulatory Blood Pressure (mmHg)

    24-hour Diastolic Ambulatory Blood Pressure measured at baseline, 6 months, and 12 months.

    Measured: baseline, 6 month, and 12 month follow-up

  3. Clinic Systolic Blood Pressure (mmHg)

    Systolic Blood Pressure measured at baseline, 6 months, and 12 months.

    Measured: baseline, 6 month, and 12 month follow-up

  4. Clinic Diastolic Blood Pressure (mmHg)

    Clinic Diastolic Blood Pressure measured at baseline, 6 months, and 12 months.

    Measured: baseline, 6 month, and 12 month follow-up

Secondary outcomes (18)
  1. Number of Participants That Achieve Hypertension Control at 6 Months

    Hypertension Control: Percentage of participants that achieve hypertension control at 6 months. Hypertension control will be defined using ambulatory blood pressures as the gold standard (<130/80 mmHg); otherwise a clinic blood pressure of <140/90 mmHg will be used.

    Measured: up to 6 months

  2. Sodium Intake as Assessed by the Automated Self-Administered 24-hour Dietary Assessment

    Mean daily sodium intake (milligrams/day) at baseline, 6 months, and 12 months as assessed by the computer administered Automated Self-Administered 24-hour Dietary Assessment

    Measured: baseline, 6 month, and 12 month follow-up

  3. Number of Combined Fruit and Vegetable Servings as Assessed by the Automated Self-Administered 24-hour Dietary Assessment

    Mean number of combined fruit and vegetable servings measured at baseline, 6 months, and 12 months as assessed by the computer administered Automated Self-Administered 24-hour Dietary Assessment, reported in cups equivalent.

    Measured: baseline, 6 month, and 12 month follow-up

  4. Ounces of Whole Grain as Assessed by the Automated Self-Administered 24-hour Dietary Assessment

    Ounces of whole grain measured at baseline, 6 months, and 12 months as assessed by the computer administered Automated Self-Administered 24-hour Dietary Assessment

    Measured: baseline, 6 month, and 12 month follow-up

  5. Saturated Fat as Assessed by the Automated Self-Administered 24-hour Dietary Assessment

    Saturated fat measured at baseline, 6 months, and 12 months as assessed by the computer administered Automated Self-Administered 24-hour Dietary Assessment, reported in percent kilocalories

    Measured: baseline, 6 month, and 12 month follow-up

  6. Physical Activity as Assessed by the Godin Physical Activity Questionnaire

    Mean weekly amounts of physical activity as assessed by the Godin Physical Activity Questionnaire. The Godin Physical Activity Questionnaire measures a person's strenuous, moderate, and light physical activity in a week. Scoring is calculated as follows (units are times per week that the participant engaged in any of the 3 classifications of activity longer than 15 minutes during their free time):

    • 9 x strenous units reported + 5 x moderate units reported + 3 x light units reported = score

    A minimum score of 0 indicates no activity, a score of less than 14 is interpreted as insufficiently active or sedentary, a score between 14 and 23 is interpreted to be moderately active, and a score of 24 and higher is interpreted to be active, a theoretical maximum does not exist.

    Measured: baseline, 6 month, and 12 month follow-up

  7. Home Blood Pressure Monitoring Frequency

    Self-report of home blood pressure monitoring frequency measured at baseline, 6 months, and 12 months.

    Measured: baseline, 6 month, and 12 month follow-up

  8. Standing Weight (kg)

    Weight (kg) measured at baseline, 6 months, and 12 months.

    Measured: baseline, 6 month, and 12 month follow-up

  9. Perceived Competence as Assessed by the Perceived Competence Scale for Diet

    Perceived competence measured at baseline, 6 months, and 12 months as assessed by the Perceived Competence Scale (self-administration). This is a 4-item survey scored on a 7 point likert scale from 1 (not at all true) to 7 (very true). Mean score from 1-7 will be reported with higher scores indicating increased perceived competence.

    Measured: baseline, 6 month, and 12 month follow-up

  10. Perceived Competence as Assessed by the Perceived Competence Scale for Exercise

    Perceived competence measured at baseline, 6 months, and 12 months as assessed by the Perceived Competence Scale (self-administration). This is a 4-item survey scored on a 7 point likert scale from 1 (not at all true) to 7 (very true). Mean score from 1-7 will be reported with higher scores indicating increased perceived competence.

    Measured: baseline, 6 month, and 12 month follow-up

  11. Perceived Autonomy as Assessed by the Health Care Climate Questionnaire for Diet

    Perceived autonomy measured at baseline, 6 months, and 12 months as assessed by the Health Care Climate Questionnaire (self-administration). This is a 6-item survey scored on a 7 point likert scale from 1 (not at all true) to 7 (very true). Mean between 1-7 will be reported with higher scores indicative of increased perceived autonomy.

    Measured: baseline, 6 month, and 12 month follow-up

  12. Perceived Autonomy as Assessed by the Health Care Climate Questionnaire for Exercise

    Perceived autonomy measured at baseline, 6 months, and 12 months as assessed by the Health Care Climate Questionnaire (self-administration). This is a 6-item survey scored on a 7 point likert scale from 1 (not at all true) to 7 (very true). Mean between 1-7 will be reported with higher scores indicative of increased perceived autonomy.

    Measured: baseline, 6 month, and 12 month follow-up

  13. Autonomous Motivation as Assessed by the Treatment Self-Regulation Questionnaire for Diet

    Autonomous motivation measured at baseline, 6 months, and 12 months as assessed by the Treatment Self-Regulation Questionnaire (self-administration). This is a 15-item survey scored on a 7 point likert scale from 1 (not at all true) to 7 (very true). Mean score between 1 and 7 will be reported with higher scores indicative of increased autonomous motivation.

    Measured: baseline, 6 month, and 12 month follow-up

  14. Autonomous Motivation as Assessed by the Treatment Self-Regulation Questionnaire for Exercise

    Autonomous motivation measured at baseline, 6 months, and 12 months as assessed by the Treatment Self-Regulation Questionnaire (self-administration). This is a 15-item survey scored on a 7 point likert scale from 1 (not at all true) to 7 (very true). Mean score between 1 and 7 will be reported with higher scores indicative of increased autonomous motivation.

    Measured: baseline, 6 month, and 12 month follow-up

  15. Controlled Motivation as Assessed by the Treatment Self-Regulation Questionnaire for Diet

    Controlled motivation measured at baseline, 6 months, and 12 months as assessed by the Treatment Self-Regulation Questionnaire (self-administration). This is a 15-item survey scored on a 7 point likert scale from 1 (not at all true) to 7 (very true). Mean score between 1 and 7 will be reported with higher scores indicative of increased controlled motivation.

    Measured: baseline, 6 month, and 12 month follow-up

  16. Controlled Motivation as Assessed by the Treatment Self-Regulation Questionnaire for Exercise

    Controlled motivation measured at baseline, 6 months, and 12 months as assessed by the Treatment Self-Regulation Questionnaire (self-administration). This is a 15-item survey scored on a 7 point likert scale from 1 (not at all true) to 7 (very true). Mean score between 1 and 7 will be reported with higher scores indicative of increased controlled motivation.

    Measured: baseline, 6 month, and 12 month follow-up

  17. Amotivation as Assessed by the Treatment Self-Regulation Questionnaire for Diet

    Amotivation measured at baseline, 6 months, and 12 months as assessed by the Treatment Self-Regulation Questionnaire (self-administration). This is a 15-item survey scored on a 7 point likert scale from 1 (not at all true) to 7 (very true). Mean score between 1 and 7 will be reported with higher scores indicative of increased amotivation.

    Measured: baseline, 6 month, and 12 month follow-up

  18. Amotivation as Assessed by the Treatment Self-Regulation Questionnaire for Exercise

    Amotivation measured at baseline, 6 months, and 12 months as assessed by the Treatment Self-Regulation Questionnaire (self-administration). This is a 15-item survey scored on a 7 point likert scale from 1 (not at all true) to 7 (very true). Mean score between 1 and 7 will be reported with higher scores indicative of increased amotivation.

    Measured: baseline, 6 month, and 12 month follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 May 2017
  2. Study start2 Oct 2017
  3. Primary completion13 Jan 2022
  4. Study completion8 Feb 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
316 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03158051
Sponsor's protocol ID
2017-0372
Other IDs
R01HL132148, A534225, SMPH\MEDICINE\CARDIOLOGY
Acronym
MyHEART
Status last verified
May 2023
First submitted
15 May 2017
Last updated
17 May 2023
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Johnson HM, Sullivan-Vedder L, Kim K, McBride PE, Smith MA, LaMantia JN, Fink JT, Knutson Sinaise MR, Zeller LM, Lauver DR. Rationale and study design of the MyHEART study: A young adult hypertension self-management randomized controlled trial. Contemp Clin Trials. 2019 Mar;78:88-100. doi: 10.1016/j.cct.2019.01.010. Epub 2019 Jan 21.

    PubMed 30677485
  • Hoppe KK, Smith M, Birstler J, Kim K, Sullivan-Vedder L, LaMantia JN, Knutson Sinaise MR, Swenson M, Fink J, Haggart R, McBride P, Lauver DR, Johnson HM. Effect of a Telephone Health Coaching Intervention on Hypertension Control in Young Adults: The MyHEART Randomized Clinical Trial. JAMA Netw Open. 2023 Feb 1;6(2):e2255618. doi: 10.1001/jamanetworkopen.2022.55618.

    PubMed 36735261

Questions about this trial

What is this clinical trial studying?

A study testing Home Blood Pressure Monitoring and Telephone Health Coaching in people with Hypertension and Blood Pressure, run by University of Wisconsin, Madison at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 17 May 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

24-hour Systolic Ambulatory Blood Pressure (mmHg) (time frame: baseline, 6 month, and 12 month follow-up). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03158051, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 May 2023.

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