Related Experiment Video
Updated: Jun 2, 2025
Setup of Consumer Wearable Devices for Exposure and Health Monitoring in Population Studies
Published on: February 3, 2023
Adapting self-measured blood pressure monitoring to reduce health disparities (ASPIRE): a pilot hybrid
Rasha Khatib1, Nicole Glowacki2, Iridian Guzman2
1Advocate Health, Advocate Aurora Research Institute, Milwaukee, WI, 53233, USA. rasha.alkhatib@aah.org.
Insights
This study tested the ASPIRE toolkit to increase self-measured blood pressure (SMBP) monitoring in underserved populations. Findings will guide larger trials to reduce hypertension disparities.
Area of Science:
- Cardiovascular Health
- Health Disparities Research
- Implementation Science
Background:
- Hypertension is a leading risk factor for cardiovascular disease (CVD).
- Significant racial and ethnic disparities in hypertension management persist, leading to worse outcomes in non-White populations.
- Self-measured blood pressure (SMBP) monitoring can improve blood pressure control but faces low adoption, especially among minorities, due to various barriers.
Purpose of the Study:
- Evaluate the feasibility of study methods for the ASPIRE toolkit in primary care.
- Address barriers to SMBP adoption and improve hypertension management in underserved populations.
- Increase SMBP adoption rates to reduce health disparities.
Main Methods:
- Pilot hybrid effectiveness-implementation randomized controlled trial (RCT) at a primary care clinic in South Side Chicago.
- Patients with uncontrolled hypertension randomized to the ASPIRE toolkit intervention or usual care.
- Primary outcomes: feasibility measures (recruitment, attrition, data availability). Qualitative interviews explore toolkit appropriateness and implementation success using CFIR.
Main Results:
- Feasibility of study methods will be analyzed to inform a larger multi-site RCT.
- Qualitative data will explore patient and provider perspectives on the ASPIRE toolkit.
- Progression criteria will be developed based on pilot data.
Conclusions:
- This pilot RCT assesses the feasibility of implementing the ASPIRE toolkit in primary care.
- The ASPIRE toolkit aims to overcome SMBP adoption barriers.
- Successful implementation can improve hypertension management and reduce health disparities in underserved groups.
Background:
Hypertension is the leading risk factor for cardiovascular disease (CVD). Despite advances in blood pressure management, significant racial and ethnic disparities persist, resulting in higher risks of stroke, heart disease, and mortality among non-White populations. Self-measured blood pressure (SMBP) monitoring, also known as home blood pressure monitoring, has shown promise in improving blood pressure control, especially when combined with feedback from healthcare providers. However, the adoption of SMBP remains low, particularly among racial and ethnic minorities, due to various patient, provider, and system-level barriers.
Objectives:
This study aims to evaluate the feasibility of study methods implementing the ASPIRE (adapting self-measured blood pressure to reduce health disparities) toolkit in a primary care setting. The toolkit is designed to address barriers to SMBP adoption and improve hypertension management among underserved populations to increase SMBP adoption.
Methods:
This pilot hybrid effectiveness-implementation randomized controlled trial (RCT) will be conducted at a primary care clinic in South Side Chicago, serving a diverse patient population. Eligible patients with uncontrolled hypertension will be randomized to either the intervention group, receiving the ASPIRE toolkit and support, or the control group, receiving usual care. The primary outcomes include feasibility measures including recruitment rates, attrition, and availability of data in the electronic health records.
Results:
The feasibility of the study methods will be analyzed to inform a larger multi-site RCT informed by progression criteria developed in this protocol. Qualitative interviews with patients and providers will explore the appropriateness and implementation success of the toolkit using the Consolidated Framework for Implementation Research (CFIR).
Conclusions:
This pilot RCT will provide critical insights into the feasibility of study methods to evaluate the implementation success of the ASPIRE toolkit in a real-world primary care setting. By addressing barriers to SMBP adoption, this intervention has the potential to improve hypertension management and reduce health disparities in underserved populations.
Trial Registration:
NCT: NCT06175793. Registered 19 December 2023, https://clinicaltrials.gov/study/NCT06175793 .
Related Concept Videos
01:25Errors occurring during blood pressure monitoring
Several factors...
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
01:28Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
01:15Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
01:23Assessment of blood pressure in brachial artery(two-step method)
01:21Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement