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Evaluation of Real-World Patient Engagement in a Remote Patient Monitoring for Hypertension Program
Ashley A Berlot1,2, Allison Stark1,3, Rakin Islam1
1Albert Einstein College of Medicine, Bronx, NY, USA.
Journal of General Internal Medicine
|March 2, 2026
Summary
Remote patient monitoring (RPM) engagement is feasible across diverse populations and linked to better blood pressure (BP) control. Higher engagement in RPM significantly increases the odds of achieving target BP goals.
Area of Science:
- Cardiovascular Medicine
- Health Informatics
- Public Health
Background:
- Remote patient monitoring (RPM) effectively lowers blood pressure (BP) in hypertensive patients.
- However, disparities in RPM engagement across diverse populations and its impact on achieving BP targets remain unclear.
Purpose of the Study:
- To investigate associations between participant characteristics and RPM engagement levels.
- To determine if RPM engagement influences the achievement of BP control (<140/90 mmHg) within six months.
Main Methods:
- A retrospective cohort study was conducted from January 1, 2022, to August 31, 2023.
- Adult hypertension patients enrolled in RPM for at least six months at an urban academic health center were analyzed.
- High engagement was defined as measuring BP >50% of days for at least two of the first three months; BP control was defined as <140/90 mmHg at six months.
Main Results:
- Out of 835 enrolled patients, 62.4% showed high RPM engagement.
- Older age and lower baseline systolic BP were associated with higher engagement; demographics like gender, race/ethnicity, and language were not.
- Overall, 62.65% achieved BP control. High engagement was linked to an 83% increased likelihood of BP control (aOR=1.83).
Conclusions:
- RPM is a feasible intervention for diverse hypertension patient populations with equitable engagement across demographic groups.
- A higher level of engagement in RPM is significantly associated with achieving blood pressure control targets.
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