1. Shop-to-Stop Hypertension: A multicenter cluster-randomized controlled trial protocol to improve screening and text message follow-up of adults with high blood pressure at health kiosks in hardware retail stores.
- Author
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Gnanenthiran, Sonali R., Barnhart, Molly, Tan, Isabella, Zeng, Mingjuan, O'Hagan, Edel, Gianacas, Christopher, Chow, Clara, Schlaich, Markus, Rodgers, Anthony, and Schutte, Aletta E.
- Subjects
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HYPERTENSION , *TEXT messages , *MEDICAL screening , *POOR people , *HARDWARE stores , *RETAIL stores - Abstract
High blood pressure (BP) is the leading preventable risk factor for death, but only one in three patients achieve target BP control. A key contributor to this problem is poor population awareness of high BP, as the majority of patients are asymptomatic. The Shop-To-Stop Hypertension study is a multicenter, cluster-randomized controlled trial to identify, refer and follow adults in need of hypertension care, whilst raising population-wide awareness. In participants with high BP measured by SiSU Health Stations located in major hardware chain stores across New South Wales, Australia, we will determine whether text message-based nudges will encourage repeat BP checks and visits to their doctor. Based on pilot data, we anticipate 65,340 participants will be screened over 12 months, of which 18% will have high BP. Thirty hardware stores will be randomized (1:1) to: (i) Intervention: participants detected with high BP (≥140/≥90 mmHg) will receive text message-based nudges to return for a repeat SiSU Health Station BP check and to visit their general practitioner (GP) to check and manage their BP; (ii) Control: participants with high BP will not receive text messages. The primary outcome is the difference in the proportion of participants with high BP having a repeat BP check at hardware Health Stations in the intervention vs. control group at 12 months. This novel setting for screening utilises a novel 'citizen science' approach inviting the general public to perform their own BP screening at health kiosks and foster behavioral change. This will allow screening in a low-stress environment. • Large, multicenter cluster-randomized trial with 12 months duration. • Identify, refer and follow adults in need of hypertension care, whilst raising population-wide awareness. • Primary outcome: difference in the proportion of participants having a repeat BP check at a health kiosk. • Combines screening with phone text message reminders to foster behavioral change to enter the care pathway. • Findings may increase hypertension diagnosis and health engagement with patients by facilitating a pathway to improved BP control. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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