The rationale and design of reduction of uncontrolled hypertension by Remote Monitoring and Telemedicine (REMOTE) study
Purpose: Although self-measurement of home blood pressure (HBP) is common in Japan and HBP telemonitoring via the Internet is possible, whether telemonitoring improves HBP control better than conventional practice remains unclear. Furthermore, hypertension care with online communication using telemo...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2018-03-01
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| Series: | Blood Pressure |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/08037051.2017.1406306 |
| _version_ | 1797685109909880832 |
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| author | Midori Sasaki Yatabe Junichi Yatabe Kei Asayama Jan A. Staessen Blerim Mujaj Lutgarde Thijs Kyotaro Ito Tomohiro Sonoo Satoshi Morimoto Atsuhiro Ichihara |
| author_facet | Midori Sasaki Yatabe Junichi Yatabe Kei Asayama Jan A. Staessen Blerim Mujaj Lutgarde Thijs Kyotaro Ito Tomohiro Sonoo Satoshi Morimoto Atsuhiro Ichihara |
| author_sort | Midori Sasaki Yatabe |
| collection | DOAJ |
| description | Purpose: Although self-measurement of home blood pressure (HBP) is common in Japan and HBP telemonitoring via the Internet is possible, whether telemonitoring improves HBP control better than conventional practice remains unclear. Furthermore, hypertension care with online communication using telemonitored HBP is feasible, whereas the efficacy and safety of such telemedicine have not been established. We aim to compare traditional care, care with office visits using HBP telemonitoring, and antihypertensive telemedicine based on HBP telemonitoring. Methods and design: In total, 444 patients with uncontrolled hypertension will be recruited and randomly assigned to three groups: (1) control: usual care with office visits and HBP self-report, (2) telemonitoring: weekly assessment of transmitted HBP by physicians and treatment adjustment upon office visits, or (3) telemedicine: online communication instead of office visits to adjust medication using telemonitored HBP. Primary outcome is the time to control of HBP, and secondary outcomes include achieved HBP levels, adherence, treatment intensity, adverse events, patient satisfaction and cost-effectiveness. Discussion: Hypertension care with telemonitoring and telemedicine are expected to require shorter time to achieve HBP control compared to usual care. Combining HBP telemonitoring with telemedicine may lower the hurdles for starting and persisting to hypertension treatment and eventually reduce cardiovascular events. |
| first_indexed | 2024-03-12T00:39:38Z |
| format | Article |
| id | doaj.art-dbf243ac7fa14211816e47e31612632b |
| institution | Directory Open Access Journal |
| issn | 0803-7051 1651-1999 |
| language | English |
| last_indexed | 2024-03-12T00:39:38Z |
| publishDate | 2018-03-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Blood Pressure |
| spelling | doaj.art-dbf243ac7fa14211816e47e31612632b2023-09-15T08:45:22ZengTaylor & Francis GroupBlood Pressure0803-70511651-19992018-03-012729910510.1080/08037051.2017.14063061406306The rationale and design of reduction of uncontrolled hypertension by Remote Monitoring and Telemedicine (REMOTE) studyMidori Sasaki Yatabe0Junichi Yatabe1Kei Asayama2Jan A. Staessen3Blerim Mujaj4Lutgarde Thijs5Kyotaro Ito6Tomohiro Sonoo7Satoshi Morimoto8Atsuhiro Ichihara9Tokyo Women’s Medical UniversityTokyo Women’s Medical UniversityTohoku Institute for Management of Blood PressureResearch Unit Hypertension and Cardiovascular Epidemiology, University of LeuvenResearch Unit Hypertension and Cardiovascular Epidemiology, University of LeuvenResearch Unit Hypertension and Cardiovascular Epidemiology, University of LeuvenPORT incorporationPORT incorporationTokyo Women’s Medical UniversityTokyo Women’s Medical UniversityPurpose: Although self-measurement of home blood pressure (HBP) is common in Japan and HBP telemonitoring via the Internet is possible, whether telemonitoring improves HBP control better than conventional practice remains unclear. Furthermore, hypertension care with online communication using telemonitored HBP is feasible, whereas the efficacy and safety of such telemedicine have not been established. We aim to compare traditional care, care with office visits using HBP telemonitoring, and antihypertensive telemedicine based on HBP telemonitoring. Methods and design: In total, 444 patients with uncontrolled hypertension will be recruited and randomly assigned to three groups: (1) control: usual care with office visits and HBP self-report, (2) telemonitoring: weekly assessment of transmitted HBP by physicians and treatment adjustment upon office visits, or (3) telemedicine: online communication instead of office visits to adjust medication using telemonitored HBP. Primary outcome is the time to control of HBP, and secondary outcomes include achieved HBP levels, adherence, treatment intensity, adverse events, patient satisfaction and cost-effectiveness. Discussion: Hypertension care with telemonitoring and telemedicine are expected to require shorter time to achieve HBP control compared to usual care. Combining HBP telemonitoring with telemedicine may lower the hurdles for starting and persisting to hypertension treatment and eventually reduce cardiovascular events.http://dx.doi.org/10.1080/08037051.2017.1406306home blood pressuretelemonitoringehealthmhealth |
| spellingShingle | Midori Sasaki Yatabe Junichi Yatabe Kei Asayama Jan A. Staessen Blerim Mujaj Lutgarde Thijs Kyotaro Ito Tomohiro Sonoo Satoshi Morimoto Atsuhiro Ichihara The rationale and design of reduction of uncontrolled hypertension by Remote Monitoring and Telemedicine (REMOTE) study Blood Pressure home blood pressure telemonitoring ehealth mhealth |
| title | The rationale and design of reduction of uncontrolled hypertension by Remote Monitoring and Telemedicine (REMOTE) study |
| title_full | The rationale and design of reduction of uncontrolled hypertension by Remote Monitoring and Telemedicine (REMOTE) study |
| title_fullStr | The rationale and design of reduction of uncontrolled hypertension by Remote Monitoring and Telemedicine (REMOTE) study |
| title_full_unstemmed | The rationale and design of reduction of uncontrolled hypertension by Remote Monitoring and Telemedicine (REMOTE) study |
| title_short | The rationale and design of reduction of uncontrolled hypertension by Remote Monitoring and Telemedicine (REMOTE) study |
| title_sort | rationale and design of reduction of uncontrolled hypertension by remote monitoring and telemedicine remote study |
| topic | home blood pressure telemonitoring ehealth mhealth |
| url | http://dx.doi.org/10.1080/08037051.2017.1406306 |
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