Behavioral Economic Framing for Enrollment and Retention of Patients in Remote Blood Pressure Monitoring: A Randomized Clinical Trial.

ABSTRACT:

Importance

Remote blood pressure (BP) monitoring for hypertension has been limited by low participation and engagement.

Objective

To evaluate if an opt-out behavioral economic approach to remote BP monitoring improves enrollment and BP outcomes compared with an opt-in approach.

Design, setting, and participants

This pragmatic, 3-arm randomized clinical trial included patients aged 18 to 75 years with hypertension who were followed up by an academic family medicine practice in Philadelphia. Eligible patients used text messaging, had at least 2 elevated BP measurements during the prior 24 months, and were prescribed hypertension medication. Patients were randomized beginning February 25, 2021, and the last patient completed the program March 22, 2022. Data were analyzed

SUBMITTER: Mehta SJ 

PROVIDER: S-EPMC12406065 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature