This project is part of the ACHIEVE GREATER (Addressing Cardiometabolic Health In Populations Through Early PreVEntion in the GREAT LakEs Region) Center (IRB# 100221MP2A), the purpose of which is to improve cardiometabolic health in two uniquely comparable cities: Detroit, Michigan, and Cleveland, Ohio. The ACHIEVE GREATER Center involves separate but related projects that aim to improve cardiometabolic health outcomes through better risk factor control for three chronic conditions that are of tremendous public health importance, (hypertension (HTN), heart failure, and coronary heart disease), all of which contribute significantly to premature death in Detroit and Cleveland.
The present study is the prospective observational cohort component of ACHIEVE P1- EPI (Project 1) of the ACHIEVE GREATER Center and serves to characterize the population of patients with blood pressure (BP) levels above normal attending The Wayne Health Mobile Health Unit (MHU) events to better understand key factors (e.g., social determinants of health) that convey information about baseline BP levels and related clinical outcomes (e.g., follow-up clinic visits, BP control, and cardiovascular events).
Mobile Health Unit Patients with blood pressure above normal (≥120 systolic and/or ≥80 mmHg)
Has a phone with the ability to receive text messages
18+ years old
Consent to allow prospective follow-up including through EHR review
Non-mobile health unit patients
MHU patients with systolic BP < 120 mmHg AND diastolic BP < 80 mmHg
Pregnant Women
Children less than 18 years old
Parallel
Text Message Reminder
BehavioralRandomized selection of recruited participants that will receive text messages reminding them to take their blood pressure.
Measure Blood Pressure Protocol Fidelity
Achieve a minimum of six (6) measurements of two (2) or more readings of systolic and diastolic blood pressures at baseline, Month 6 and Month 11 within a seven (7) day period.
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