{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T12:19:22Z","timestamp":1780748362124,"version":"3.54.1"},"reference-count":72,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100024031","name":"Agency for Healthcare Research and Quality Safety Program for Telemedicine","doi-asserted-by":"publisher","award":["T32HS026120-05S1"],"award-info":[{"award-number":["T32HS026120-05S1"]}],"id":[{"id":"10.13039\/100024031","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100024031","name":"Agency for Healthcare Research and Quality Safety Program for Telemedicine","doi-asserted-by":"publisher","award":["T32HS026120-05S1"],"award-info":[{"award-number":["T32HS026120-05S1"]}],"id":[{"id":"10.13039\/100024031","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hypertension (HTN) is a critical public health concern that disproportionately impacts racial\/ethnic minorities. The recent COVID-19 pandemic spurred rapid adoption of virtual HTN treatment programs such as remote patient monitoring programs (RPM), including among minority populations. However, it is unclear how utilization patterns differ across racial\/ethnic groups and what the implications are for HTN outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The present study examines whether the association between RPM utilization and uncontrolled BP differs by race\/ethnicity among hypertensive patients enrolled in an RPM program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study includes an urban sample of HTN patients who were 18\u2009\u2265\u2009years old who have been in their RPM programs for three consecutive months or longer. Our primary exposure measures are three widely used dichotomized RPM engagement metrics and uncontrolled BP outcomes were dichotomized as BP\u2009\u2265\u2009140\/90 and \u2265 130\/80. We tested for effect modification by race\/ethnicity across RPM utilization variables using multivariable logistic regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 2920 participants, 59% were females, 37% were\u2009\u2265\u200965 years old, and Hispanic patients were the most represented race\/ethnicity group (39%). Percentage-uncontrolled was 25% non-Hispanic Black, 21% Hispanic, and 20% among non-Hispanic White patients. Compared to non-Hispanic White patients with high RPM utilization, patients with no BP transmission had higher odds of uncontrolled BP: White (OR=1.72; 95% CI: 1.07\u20132.75), Black (OR=2.11; 95% CI: 1.32\u20133.39), and Other race (OR=2.36; 95% CI: 1.41\u20133.96). Similar patterns were observed for low clinician interactions and low portal use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Disparities in RPM utilization and BP outcomes in our study parallel reported inequities in digital technology utilization and uncontrolled BP in the U.S. Future studies should aim to understand how utilization trends among various vulnerable populations influence HTN outcomes. Such findings may help inform efforts aimed at streamlining access and utilization of RPM to reduce utilization disparities and promote better BP control.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0334887","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T18:34:16Z","timestamp":1762454056000},"page":"e0334887","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Associations between remote patient monitoring and uncontrolled blood pressure among patients diagnosed with hypertension: Exploring variations by race\/ethnicity"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9863-122X","authenticated-orcid":true,"given":"John M.","family":"Meddar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devin","family":"Mann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Schwartz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyung G.","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Engelberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria R.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,11,6]]},"reference":[{"key":"pone.0334887.ref001","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1161\/HYPERTENSIONAHA.121.18381","article-title":"National trends in racial and ethnic disparities in antihypertensive medication use and blood pressure control among adults with hypertension, 2011-2018","volume":"79","author":"Y Lu","year":"2022","journal-title":"Hypertension"},{"issue":"18","key":"pone.0334887.ref002","doi-asserted-by":"crossref","first-page":"1849","DOI":"10.1001\/jama.2022.19590","article-title":"Treatment of Hypertension: A Review","volume":"328","author":"RM Carey","year":"2022","journal-title":"JAMA"},{"key":"pone.0334887.ref003","unstructured":"Facts About Hypertension. https:\/\/www.cdc.gov\/bloodpressure\/facts.htm#:~:text=About%201%20in%204%20adults,22.5%25%2C%2027.0%20million).&text=About%20half%20of%20adults%20(45,includes%2037%20million%20U.S.%20adults. 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