{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T21:41:26Z","timestamp":1792705286904,"version":"4.5.0"},"reference-count":22,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Only approximately half of adults with hypertension, a leading cardiovascular risk factor, achieve blood pressure (BP) control, with persistent disparities among low-income and minority populations. Wireless home BP monitoring (HBPM) with remote patient monitoring can improve BP control, but evidence is limited in medically underserved, predominantly Hispanic populations served by federally qualified health centers (FQHCs).<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The primary objective was to evaluate the feasibility and acceptability of wireless HBPM among predominantly Hispanic adults with hypertension receiving FQHC care. Comparing BP outcomes between wireless and conventional HBPM was a secondary exploratory objective.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a 6-month, 2-arm randomized controlled pilot feasibility and acceptability trial nested within the San Diego: Heart Attack and Stroke Free Zone program. Adults aged \u226518 years with uncontrolled or newly diagnosed hypertension (BP \u2265140\/90 mm Hg) were enrolled across 3 FQHC networks and randomized 1:1 by unrestricted simple randomization to wireless HBPM (Bluetooth cuff and cellular hub; weekly transmitted summaries reviewed by health coaches) or standard HBPM (home monitor with paper log). Both arms received standardized health coaching. The primary outcomes were feasibility (proportion of 210 expected BP readings transmitted) and acceptability (postintervention satisfaction survey in the wireless arm). Exploratory analyses compared BP outcomes between arms among participants with >2 BP measurements.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of 316 recruited participants, 290 (92%) were eligible, and 200 (63%) were analyzed (wireless: n=73, 23%; and standard: n=127, 40%); arm-level allocation counts were not retained. The mean age was 61 years (SD 9.1), 57% (115\/200) were women, and 51% (n=102) self-identified as Hispanic, with no significant baseline differences between arms. Among analyzed wireless-arm participants, 86% (63\/73) transmitted multiple readings (mean 160.6, SD 129.1) over 6 months, corresponding to 76.2% (160\/210) of expected readings among transmitting participants and 66% across all 73; only 5% (7\/127) of standard-arm participants returned paper logs. Of 60 respondents (82.2% response rate), 95% (n=57) agreed or strongly agreed that the device was easy to set up and use. Both arms showed significant within-arm BP reductions at 6 months (\n P<\/jats:italic>\n <.001). At 6 months, 63% (46\/73) of the wireless arm and 74% (94\/127) of the standard arm achieved systolic BP <140 mm Hg (\n P<\/jats:italic>\n =.08; adjusted odds ratio, standard vs wireless, 1.6, 95% CI 0.78\u20103.4;\n P<\/jats:italic>\n =.19). These exploratory comparisons were not powered and do not constitute evidence of equivalence.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Among analyzed participants, wireless HBPM was feasible, and survey respondents reported high acceptability in a medically underserved, predominantly Hispanic FQHC population. Feasibility among all randomized participants could not be estimated because arm-level allocation counts were not retained. The absence of a between-arm difference in BP control is not evidence of equivalence because this pilot was not powered to compare clinical effectiveness; the BP findings are hypothesis generating.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/100115","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:00:06Z","timestamp":1790251206000},"page":"e100115-e100115","source":"Crossref","is-referenced-by-count":0,"title":["Wireless Home Blood Pressure Monitoring With Health Coaching for Hypertension Management at a Federally Qualified Health Center: Pilot Randomized Controlled Feasibility and Acceptability Study"],"prefix":"10.2196","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9653-7591","authenticated-orcid":false,"given":"Nathan","family":"Magalit","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2219-5502","authenticated-orcid":false,"given":"Ryan","family":"Moran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8144-6378","authenticated-orcid":false,"given":"Anna","family":"Narezkina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7334-3042","authenticated-orcid":false,"given":"Kevin","family":"Patrick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8944-397X","authenticated-orcid":false,"given":"Anthony","family":"DeMaria","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"key":"R1","unstructured":"Heart disease facts. CDC. 2025. URL: https:\/\/www.cdc.gov\/heart-disease\/data-research\/facts-stats\/index.html [Accessed 18-06-2025]"},{"issue":"3","key":"R2","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1161\/HYPERTENSIONAHA.123.21354","article-title":"Social determinants of health and disparities in hypertension and cardiovascular diseases","volume":"81","author":"Chaturvedi","journal-title":"Hypertension"},{"issue":"7","key":"R3","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1111\/jch.13284","article-title":"Home blood pressure monitoring in the 21st century","volume":"20","author":"Stergiou","journal-title":"J of Clinical Hypertension"},{"issue":"2","key":"R4","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1161\/HYPERTENSIONAHA.119.12630","article-title":"Emergence of home blood pressure-guided management of hypertension based on global evidence","volume":"74","author":"Kario","journal-title":"Hypertension"},{"issue":"7","key":"R5","doi-asserted-by":"publisher","first-page":"1289","DOI":"10.1097\/HJH.0b013e3283531eaf","article-title":"Home versus ambulatory and office blood pressure in predicting target organ damage in hypertension: a systematic review and meta-analysis","volume":"30","author":"Bliziotis","journal-title":"J Hypertens"},{"issue":"7","key":"R6","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1097\/00004872-199816070-00010","article-title":"Home blood pressure measurement has a stronger predictive power for mortality than does screening blood pressure measurement: a population-based observation in Ohasama, Japan","volume":"16","author":"Ohkubo","journal-title":"J Hypertens"},{"issue":"10","key":"R7","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1038\/sj.jhh.1001903","article-title":"Prognostic significance of blood pressure measured in the office, at home and during ambulatory monitoring in older patients in general practice","volume":"19","author":"Fagard","journal-title":"J Hum Hypertens"},{"issue":"11","key":"R8","doi-asserted-by":"publisher","first-page":"1342","DOI":"10.1001\/jama.291.11.1342","article-title":"Cardiovascular prognosis of \u201cmasked hypertension\u201d detected by blood pressure self-measurement in elderly treated hypertensive patients","volume":"291","author":"Bobrie","journal-title":"JAMA"},{"issue":"5","key":"R9","doi-asserted-by":"publisher","first-page":"371","DOI":"10.3109\/07853890.2010.489567","article-title":"Does self-monitoring reduce blood pressure? Meta-analysis with meta-regression of randomized controlled trials","volume":"42","author":"Bray","journal-title":"Ann Med"},{"issue":"1","key":"R10","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1161\/HYPERTENSIONAHA.110.160911","article-title":"Role of home blood pressure monitoring in overcoming therapeutic inertia and improving hypertension control: a systematic review and meta-analysis","volume":"57","author":"Agarwal","journal-title":"Hypertension"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.2147\/IBPC.S49205","article-title":"Does home blood pressure monitoring improve patient outcomes? A systematic review comparing home and ambulatory blood pressure monitoring on blood pressure control and patient outcomes","volume":"8","author":"Breaux-Shropshire","journal-title":"Integr Blood Press Control"},{"issue":"8","key":"R12","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1093\/ajh\/hpab017","article-title":"Home blood pressure monitoring: current status and new developments","volume":"34","author":"Kario","journal-title":"Am J Hypertens"},{"issue":"6","key":"R13","doi-asserted-by":"publisher","first-page":"1667","DOI":"10.1161\/HYPERTENSIONAHA.120.14650","article-title":"Out-of-office blood pressure monitoring: a comparison of ambulatory blood pressure monitoring and home (self) monitoring of blood pressure","volume":"76","author":"Townsend","journal-title":"Hypertension"},{"issue":"9736","key":"R14","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1016\/S0140-6736(10)60964-6","article-title":"Telemonitoring and self-management in the control of hypertension (TASMINH2): a randomised controlled trial","volume":"376","author":"McManus","journal-title":"The Lancet"},{"issue":"1","key":"R15","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1001\/jama.2013.6549","article-title":"Effect of home blood pressure telemonitoring and pharmacist management on blood pressure control: a cluster randomized clinical trial","volume":"310","author":"Margolis","journal-title":"JAMA"},{"issue":"1","key":"R16","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/j.amjmed.2020.06.033","article-title":"Trends and predictors of use of digital health technology in the United States","volume":"134","author":"Mahajan","journal-title":"Am J Med"},{"issue":"9","key":"R17","doi-asserted-by":"publisher","first-page":"1457","DOI":"10.1377\/hlthaff.2018.0443","article-title":"One in five fewer heart attacks: impact, savings, and sustainability in San Diego County Collaborative","volume":"37","author":"Fremont","journal-title":"Health Aff (Millwood)"},{"issue":"4","key":"R18","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1923","article-title":"CONSORT-EHEALTH: improving and standardizing evaluation reports of web-based and mobile health interventions","volume":"13","author":"Eysenbach","journal-title":"J Med Internet Res"},{"issue":"5","key":"R19","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1001\/jama.2013.284427","article-title":"2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8)","volume":"311","author":"James","journal-title":"JAMA"},{"key":"R20","unstructured":"HEDIS 2017, volume 2: technical specifications for health plans. National Committee for Quality Assurance; 2017. URL: https:\/\/store.ncqa.org\/hedis-2017-volume-2-epub.html [Accessed 01-09-2026]"},{"issue":"1","key":"R21","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1186\/s44247-024-00103-x","article-title":"Digital interventions to reduce hospitalization and hospital readmission for chronic obstructive pulmonary disease (COPD) patient: systematic review","volume":"2","author":"Mishra","journal-title":"BMC Digit Health"},{"issue":"6","key":"R22","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000065","article-title":"2017 ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"71","author":"Whelton","journal-title":"Hypertension"}],"container-title":["JMIR Formative Research"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T21:23:22Z","timestamp":1792704202000},"score":1,"resource":{"primary":{"URL":"https:\/\/formative.jmir.org\/2026\/1\/e100115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,22]]},"references-count":22,"URL":"https:\/\/doi.org\/10.2196\/100115","relation":{},"ISSN":["2561-326X"],"issn-type":[{"value":"2561-326X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,22]]},"article-number":"v10i3e100115"}}