Digital care pathway and asynchronous communication for primary care patients with uncontrolled hypertension: a Cluster-Randomized controlled trial

NCT ID NCT07812350

What the study statuses mean

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting This study
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Sep 10, 2026 · Last updated Sep 10, 2026

Summary

The goal of this clinical trial is to learn if digital care pathway (DCP) and digital non-real-time messaging, in other words, asynchronous communication (AC) with nurse works to treat high blood pressure in adults in primary care. It will also learn if DCP and AC are good value for money. The main questions it aims to answer are: * Does DCP and AC lower systolic blood pressure? * Are DCP and AC good value for money in treating high blood pressure? Researchers will compare usual care plus DCP and usual care plus DCP with AC to usual care only to see if DCP and AC works to treat high blood pressure. Participants will: * Get usual care or usual care plus DCP or usual care plus DCP with AC for 6 months * Visit the study nurse at the start of the trial and after 6 months for checkup and tests which include usual laboratory tests for high blood pressure * Answer online survey questions and measure their blood pressure at home for 4 days at the start of the trial and after 6 months

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Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 600 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Sep 2026

An estimate. Start dates often move.

Expected to finish

Aug 2028

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

30 to 74 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * a diagnosis of hypertension for at least 3 months * an office blood pressure of ≥140/90 mmHg at baseline * access to a smartphone and the ability to use strong electronic identification for application login * ability to measure home blood pressure * ability to take care of the personal medication Exclusion Criteria: * unwillingness to participate in the study * secondary hypertension or hypertensive crisis (office blood pressure \>200/130 mmHg) * atrial fibrillation * stage 4 or 5 chronic kidney disease (eGFR \<30 mL/min/1.73 m²) * a life expectancy of less than 1 year * pregnancy or breastfeeding * a clearly impaired ability to use the study interventions or participate in the study, as determined by a healthcare professional (e.g., insufficient Finnish language proficiency, dementia, psychiatric illness, or sensory impairments)

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    6 sites. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Locations

  • Akaa health and social services centre, The Wellbeing Services County of Pirkanmaa

    Akaa, Pirkanmaa, Finland

  • Hatanpää health and social services centre, The Wellbeing Services County of Pirkanmaa

    Tampere, Pirkanmaa, Finland

  • Hervanta health and social services centre, The Wellbeing Services County of Pirkanmaa

    Tampere, Pirkanmaa, Finland

  • Linnainmaa health and social services centre, The Wellbeing Services County of Pirkanmaa

    Tampere, Pirkanmaa, Finland

  • Sastamala health and social services centre, The Wellbeing Services County of Pirkanmaa

    Sastamala, Pirkanmaa, Finland

  • Valkeakoski health and social services centre, The Wellbeing Services County of Pirkanmaa

    Valkeakoski, Pirkanmaa, Finland

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