Key result
Omada digital self-management program linked to a ~5 mm Hg SBP reduction over 12 months.
Why the study?
Digital health programs offering frequent BP self-monitoring and behavior change support provide scalable hypertension management, but their long-term impact on BP required evaluation.
Does a digital hypertension self-management program reduce systolic blood pressure in commercially insured adults with hypertension?
Cohort (n=1,117)
Does a digital hypertension self-management program reduce systolic blood pressure in commercially insured adults with hypertension?
p-value: p=<.001
A digital health program combining home blood pressure monitoring, education, and coaching significantly reduced systolic blood pressure and weight over 12 months, particularly in those with uncontrolled baseline blood pressure.
May support digital hypertension programs in insured adults; leaves open confirmation via randomized trials before practice change.
Background Digital health programs that incorporate frequent blood pressure (BP) self-monitoring and support for behavior change offer a scalable solution for hypertension management. Objective We examined the impact of a digital hypertension self-management and lifestyle change support program on BP over 12 months. Methods Data were analyzed from a retrospective observational cohort of commercially insured members (n=1117) that started the Omada for Hypertension program between January 1, 2019, and September 30, 2021. Paired t tests and linear regression were used to measure the changes in systolic blood pressure (SBP) over 12 months overall and by SBP control status at baseline (≥130 mm Hg vs <130 mm Hg). Results Members were on average 50.9 years old, 50.8% (n=567) of them were female, 60.5% (n=675) of them were White, and 70.5% (n=788) of them had uncontrolled SBP at baseline (≥130 mm Hg). At 12 months, all members (including members with controlled and uncontrolled BP at baseline) and those with uncontrolled SBP at baseline experienced significant mean reductions in SBP (mean –4.8 mm Hg, 95% CI –5.6 to –4.0; –8.1 mm Hg, 95% CI –9.0 to –7.1, respectively; both P<.001). Members with uncontrolled SBP at baseline also had significant reductions in diastolic blood pressure (–4.7 mm Hg; 95% CI –5.3 to –4.1), weight (–6.5 lbs, 95% CI –7.7 to –5.3; 2.7% weight loss), and BMI (–1.1 kg/m2; 95% CI –1.3 to –0.9; all P<.001). Those with controlled SBP at baseline maintained within BP goal range. Additionally, 48% (418/860) of members with uncontrolled BP at baseline experienced enough change in BP to improve their BP category. Conclusions This study provides real-world evidence that a comprehensive digital health program involving hypertension education, at-home BP monitoring, and behavior change coaching support was effective for self-managing hypertension over 12 months.
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Wu et al. (2023) conducted a cohort in Hypertension (n=1,117). Omada for Hypertension program was evaluated on Change in systolic blood pressure (SBP) from baseline to 12 months (95% CI -5.6 to -4.0, p=<.001). The Omada for Hypertension digital self-management program significantly reduced systolic blood pressure by a mean of 4.8 mm Hg over 12 months among commercially insured members.
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