Original Investigation

Behavioral Economic Framing for Enrollment and Retention of Patients in Remote Blood Pressure Monitoring

JAMA Network Open 10.1001/jamanetworkopen.2025.29825

September 02, 2025 at 11:00 AM EDT

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Can sending a blood pressure (BP) monitor to patients with hypertension and using opt-out rather than opt-in framing improve enrollment and engagement in a remote BP monitoring program?In this randomized clinical trial of 424 patients with hypertension, both opt-out and opt-in framing yielded similar rates of enrollment in a remote BP monitoring program.The findings suggest use of opt-out behavioral economic framing may not improve patient participation in remote BP monitoring programs.

Corresponding Author: Shivan J. Mehta, MD, MBA, MSHP, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, 3600 Civic Center Blvd, 8W-206, Philadelphia, PA 19104 (shivan.mehta@pennmedicine.upenn.edu).

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