Treating to Target for Patients With Hypertension
- Conditions
- Hypertension
- Interventions
- Behavioral: Health coaching plus home titrationBehavioral: Health coaching
- Registration Number
- NCT01013857
- Lead Sponsor
- University of California, San Francisco
- Brief Summary
Patients with poorly controlled hypertension will have improved hypertensive control with telephone coaching and with telephone coaching combined with home-titration of medications.
- Detailed Description
Patients with poorly controlled hypertension are randomized to a control arm which receives telephone coaching or an active arm which receives telephone coaching plus intensification of medications via telephone coaching with the coaches using treatment algorithms approved by the patients' physician. These patients' blood pressure control will be compared with usual care patients in a passive arm (chart review only).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 240
- 2 blood pressure readings above 145/90.
- Cognitive impairment,
- Short life expectancy,
- Creatinine greater than 1.5,
- Inability to check blood pressures at home.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Health coaching plus home-titration Health coaching plus home titration Health coaches call patients every week to discuss medication adherence and to intensify medications if appropriate according to physician-created algorithm Health coaching Health coaching Phone patients every week to discuss medication adherence
- Primary Outcome Measures
Name Time Method Systolic blood pressure 6 months
- Secondary Outcome Measures
Name Time Method Diastolic blood pressure 6 months
Trial Locations
- Locations (1)
San Francisco General Hospital
🇺🇸San Francisco, California, United States