Study to Lower Veterans Blood Pressure: Patient/Physician Intervention
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 544
- 试验地点
- 2
- 主要终点
- BP control at primary care visit; Systolic and diastolic BPs as recorded at each primary care provider visit during 24 month enrollment period.
研究概览
简要总结
This four and a half year trial is evaluating both a patient and a provider intervention in a primary care setting among diagnosed hypertensive veterans. The two primary hypotheses are: 1) the proportion of veterans with BP control who receive either the provider-directed decision support or the patient health education and behavioral intervention will be increased by 10% as compared to usual care; and 2) the proportion of veterans with BP control who receive both the provider-directed decision support and the patient health education and behavioral intervention will be increased by 25% as compared to usual care.
详细描述
Background:
There are 65 million Americans and over 8.5 million veterans who have been diagnosed with hypertension, yet only 31% have their blood pressure (BP) under effective control. Uncontrolled hypertension greatly increases the risk of stroke, CAD, renal failure, CHF, and mortality.
Objectives:
This four year study evaluated simultaneously both a patient and a provider intervention in a primary care setting among diagnosed hypertensive veterans. The two primary hypotheses were: 1) the proportion of veterans with BP control who receive either the provider-directed decision support or the patient behavioral/education intervention will be increased by 10% as compared to usual care; and 2) the proportion of veterans with BP control who receive both the provider-directed decision support and the patient health education and behavioral intervention will be increased by 25% as compared to usual care.
Methods:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •>1 ICD9 Diagnosis 401.0, 401.1, 401.9
- •Designated Primary Care Provider
- •>1 Primary Care visit between 1/01/01-12/31/01
- •Restricted to NC and VA addresses
- •>1 Medication CV100, CV150, CV200, CV490, CV701, CV702, CV704, CV800, CV805
排除标准
- •Dialysis patient
- •Hospitalization for stroke in prior 3 months
- •Myocardial infarction in prior 3 months
- •Coronary artery revascularization in prior 3 months
- •Metastatic cancer diagnosis in prior 3 months
- •Transplant of: kidney; liver; lung; pancreas; peripheral stem cells; bone; bone marrow; heart; intestine; stem cells; tissue V42.9; complications of transplants
- •Nursing home resident
- •Documented diagnosis of dementia
- •Difficulty hearing
结局指标
主要结局
BP control at primary care visit; Systolic and diastolic BPs as recorded at each primary care provider visit during 24 month enrollment period.
次要结局
- Knowledge and perceived risks associated with hypertension and ability to continue hypertension regimen will be assessed at baseline and via telephone 6 and 24 months after baseline; Medication adherence will be assessed from pharmacy records