Sharing responsibility: The public health impact of a nurse-led telemetric home blood pressure monitoring service

Not Applicable

Completed

• Conditions: Hypertension; Circulatory System; Essential (primary) hypertension

• Registration Number: ISRCTN72614272
• Lead Sponsor: apier University (UK)

Brief Summary

1. 2013 results in http://www.ncbi.nlm.nih.gov/pubmed/23709583 2. 2013 further results in http://www.ncbi.nlm.nih.gov/pubmed/23793649 3. 2018 results in https://www.ncbi.nlm.nih.gov/pubmed/29391369

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2008-12-11
• Study Completion: 2009-11-03
• Last Update Posted: 26 February 2018

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 400

Inclusion Criteria

1. Both males and females, aged over 18 years
2. On practices' hypertension registers
3. Last recorded surgery blood pressure over 150 mmHg systolic or 90 mmHg diastolic

Exclusion Criteria

1. Secondary hypertension
2. Hypertension or renal disease being managed in secondary care
3. On practice stroke register
4. Treatment for cardiac event, or other life-threatening illness within the past 6 months or surgery within the last 3 months
5. Unable to consent
6. Unable to use self-monitoring equipment
7. Atrial fibrillation
8. Patients with diabetes will also be excluded from this trial because they have different blood pressure targets and excluding them will simplify the initial introduction of the home monitoring service for GPs and practice nurses
9. Pregnancy
10. Daytime ambulatory blood pressure <135/85 mmHg

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Average daytime systolic blood pressure at 6 months measured by ambulatory monitoring.

Secondary Outcome Measures

Name	Time	Method
The following will be assessed at baseline and 6 months:<br>1. Average diastolic blood pressure<br>2. Serum cholesterol<br>3. Body mass index<br>4. Breath carbon monoxide<br>5. Spot urinary sodium/creatinine ratio<br>6. HbA1c<br>7. Self-reported alcohol intake and smoking<br>8. Anxiety and depression, assessed by the Hospital Anxiety and Depression (HAD) scale<br>9. Quality of life (Euroqol)<br>10. Self-efficacy and medication adherence<br>11. Grip strength<br>12. Self-reported exercise frequency<br>13. Self-reported exercise tolerance<br>14. Number of attendances at practice nurse, GP, accident and emergency and out of hours care<br>15. Prescriptions for anti-hypertensives taken from GP practice records<br>16. Number of telephone/email contacts with practice nurses and GPs<br>17. Health care providers' experiences and opinions of this service