A Team-Based Care for Hypertension Management (TBC-HTA)
- Conditions
- Hypertension
- Interventions
- Behavioral: TBC intervention
- Registration Number
- NCT02511093
- Lead Sponsor
- Centre Hospitalier Universitaire Vaudois
- Brief Summary
The purpose of this study is to determine whether a team-based care (TBC) intervention, combining physician, nurse and pharmacist care improves BP control compared to usual care at 6 months among outpatients with uncontrolled hypertension.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 110
- treated patients with uncontrolled hypertension (defined as daytime systolic/diastolic ambulatory blood pressure monitoring (ABPM) ≥135/85mmHg) taking one or two antihypertensive medications;
- speak and understand French;
- agree to use the same pharmacy's services for the whole duration of the study.
- unable to understand the study aim;
- pregnancy and lactating;
- livimg in a nursing home;
- hospitalization during the recruitment period;
- participation in another study;
- daytime ABPM>180/110 mmHg.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description TBC intervention TBC intervention A structured collaborative intervention delivered by trained nurses of ambulatory clinics and by community pharmacists working in collaboration with physicians during 6-month of follow-up includes: * BP measurements; * an educational and counselling intervention on patient adherence; * an educational and counselling intervention on lifestyle (physical activity and diet). Physicians adjust antihypertensive medications based on nurse and pharmacist feedback.
- Primary Outcome Measures
Name Time Method Difference in the proportion of patients with controlled blood pressure (daytime ABPM <135/85 mmHg) at 6-month between TBC and usual care patients 6-month Difference in the proportion of patients with controlled blood pressure (daytime ABPM \<135/85 mmHg) at 6-month between TBC and usual care patients
Difference in daytime ABPM at 6-month between TBC and usual care patients 6-month Difference in daytime ABPM at 6-month between TBC and usual care patients
- Secondary Outcome Measures
Name Time Method Patients and healthcare professionals' acceptance and satisfaction with the TBC-intervention 6-month Patients and healthcare professionals' acceptance and satisfaction with the TBC-intervention
Difference in the proportion of TBC and usual care patients with controlled blood pressure (daytime ABPM <135/85 mmHg) at 12-month (6 months after intervention stopped) 12-month Difference in the proportion of TBC and usual care patients with controlled blood pressure (daytime ABPM \<135/85 mmHg) at 12-month (6 months after intervention stopped)
Trial Locations
- Locations (1)
Service de Néphrologie et Hypertension, Centre Hospitalier Universitaire Vaudois
🇨🇭Lausanne, Vaud, Switzerland