Addressing Antihypertensive Medication Adherence Through EHR-enabled Teamlets in Primary Care

Not Applicable

Active, not recruiting

• Conditions: Blood Pressure; Medication Adherence
• Interventions: Behavioral: Electronic Health Record (EHR) Enabled Teamlets

• Registration Number: NCT05349422
• Lead Sponsor: NYU Langone Health

Brief Summary

The study team will conduct a cluster randomized control trial in 10 NYU primary care practices to assess the effectiveness and implementation of the multicomponent intervention on medication adherence and blood pressure control for patients who are non-adherent to antihypertensive medications.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-04-22
• Study First Submitted QC: 2022-04-22
• Study First Posted: 2022-04-27
• Study Start: 2022-10-06
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-26
• Last Update Posted: 2025-02-27
• Primary Completion: 2025-05-16
• Study Completion: 2025-11-16

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 1726

Inclusion Criteria

Individuals:

1. Age>18 years

2. Presence of Hypertension as defined by either:

   1. Blood pressure ≥140/90
   2. Hypertension diagnosis
   3. Prescription for at least one antihypertensive medication

3. Outpatient clinic visit in the NYULH between 06/1/2022 and 12/31/2025

MAs, PCPs, LPNs, and RNs:

1. A clinician from an NYULH ambulatory practice location.

   a. Eligible clinicians include physicians, medical assistants, licensed practical nurses, and registered nurses.

2. Adult patients during appointments with eligible clinicians

3. Age > 18 years

Exclusion Criteria

1. Patients who decline to be observed.
2. The study team has no specific exclusion criteria for patients in chart review.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention Group	Electronic Health Record (EHR) Enabled Teamlets	-

Primary Outcome Measures

Name	Time	Method
Average Number of Days Covered (PDC) as a Measure of Medication Adherence	Month 12	The proportion of days covered (PDC) is used to estimate medication adherence by looking at the proportion of days in which a person has access to the medication, over a given period of interest

Secondary Outcome Measures

Name	Time	Method
Mean Diastolic Blood Pressure	Month 18
Mean Systolic Blood Pressure	Month 18
Average Number of Days Covered (PDC) as a Measure of Medication Adherence	Month 18	The proportion of days covered (PDC) is used to estimate medication adherence by looking at the proportion of days in which a person has access to the medication, over a given period of interest

Trial Locations

Locations (1)

NYU Langone Health; 🇺🇸 New York, New York, United States