Health Promotion Outreach To Overcome Clinical Inertia In The Treatment Of Patients With Poorly-Controlled Hypertension

University of Colorado, Denver1 site in 1 country591 target enrollmentNovember 2009

ConditionsHypertension

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Hypertension
Sponsor: University of Colorado, Denver
Enrollment: 591
Locations: 1
Primary Endpoint: Blood Pressure
Status: Completed
Last Updated: 7 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

The goal of this project is to use health information technology and team-based care in novel ways to support the establishment of a Patient-Centered Medical Home model of care aimed at improving the diagnosis and management of hypertension. Compared with patients who receive usual care, patients who receive intervention will have a lower average systolic blood pressure 9 months after randomization.

Registry

clinicaltrials.gov

Start Date

November 2009

End Date

October 2010

Last Updated

7 years ago

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

University of Colorado, Denver

Responsible Party

Sponsor

Eligibility Criteria

Inclusion Criteria

•Adult men and women age 18-79
•At least 2 Blood Pressure readings from separate days on record
•Average of last 3 Blood Pressure readings (or last 2 if only 2 available) with (Systolic Blood Pressure ≥140 or Diastolic Blood Pressure ≥90) and (last Systolic Blood Pressure ≥135 or last Diastolic Blood Pressure ≥85), recorded by any University of Colorado Hospital clinic within the last 18 months
•No clinic visit in the past month
•At least one Primary Care Physician visit in the past 18 months
•First Primary Care Physician visit at least 6 months in the past

Exclusion Criteria

•Serious comorbidities, including active cancer diagnosis, hospice care, nursing home residence
•Diagnosis of diabetes (these patients are enrolled in a separate study that also targets Blood Pressure control)
•End-stage renal disease / hemodialysis
•Primary Care Physician appointment pending
•Patient instructed to monitor Blood Pressure at home / documentation of white coat hypertension
•Blood Pressure managed by specialist or outside provider

Outcomes

Primary Outcomes

Blood Pressure

Time Frame: Baseline, 9 months

Hypothesis: compared with patients who receive usual care, patients who receive intervention will have an average systolic blood pressure that is at least 5 points lower 9 months after randomization.