Health Promotion Outreach To Overcome Clinical Inertia In The Treatment Of Patients With Poorly-Controlled Hypertension
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 591
- 试验地点
- 1
- 主要终点
- Blood Pressure
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 79 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Control
Patients receive usual care.
Intervention
An outreach coordinator raised patient and provider awareness of unmet Blood Pressure goals, arranged Blood Pressure-focused clinic visits, and furnished providers with treatment decision support.
干预措施: Active Outreach to Patients and Providers (Other)
结局指标
主要结局
Blood Pressure
时间窗: 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.
次要结局
- Clinical Inertia(Baseline, 9 months)