Personalizing Intervention to Reduce Clinical Inertia in the Treatment of Hypertension
- Conditions
- Hypertension
- Registration Number
- NCT04603560
- Lead Sponsor
- Brigham and Women's Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 511
Provider Inclusion Criteria:<br><br> - Primary care physician<br><br> - Practicing in primary care at Massachusetts General Hospital<br><br> - Caring for at least 2 patients: (1) aged 18-79, (2) for whom the recent BP history<br> in the last 18 months is above goal, (3) whose most recent BP at an outpatient visit<br> was above goal, and (4) who did not have their hypertension treatment regimens<br> intensified (dose increase, new medication, or medication exchange) at or since that<br> time. The BP goal will be <140/90 for all patients. To accommodate changes in care<br> delivery that occurred during the COVID surge, outpatient visits will include<br> in-office and virtual visits that had vitals recorded in the EHR the same day.<br><br>Provider Exclusion Criteria:<br><br> - fewer than 100 patients on their primary care panel<br><br> - practice less than one session per week<br><br>Patient Inclusion Criteria:<br><br> - had a blood pressure greater than 140/90 mmHg at 2+ PCP visits in the past 12 months<br><br> - treatment was not intensified at any of these visits<br><br>Patient Exclusion Criteria:<br><br> - excluded from the hypertension registry<br><br> - currently pregnant or post-partum 6 months<br><br> - receiving hospice care
Not provided
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Treatment Intensification
- Secondary Outcome Measures
Name Time Method