A Stepped Wedged, Cluster Randomized Clinical Trial to Evaluate the Efficacy of a Clinical Decision Support Tool in the Treatment of Uncontrolled Hypertension
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 168
- 试验地点
- 1
- 主要终点
- Change in systolic automated office blood pressure (AOBP)
研究概览
简要总结
The goal of this clinical trial is to study whether having a clinical decision support (CDS) tool available to clinician use will more effectively lower BP 4 weeks after an outpatient visit compared with usual care. The main objective is to assess the impact of the CDS tool, that is embedded with the electronic medical record (EMR), that is available during outpatient clinical encounters, on blood pressure (BP) changes among participants with uncontrolled hypertension.
Participants will:
Visit the clinic 4 weeks, after their initial clinician visit, for a BP check.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Men and women 18 years of age or older
- •Electronic Health Record (EHR) of hypertension AND prescribed at least one BP lowering medication
- •Office systolic BP of 130 mmHg or higher
- •Willing and able to comply with the study instructions AND attend a scheduled study visit
排除标准
- •Women who are pregnant, plan to become pregnant, or are breast-feeding
- •Know heart failure with reduced ejection fraction and a left ventricular ejection fraction of less than 40%
- •End-stage kidney disease currently undergoing renal replacement therapy, or an eGFR < 15ml/min/1.73m2
- •In the opinion of the investigator, any other condition that will preclude participation in the study
研究组 & 干预措施
Standard of Care for Hypertension Management
Clinicians will use their own standard of care recommendations for combinations of medications.
干预措施: Standard medical treatment (Other)
Clinical Decision Support Tool
Clinical Decision Support Tool embedded into the Electronic Medical Record to help support clinicians to prescribe more effective combinations of medications
干预措施: Clinical Decision Support Tool (Other)
结局指标
主要结局
Change in systolic automated office blood pressure (AOBP)
时间窗: 4 weeks
Clinical Decision Support (CDS) Tool is available, Change from baseline in systolic automated office blood pressure (AOBP) at 4 weeks.
次要结局
- Change in diastolic automated office blood pressure (AOBP)(4 weeks)