Improving Practice Patterns for the Treatment of Hypertension

Not Applicable

Completed

• Conditions: Hypertension
• Interventions: Behavioral: Provider Education; Behavioral: Hypertension Alert; Behavioral: Patient Education

• Registration Number: NCT00265044
• Lead Sponsor: US Department of Veterans Affairs

Brief Summary

To improve the quality of hypertension care in our facility, while concurrently, examining the relative contribution of each aspect of a multi-factorial intervention designed to improve hypertension care.

Detailed Description

This project was a randomized trial designed to examine the relative contribution of three quality improvement interventions of increasing intensity on BP control in veterans. Providers in each stratum and their eligible patients were randomized to one of three study arms. The providers randomized to the first arm received education alone, and were considered the controls. Providers randomized to the second arm received both provider education and a hypertension alert. The third arm included provider education, a hypertension alert, and patient education. Patients were eligible for inclusion if they were aged 21- 90 years and filled their medications with the VA pharmacies. Between July and December 2003, we determined patient eligibility using a search strategy using data from the Mid South Quality Improvement Data warehouse, which is downloaded monthly from Veterans' Health Information System and Technology Architecture (VistA).

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2004-01
• Study Completion: 2004-12
• Study First Submitted: 2005-12-12
• Study First Submitted QC: 2005-12-12
• Study First Posted: 2005-12-13
• Status Verified: 2006-05
• Last Update Submitted: 2015-04-06
• Last Update Posted: 2015-04-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1300

Inclusion Criteria

Patients were eligible for inclusion if they were aged 21- 90 years and filled their medications with the VA pharmacies. Seen in 2003 and had a primary care visit coded as hypertension using International Classification of Diseases Ninth Revision; Clinical Modification (ICD 9-CM) (24) of 401.1 or 401.9 and who were prescribed only one antihypertensive medication

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Exclusion Criteria

More than one antihypertensive medication Refuse consent to review medical record Pregnant Prisoners

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Arm 1	Patient Education	-
Arm 1	Provider Education	-
Arm 1	Hypertension Alert	-

Primary Outcome Measures

Name	Time	Method
Reaching Systolic BP goal 6 months after intervention

Secondary Outcome Measures

Name	Time	Method
Reaching Diastolic BP goal 6 months after intervention Any additional prescriptions of antihypertensive medications.

Trial Locations

Locations (1)

Tennessee Valley Healthcare System Nashville Campus, Nashville, TN; 🇺🇸 Nashville, Tennessee, United States