Blood Pressure (BP) Visit Intensification Study

Not Applicable

Completed

• Conditions: Blood Pressure; Hypertension
• Interventions: Behavioral: JNC guideline training

• Registration Number: NCT02164331
• Lead Sponsor: University of Rochester

Brief Summary

Aim 1: The purpose of the study is to implement the Seventh Joint National Committee on the Diagnosis, Prevention and Treatment of Hypertension (JNC VII) recommendation for monthly visits for hypertensive patients with uncontrolled blood pressure (BP) using a theoretically-informed, empirically grounded, multimodal quality improvement (QI) intervention.

Aim 2: To improve BP control and reduce disparity in BP through implementation of monthly visits.

Aim 3: To assess potential mediators and moderators of the intervention.

Detailed Description

This study is a stepped wedged cluster randomized trial designed to improve management of uncontrolled blood pressure among patients in federally qualified health centers through the auspices of the the Clinical Directors Network Practice-Based Research Network (CDN PBRN).

Basic Information
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Recruitment & Eligibility
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Study & Design

Study Timeline

• Study Start: 2013-10
• Study First Submitted: 2014-04-07
• Study First Submitted QC: 2014-06-12
• Study First Posted: 2014-06-16
• Primary Completion: 2017-12
• Study Completion: 2017-12
• Status Verified: 2018-07
• Last Update Submitted: 2018-07-27
• Last Update Posted: 2018-07-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 76

Inclusion Criteria

• Federally Qualified Health Center in the Clinic Directors Network, Practice Champion, Electronic Medical Record System

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Exclusion Criteria

• Clinicians who have been at the practice less than 6 months, Practices planning to change Electronic Medical Record systems within the next 6 months

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
JNC guideline training	JNC guideline training	Providers will receive current JNC guideline training for treating patients with uncontrolled hypertension.

Primary Outcome Measures

Name	Time	Method
Number of office visits	Baseline and aniticipated at 1 year	Increase patient visit intensification for patients with uncontrolled blood pressure (BP) until the BP is under control.

Secondary Outcome Measures

Name	Time	Method
Reduction in Blood Pressure	Baseline and anticipated at year	Providers patient panels will be assessed to understand any changes in blood pressure from baseline