Heart Healthy Lenoir: Improving Care for Patients With High Blood Pressure
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 535
- 试验地点
- 2
- 主要终点
- systolic blood pressure
研究概览
简要总结
The investigators are conducting a single group intervention study to improve blood pressure control and reduce racial and literacy related disparities among people with hypertension. The intervention includes providing patients with home blood pressure monitors, administering phone-coaching to participants, and improving hypertension care at the participating practices from which patients are enrolled. The investigators will follow the patients for 2 years to determine if blood pressure control improves. In addition, the project will explore genetic factors associated with cardiovascular disease risk and treatment success.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
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 who meet the following inclusion criteria will be eligible for study participation:
- •18 years or older,
- •Able and willing to give informed consent,
- •A current patient of 1 of the 5 participating practices,
- •Have a current diagnosis of hypertension by their primary care physician or have 3 documented blood pressures above 150/90,
- •Their most recent systolic blood pressure was greater than or equal to 150 at their most recent clinic visit,
- •Receive physician approval to participate in the study.
- •Anyone enrolled in the High Blood Pressure study is eligible to participate in the genomics component of the project.
排除标准
- •non-English speaking,
- •current treatment of psychosis,
- •diagnosed with advanced dementia as determined by the clinician,
- •current substance abuse,
- •lack of phone access,
- •history of malignancy, other than non-melanoma skin cancer, that has not been in remission or cured surgically for > 5 years,
- •estimated creatinine clearance less than 30 ml/min (because hypertension management becomes more complicated at this point),
- •are pregnant.
结局指标
主要结局
systolic blood pressure
时间窗: 2 years
We will measures blood pressure at enrollment and then every 6 months for 24 months.
次要结局
- General Cardiovascular Disease Risk(2 years)
- Blood lipids(2 years)
- Genomic predictors of blood pressure change(6-, 12-, 18, and 24-month follow-up)
研究者
Jacquie Halladay, MD, MPH
Associate Professor
University of North Carolina, Chapel Hill