Hypertension Clinical Trial
Official title:
Helping Hypertensive Latinos to Improve Medication Adherence
NCT number | NCT03560596 |
Other study ID # | 12-02974 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | April 4, 2013 |
Est. completion date | August 1, 2017 |
Verified date | July 2018 |
Source | New York University School of Medicine |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Poor medication adherence is a major contributor to inadequate BP control, and is associated with 125,000 deaths annually. Translation of adherence interventions to community-based primary care practices where majority of Latino patients receive care is non-existent. Thus, the development of tailored interventions targeted at improving medication adherence in the Latino population is needed in order to address the racial disparities in BP control between Latinos and whites. This proposal provides a unique opportunity to address this gap in the literature. Using a randomized control design (RCT), the study will evaluate the effect of a culturally tailored, practice-based intervention on medication adherence in 148 high-risk Latino patients with uncontrolled HTN. To facilitate translation into routine practices, the intervention will be integrated into the clinic's electronic medical record (EMR) system, and will be delivered by trained, bilingual Health Coaches.
Status | Completed |
Enrollment | 119 |
Est. completion date | August 1, 2017 |
Est. primary completion date | June 4, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 100 Years |
Eligibility |
Inclusion Criteria: - Have uncontrolled hypertension defined as BP>140/90 mmHg on at least two consecutive visits in the past year (or BP>130/80 mmHg for those with diabetes or kidney disease) - Framingham Risk Scores (FRS) >20% (or at least one CVD risk factor including hyperlipidemia or diabetes) - Be taking at least one antihypertensive medication; - Self-identify as Latino Exclusion Criteria: - Refuse or are unable to provide informed consent; - Currently participate in another hypertension study; - Have significant psychiatric comorbidity |
Country | Name | City | State |
---|---|---|---|
United States | New York University School of Medicine | New York | New York |
Lead Sponsor | Collaborator |
---|---|
New York University School of Medicine |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Rate of Medication Adherence assessed with electronic drug monitoring devices (EMD) | Adherence will be defined as the number of times the EMD records an opening of the pill bottle cap for each day the patient was in the study. | 6 Months | |
Secondary | Self-reported medication adherence | Self-reported adherence will be measured with a validated tool. Adherence will be defined as the percent adherence between baseline and 6 months B. Blood pressure control | 6 Months | |
Secondary | Blood pressure reduction | Difference between the baseline and systolic and diastolic BP readings at 6 months. | 6 Months | |
Secondary | Blood pressure control | Rate of blood pressure control at 6 months | 6 months |
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