Hypertension Clinical Trial
— TOUCHEDOfficial title:
Targeting of UnControlled Hypertension in Emergency Department (TOUCHED)
Verified date | November 2023 |
Source | University of Illinois at Chicago |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The proposed project underscores the following: 1) The prevalence of uncontrolled/undiagnosed hypertension (HTN) in underrepresented groups presenting to the ED is alarmingly high, and 2) ED engagement and early risk assessment/stratification is a cost-effective, feasible innovation to help close health disparity gaps in HTN. This proposal involves a two-arm randomized controlled trial of up to 770 patients from the Emergency Department at University of Illinois Hospital with elevated blood pressure (BP). The primary objective is to determine the effectiveness of an emergency department-initiated Educational and Empowerment (E2) intervention with a Post Acute Care Hypertension Consultation (PACHT-c) intervention (arm 2) on the primary outcome of mean systolic blood pressure (SBP) differences between the two trial arms at 6-months post intervention. Secondary objectives include evaluating the effectiveness of this ED education and empowerment intervention on mean SBP and diastolic blood pressure (DBP) differences at 3-months, and mean DBP differences at 6-months. Additionally improvement in cardiovascular risk score (as measured by the Atherosclerotic Cardiovascular Disease (ASCVD) Risk Score), primary care engagement (measured by compliance with outpatient follow-up appointments), and HTN knowledge improvement (as measured by a validated HTN knowledge survey).
Status | Completed |
Enrollment | 574 |
Est. completion date | March 31, 2023 |
Est. primary completion date | March 31, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility | Inclusion Criteria: - BP>=140/90 and <=180/110 mm Hg at time of discharge from ED - Verbal fluency in English or Spanish - Age 18-75 years Exclusion Criteria: - Unable to verbalize comprehension of study, impaired decision-making or documented dementia - Plans to move from Chicago area within the next year - Pregnant or trying to get pregnant - COVID-19 positive within the past 14 days |
Country | Name | City | State |
---|---|---|---|
United States | University of Illinois at Chicago | Chicago | Illinois |
Lead Sponsor | Collaborator |
---|---|
University of Illinois at Chicago | National Heart, Lung, and Blood Institute (NHLBI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Mean systolic blood pressure (SBP) difference at 6 months post-intervention compared to usual care. | Blood pressure will be collected at two time points (baseline and 6 months). ED-pharmacists and trained research assistants will perform BP measurements using standardized procedures. | Baseline, 6 months after baseline | |
Secondary | Mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) differences at 3 months post-intervention compared to usual care. | Blood pressure will be collected at two time points (baseline and 3 months). ED-pharmacists and trained research assistants will perform BP measurements using standardized procedures. | Baseline, 3 months after baseline | |
Secondary | Diastolic blood pressure (DBP) difference at 6 months post-intervention compared to usual care. | Blood pressure will be collected at two time points (baseline and 6 months). ED-pharmacists and trained research assistants will perform BP measurements using standardized procedures. | Baseline, 6 months after baseline | |
Secondary | Change in cardiovascular risk score/profile. | As measured by the Atherosclerotic Cardiovascular Disease (ASCVD) Risk Estimator Plus at baseline, 3 months, and then at 6 months. Atherosclerotic Cardiovascular Disease Risk Estimator Plus provides a patient's 10-year risk and a lifetime of developing atherosclerotic cardiovascular disease. The 10-year calculated ASCVD risk a quantitative estimation of absolute risk based upon data from representative population samples. The lifetime calculated ASCVD risk represents a quantitative estimation of absolute risk for a 50 year old man or woman with the same risk profile. The estimator provides risk as a percentage, ranging from 0-100%. A higher percentage is considered a worse outcome. |
Baseline, 3 months and 6 months after baseline | |
Secondary | Primary care engagement. | Measured by compliance with outpatient follow-up appointment at 1 month after baseline. | 1 month after baseline | |
Secondary | Change in hypertension knowledge. | As measured by a validated HTN knowledge survey at baseline and then at 6 months. The hypertension knowledge survey is a 10-item, validated tool developed to assess hypertension knowledge in low literacy patient populations. The scale assesses respondents' knowledge in defining hypertension, lifestyle, and behaviors that may affect BP levels, and the long-term consequences of HTN. The survey has been validated in an urban population that included a high proportion of black and Latino patients. Scores are categorized into tertiles that indicate low (=7), medium (8), or high (9-10) levels of HTN knowledge. The tool comes from: Shane S, Muntner P, Kawasaki L, Hyre A, DeSalvo K. Hypertension Knowledge Among Patients from an Urban Clinic. Ethnicity & Disease. 2008; 18: 42-47. |
Baseline and 6 months after baseline |
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