Hypertension Clinical Trial
Official title:
Latinos Using Cardio Health Actions to Reduce Risk (LUCHAR): Evaluation of a Navigator-Nurse Care Team on Hypertension and Cardiovascular Disease Risk
The purpose of this trial is to study the effect of a patient navigator-nurse team in improving the management of hypertension and other cardiovascular disease risk factors in a health care system taking care of a vulnerable, mostly Latino population.
This study represents one phase of a large partnership grant with The Colorado Health
Outcomes Program of the University of Colorado at Denver Health Sciences Center (UCDHSC) and
Denver Health and Hospital Authority (DH). The overarching goal of Latinos Using Cardio
Health Actions to Reduce Risk (LUCHAR) is to improve the primary and secondary prevention of
cardiovascular disease (CVD) in Hispanics through a comprehensive research program aimed at
(1) increasing awareness of CVD risk in the Hispanic community and increasing participation
of high risk Hispanics in the health care system, (2) developing more effective models of
care delivery for high risk patients in a health system, and (3) identifying markers that
will more effectively identify Hispanic patients at high risk of CVD than current approaches
based on traditional risk factors.
This trial has been designed to assess the effectiveness of a quality improvement project
which focuses on the hypertensive multiracial underserved population within the Denver
Health system. In addition, we are hoping at study end to have developed and validate this
project as an efficient and sustainable approach to improving blood pressure control and
controlling cardiovascular risk factors, especially in the vulnerable patient population
served at Denver Health.
The objective of this quality improvement program is to conduct a randomized, primary
care-based, efficacy trial evaluating the effectiveness of a patient navigator-nurse disease
management intervention for treating hypertension and its associated cardiovascular risk
factors using information obtained in earlier phases of the LUCHAR grant: i.e., algorithms,
risk factor profiles, and qualitative data from focus groups and interviews. The study is
designed to test the hypothesis that a patient navigator-nurse assisted intervention will
improve blood pressure (BP) in vulnerable hypertensive patients, compared with usual
clinical care.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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