Blood Pressure (BP) Visit Intensification Study

Hypertension Clinical Trial

Official title:

A Multimodal Quality Improvement Intervention Using the JNC Guidelines to Promote Control of Patients' BP in Federally Qualified Health Centers

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02164331
• Other study ID #: 1R18HL117801
• Status: Completed
• Phase: N/A
• Start date: October 2013
• Est. completion date: December 2017

Study information

• Verified date: July 2018
• Source: University of Rochester
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 76
• Est. completion date: December 2017
• Est. primary completion date: December 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

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

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

Related Conditions & MeSH terms

• Blood Pressure
• Hypertension

Intervention

Behavioral:
• JNC guideline training
Providers will receive a series of trainings on what the JNC guidelines for treating uncontrolled hypertensives are and strategies for meeting those guidelines.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of Rochester

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of office visits	Increase patient visit intensification for patients with uncontrolled blood pressure (BP) until the BP is under control.	Baseline and aniticipated at 1 year
Secondary	Reduction in Blood Pressure	Providers patient panels will be assessed to understand any changes in blood pressure from baseline	Baseline and anticipated at year