Trial of a Nurse Led Hypertension Clinic in Inner City General Practices
The investigators will do a trial in two general practices to see if the introduction of a blood pressure clinic staffed by a specialist nurse supported by visiting consultant improves blood pressure control compared to usual care.
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Health Services Research
|Official Title:||Evaluation of a Nurse-led Hypertension Clinic in Two Inner City General Practices: Randomised Controlled Trial|
- Change in systolic blood pressure [ Time Frame: 6 months ] [ Designated as safety issue: No ]This will be assessed using two audits of practice records where blood pressure was measured and recorded independently by practice staff
- Proportion of patients in each group with final blood pressure below the British Hypertension Society optimal target [ Time Frame: 6 months after recruitment ] [ Designated as safety issue: No ]
|Study Start Date:||February 2008|
|Study Completion Date:||April 2010|
|Primary Completion Date:||December 2009 (Final data collection date for primary outcome measure)|
No Intervention: Usual care
Patients not invited to the nurse-led clinic will continue with usual GP care
Experimental: Nurse-led blood pressure clinic
Patients randomly allocated to the intervention will be invited to a specialist nurse-led blood pressure clinic.
Other: Nurse-led blood pressure clinic
Blood pressure will be measured according to protocol.For patients with blood pressure above optimal targets, treatment changes will be discussed with the patient, a visiting consultant physician and the patient's GP. If they agree, the GP will intensify anti-hypertensive treatment with monthly follow up by the specialist nurse until BP targets are achieved.
|St George's, University of London|
|London, United Kingdom, SW17 ORE|
|Principal Investigator:||Sally Dean, SRN||St George's, University of London|
|Study Director:||Pippa Oakeshott, MD||St George's, University of London|