Trial of a Nurse Led Hypertension Clinic in Inner City General Practices

This study has been completed.
Sponsor:
Information provided by:
St George's, University of London
ClinicalTrials.gov Identifier:
NCT01101737
First received: April 9, 2010
Last updated: NA
Last verified: April 2010
History: No changes posted
  Purpose

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.


Condition Intervention
Hypertension
Other: Nurse-led blood pressure clinic

Study Type: Interventional
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

Resource links provided by NLM:


Further study details as provided by St George's, University of London:

Primary Outcome Measures:
  • 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


Secondary Outcome Measures:
  • 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 ]

Enrollment: 353
Study Start Date: February 2008
Study Completion Date: April 2010
Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Patients with last recorded blood pressure greater or equal to the British Hypertension Society audit standard

Exclusion Criteria:

  • Secondary hypertension
  • Housebound
  • Non-English speaking
  • Another major illness likely to dominate pattern of care e.g. advanced cancer, dementia
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01101737

Locations
United Kingdom
St George's, University of London
London, United Kingdom, SW17 ORE
Sponsors and Collaborators
St George's, University of London
Investigators
Principal Investigator: Sally Dean, SRN St George's, University of London
Study Director: Pippa Oakeshott, MD St George's, University of London
  More Information

No publications provided by St George's, University of London

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: St George's, University of London
ClinicalTrials.gov Identifier: NCT01101737     History of Changes
Other Study ID Numbers: General Nursing Council 2007
Study First Received: April 9, 2010
Last Updated: April 9, 2010
Health Authority: United Kingdom: National Health Service

Keywords provided by St George's, University of London:
Hypertension, clinical trial, nurse-led clinic, primary care

Additional relevant MeSH terms:
Hypertension
Vascular Diseases
Cardiovascular Diseases

ClinicalTrials.gov processed this record on October 20, 2014