Improving Practice Patterns for the Treatment of Hypertension
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Purpose
To improve the quality of hypertension care in our facility, while concurrently, examining the relative contribution of each aspect of a multi-factorial intervention designed to improve hypertension care.
| Condition | Intervention |
|---|---|
|
Hypertension |
Behavioral: Provider Education Behavioral: Hypertension Alert Behavioral: Patient Education |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label |
| Official Title: | Innovations to Implementing Evidence-based Clinical Practice |
- Reaching Systolic BP goal 6 months after intervention [ Designated as safety issue: No ]
- Reaching Diastolic BP goal 6 months after intervention Any additional prescriptions of antihypertensive medications. [ Designated as safety issue: No ]
| Estimated Enrollment: | 1300 |
| Study Start Date: | January 2004 |
| Study Completion Date: | December 2004 |
| Arms | Assigned Interventions |
|---|---|
| Arm 1 | Behavioral: Provider Education Behavioral: Hypertension Alert Behavioral: Patient Education |
Detailed Description:
This project was a randomized trial designed to examine the relative contribution of three quality improvement interventions of increasing intensity on BP control in veterans. Providers in each stratum and their eligible patients were randomized to one of three study arms. The providers randomized to the first arm received education alone, and were considered the controls. Providers randomized to the second arm received both provider education and a hypertension alert. The third arm included provider education, a hypertension alert, and patient education. Patients were eligible for inclusion if they were aged 21- 90 years and filled their medications with the VA pharmacies. Between July and December 2003, we determined patient eligibility using a search strategy using data from the Mid South Quality Improvement Data warehouse, which is downloaded monthly from Veterans' Health Information System and Technology Architecture (VistA).
Eligibility| Ages Eligible for Study: | 21 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Patients were eligible for inclusion if they were aged 21- 90 years and filled their medications with the VA pharmacies. Seen in 2003 and had a primary care visit coded as hypertension using International Classification of Diseases Ninth Revision; Clinical Modification (ICD 9-CM) (24) of 401.1 or 401.9 and who were prescribed only one antihypertensive medication
Exclusion Criteria:
More than one antihypertensive medication Refuse consent to review medical record Pregnant Prisoners
Contacts and Locations| United States, Tennessee | |
| VA Medical Center | |
| Nashville, Tennessee, United States, 37212-2637 | |
| Principal Investigator: | Theodore Speroff, PhD | Department of Veterans Affairs |
| Principal Investigator: | Christianne L. Roumie, BA MD MPH | VA Medical Center, Nashville |
| Principal Investigator: | Vincent Alvarez | VA Medical Center, Nashville |
More Information
Publications:
| Responsible Party: | Department of Veterans Affairs |
| ClinicalTrials.gov Identifier: | NCT00265044 History of Changes |
| Other Study ID Numbers: | IMV 04-091 |
| Study First Received: | December 12, 2005 |
| Last Updated: | April 23, 2012 |
| Health Authority: | United States: Federal Government |
Keywords provided by Department of Veterans Affairs:
|
Behavior Change patient Education |
Additional relevant MeSH terms:
|
Hypertension Vascular Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 23, 2013