ClinicalTrials.gov
ClinicalTrials.gov Menu

Improving Practice Patterns for the Treatment of Hypertension

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT00265044
Recruitment Status : Completed
First Posted : December 13, 2005
Last Update Posted : April 7, 2015
Sponsor:
Information provided by (Responsible Party):
VA Office of Research and Development

Brief Summary:
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 or disease Intervention/treatment Phase
Hypertension Behavioral: Provider Education Behavioral: Hypertension Alert Behavioral: Patient Education Not Applicable

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).

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 1300 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Official Title: Innovations to Implementing Evidence-based Clinical Practice
Study Start Date : January 2004
Actual Study Completion Date : December 2004

Arm Intervention/treatment
Arm 1 Behavioral: Provider Education Behavioral: Hypertension Alert Behavioral: Patient Education



Primary Outcome Measures :
  1. Reaching Systolic BP goal 6 months after intervention

Secondary Outcome Measures :
  1. Reaching Diastolic BP goal 6 months after intervention Any additional prescriptions of antihypertensive medications.


Information from the National Library of Medicine

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, Learn About Clinical Studies.


Ages Eligible for Study:   21 Years to 90 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

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


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00265044


Locations
United States, Tennessee
Tennessee Valley Healthcare System Nashville Campus, Nashville, TN
Nashville, Tennessee, United States, 37212-2637
Sponsors and Collaborators
VA Office of Research and Development
Investigators
Principal Investigator: Theodore Speroff, PhD Tennessee Valley Healthcare System Nashville Campus, Nashville, TN
Principal Investigator: Christianne L Roumie, BA MD MPH Tennessee Valley Healthcare System Nashville Campus, Nashville, TN
Principal Investigator: Vincent Alvarez Tennessee Valley Healthcare System Nashville Campus, Nashville, TN

Publications of Results:
Roumie CL, Elasy TA, Greevy R, Griffin MR, Liu X, Stone WJ, Wallston KA, Dittus RS, Alvarez V, Cobb J, Speroff T. Patient education adds critical boost to hypertension management. [Editorial]. VA Research Currents. 2006 Sep 1; 7-8.

Responsible Party: VA Office of Research and Development
ClinicalTrials.gov Identifier: NCT00265044     History of Changes
Other Study ID Numbers: IMV 04-091
First Posted: December 13, 2005    Key Record Dates
Last Update Posted: April 7, 2015
Last Verified: May 2006

Keywords provided by VA Office of Research and Development:
Behavior Change
patient Education

Additional relevant MeSH terms:
Hypertension
Vascular Diseases
Cardiovascular Diseases