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

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. Identifier: NCT01101737
Recruitment Status : Completed
First Posted : April 12, 2010
Last Update Posted : April 12, 2010
Information provided by:
St George's, University of London

Brief Summary:
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 or disease Intervention/treatment Phase
Hypertension Other: Nurse-led blood pressure clinic Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 353 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (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
Study Start Date : February 2008
Actual Primary Completion Date : December 2009
Actual Study Completion Date : April 2010

Arm Intervention/treatment
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.

Primary Outcome Measures :
  1. Change in systolic blood pressure [ Time Frame: 6 months ]
    This will be assessed using two audits of practice records where blood pressure was measured and recorded independently by practice staff

Secondary Outcome Measures :
  1. Proportion of patients in each group with final blood pressure below the British Hypertension Society optimal target [ Time Frame: 6 months after recruitment ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

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

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 identifier (NCT number): NCT01101737

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

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: St George's, University of London Identifier: NCT01101737     History of Changes
Other Study ID Numbers: General Nursing Council 2007
First Posted: April 12, 2010    Key Record Dates
Last Update Posted: April 12, 2010
Last Verified: April 2010

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

Additional relevant MeSH terms:
Vascular Diseases
Cardiovascular Diseases