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Achieving Blood Pressure Control Through Enhanced Discharge (AchieveBP)

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: NCT02069015
Recruitment Status : Completed
First Posted : February 21, 2014
Results First Posted : December 22, 2020
Last Update Posted : December 22, 2020
Blue Cross Blue Shield of Michigan Foundation
Information provided by (Responsible Party):
Julie Gleason-Comstock, Wayne State University

Brief Summary:
The primary aim of the study is to determine if enhanced discharge from the emergency department will improve blood pressure control and self-care management. Enhanced discharge will include a hypertension intervention delivered by a touch-screen kiosk over a three month period.

Condition or disease Intervention/treatment Phase
Hypertension Behavioral: Patient education Not Applicable

Detailed Description:
A targeted sample of patients with uncontrolled blood pressure at the time of their emergency department visit discharge will be randomized into either standard or enhanced discharge. To control for medication effects in achieving blood pressure control, both groups will receive similar blood pressure medication while actively participating in the study.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 139 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Achieving Blood Pressure Control Through Enhanced Discharge
Study Start Date : October 2013
Actual Primary Completion Date : June 2015
Actual Study Completion Date : June 2016

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Enhanced discharge
Patient education about hypertension delivered through a touch-screen kiosk at 4 time points in addition to standard discharge.
Behavioral: Patient education
Patient education on hypertension delivered through a touchscreen kiosk.

No Intervention: Standard discharge
Standard discharge is patient instruction, instructions for follow-up to primary care and medication/prescription

Primary Outcome Measures :
  1. Blood Pressure (Systolic) at 180 Days [ Time Frame: 180 days ]
    Systolic Blood Pressure (SDB) at 180 days post-discharge

Secondary Outcome Measures :
  1. Patient Activation Measure (PAM) [ Time Frame: Baseline ]
    Measure of how actively involved patient is in their medical care.

Other Outcome Measures:
  1. Emergency Department Visitation Rate [ Time Frame: Baseline to 180 days ]
    Emergency department visits related to hypertension

  2. Cost Effectiveness [ Time Frame: 180 days ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 89 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Present with uncontrolled blood pressure to the emergency department (>140/90 for non-diabetics and >130/80 for diabetics)
  • Self-reported history of hypertension

Exclusion Criteria:

  • End-stage renal disease
  • No history of hypertension
  • Do not present with uncontrolled blood pressure

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): NCT02069015

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United States, Michigan
Detroit Receiving Hospital Emergency Department
Detroit, Michigan, United States, 48201
Sponsors and Collaborators
Wayne State University
Blue Cross Blue Shield of Michigan Foundation
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Principal Investigator: Julie A Gleason-Comstock, PhD Wayne State University
Principal Investigator: Phillip D Levy, MD Wayne State University
Publications of Results:
Other Publications:
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Responsible Party: Julie Gleason-Comstock, Assistant Professor, Wayne State University Identifier: NCT02069015    
Other Study ID Numbers: BCBSMF 1956.11
First Posted: February 21, 2014    Key Record Dates
Results First Posted: December 22, 2020
Last Update Posted: December 22, 2020
Last Verified: December 2020
Keywords provided by Julie Gleason-Comstock, Wayne State University:
Patient education
Patient activation
Additional relevant MeSH terms:
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Vascular Diseases
Cardiovascular Diseases