Prevalence, Awareness and Management of Hypertension in Acute Care Personnel

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: NCT01655654
Recruitment Status : Unknown
Verified May 2013 by Providence Health & Services.
Recruitment status was:  Active, not recruiting
First Posted : August 2, 2012
Last Update Posted : May 22, 2013
Information provided by (Responsible Party):
Providence Health & Services

Brief Summary:
The primary purpose of this study is to identify the percentage of health care workers working in an acute care hospital who have high blood pressure, to determine the awareness of their blood pressure status, and to see how well it is managed. Study participants will come from the following three distinctly different types of departments: telemetry (clinical), non-telemetry (clinical), and non-direct patient care staff. All study participants are offered educational information surrounding high blood pressure and review the recommendation for their primary care engagement. Study participants with high blood pressure will be asked to continue in the study for up to 6 months. It is intended that each study participant who continues will take their blood pressure three times a day and record the results in a study provided diary. Each study participant should also make some of the suggested changes that promote a healthier lifestyle including exercising, improving their diet, and seeing their primary care provider. It is the thought that these changes will reduce the study participant's blood pressure. The secondary purpose is to determine the effect shift work has on these hospital employees and the potential positive effects of the three interventions.

Condition or disease Intervention/treatment Phase
Hypertension Behavioral: Physical activity Behavioral: Dietary Other: Primary care provider visit Not Applicable

Detailed Description:

Research on hypertension (HTN) in hospital personnel during work hours is limited yet research has been published on the relationship of job strain and the risk of cardiovascular disease. HTN can be caused by sympathoadrenal activation brought on by long-term exposure to stressors and an inherent biomarker that is associated with an increased risk of cardiovascular disease.

The primary purpose of this study is to quantify differences in HTN prevalence, awareness and management in three distinctly different areas and shifts within an acute hospital. Blood pressure (BP) will be taken during working hours along with pre and post sleep hours. The secondary purpose is to identify the effect of shift work within an acute care hospital and effectiveness of: BP monitoring, increases in physical activity, positive nutritional changes, and the correlation between a primary care provider visits and lowering BP.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 160 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Prevalence, Awareness and Management of Hypertension in Acute Care Personnel
Study Start Date : August 2012
Estimated Primary Completion Date : July 2013
Estimated Study Completion Date : July 2013

Arm Intervention/treatment
No Intervention: Cohort 1
All employees within the acute care hospital that signed the informed consent form and provided their individual data.
Active Comparator: Cohort 2
All subjects of cohort 1 who also are considered hypertensive and participated in one or more study interventions, which include behavioral interventions (an increase in physical activity, or dietary changes) or who have a primary care provider visit to discuss hypertension.
Behavioral: Physical activity
This intervention includes cardiorespiratory exercise, resistance exercise, flexibility exercise and neuromotor exercise.
Behavioral: Dietary
Make at least one positive dietary change including or similar to a DASH diet snack substitution.
Other: Primary care provider visit
Subjects with hypertension will be asked to visit their primary care provider seeking treatment options. If a subject does not have a primary care provider then they will be encouraged to obtain one and seek medical treatment.

Primary Outcome Measures :
  1. Reduction of blood pressure [ Time Frame: 6 months ]
    The study will look for a reduction in blood pressure during a 6-month time frame among those identified at screening to have high blood pressure and who continue on in the study.

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:

  • Providence Health System's Southwest Washington Service Area (SWSA) employees
  • Subjects who will be included in the intervention part of the study will have two consecutive BP readings of > 140/90
  • Has or is willing to have collaborative PCP
  • Understand and sign the informed consent form

Exclusion Criteria:

  • Under the age of 18
  • Has a severe systemic illness with life expectancy judged less than three years
  • Has a severe vascular event such as Myocardial Infarction or Cerebral Vascular Event in the past 90 days
  • Is enrolled in another therapeutic program or similar study, and
  • Has a condition which, in the opinion of the investigators, may prevent the subject from participating in the study

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): NCT01655654

United States, Washington
Providence St. Peter Hospital
Olympia, Washington, United States, 98506
Sponsors and Collaborators
Providence Health & Services
Principal Investigator: Dan Donahue, M.Ed. Providence Health and Services

Responsible Party: Providence Health & Services Identifier: NCT01655654     History of Changes
Other Study ID Numbers: PSWR-002-EHW
First Posted: August 2, 2012    Key Record Dates
Last Update Posted: May 22, 2013
Last Verified: May 2013

Keywords provided by Providence Health & Services:
Acute hospital staff

Additional relevant MeSH terms:
Vascular Diseases
Cardiovascular Diseases