Individually Tailored Web-Based Program to Improve Blood Pressure Control
Efficacy of Web-Based Feedback to Improve Blood Pressure Control
3 other identifiers
interventional
500
1 country
1
Brief Summary
High blood pressure affects 65 million adults in the United States, and more than one third of these individuals do not have adequate control of their blood pressure. Individuals who ask specific questions and discuss important medical issues with their doctors are more likely to receive appropriate medical care than individuals who do not. This study will evaluate the effectiveness of an interactive web site that provides individualized feedback and encourages doctor-patient communication as a way to maintain adequate blood pressure control.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable hypertension
Started Jan 2007
Longer than P75 for not_applicable hypertension
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 14, 2006
CompletedFirst Posted
Study publicly available on registry
September 18, 2006
CompletedStudy Start
First participant enrolled
January 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2010
CompletedFebruary 20, 2013
February 1, 2013
3.6 years
September 14, 2006
February 18, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of participants with controlled blood pressure, as defined by the following criteria: less than 130/80 mm Hg for participants with diabetes or chronic kidney disease; less than 140/90 mm Hg for all other participants
Measured at Year 1
Secondary Outcomes (4)
Other markers of hypertension quality of care
Measured at Year 1
Serum creatinine levels
Measured at Year 1
Urine protein levels
Measured at Year 1
Referral to a specialist when appropriate
Measured at Year 1
Study Arms (2)
Intervention Condition
ACTIVE COMPARATORReceives web-based feedback specific to their blood-pressure and other health-related conditions.
Control Condition
NO INTERVENTIONThe control group receives preventative feedback, general to the population.
Interventions
"My Expert Doctor" is a web-based program that helps patients to ask the right questions regarding specific tests and treatments during their doctor visits. Upon entering medication and treatment information into the web site, patients are provided with individualized feedback and recommended questions to ask their doctor.
Eligibility Criteria
You may qualify if:
- History of hypertension
- At least one blood pressure value that is greater than recommended in the year prior to study entry
- An enrolled physician has provided care for managing the participant's blood pressure for at least 1 year prior to study entry
- Access to the internet at home or at work
- Personal email account
- At least one blood pressure value greater than 140/90 mm Hg (130/90 mm HG for diabetes patients) in the one year prior to study entry
You may not qualify if:
- Unable to speak and read English
- Pregnant or plans to become pregnant in the year following study entry
- Cognitively impaired
- Currently incarcerated
- Participating in another clinical research study
- Planning on moving out of the area in the year following study entry
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Penn State College of Medicine, Penn State Hershey Medical Center
Hershey, Pennsylvania, 17033, United States
Related Publications (1)
Thiboutot J, Sciamanna CN, Falkner B, Kephart DK, Stuckey HL, Adelman AM, Curry WJ, Lehman EB. Effects of a web-based patient activation intervention to overcome clinical inertia on blood pressure control: cluster randomized controlled trial. J Med Internet Res. 2013 Sep 4;15(9):e158. doi: 10.2196/jmir.2298.
PMID: 24004475DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Christopher N. Sciamanna, MD, MPH
Penn State College of Medicine, Penn State Hershey Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Medicine and Public Health Sciences
Study Record Dates
First Submitted
September 14, 2006
First Posted
September 18, 2006
Study Start
January 1, 2007
Primary Completion
August 1, 2010
Study Completion
August 1, 2010
Last Updated
February 20, 2013
Record last verified: 2013-02