Evidence Synthesis: Hypertension Medication Adherence & Intensification
1 other identifier
observational
20
1 country
1
Brief Summary
Hypertension affects nearly 50 million Americans \[1\] and is the most common chronic condition among veterans. Unfortunately, many patients with established hypertension have poorly controlled blood pressure (BP); control rates in the VA are at approximately 70% currently. While clinician failure to aggressively manage hypertension through therapeutic intensification (clinical inertia, or failure to intensify pharmacotherapy appropriately) contributes to poor blood pressure control, even when doctors do intensify therapy, 43-78% of patients fail to adhere to recommended therapies, indicating that adherence remains a central problem in hypertension care. This suggests important opportunities for interventions to improve risk factor control by working through clinicians, their teams, or their delivery systems, as well as with patients, to address both patient adherence and clinical inertia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Jul 2008
Shorter than P25 for all trials
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
May 20, 2008
CompletedFirst Posted
Study publicly available on registry
May 23, 2008
CompletedStudy Start
First participant enrolled
July 20, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2008
CompletedJune 6, 2017
June 1, 2017
2 months
May 20, 2008
June 2, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Medication adherence, physician guideline adherence
varies
Eligibility Criteria
VA clinicians, hospital administrators and PIs/authors of above studies
You may qualify if:
- Studies funded by VA from 1998 to the present looking at hypertension medication adherence and physician adherence to hypertension guidelines
You may not qualify if:
- N/A
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
Boston, Massachusetts, 02130, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Nancy R. Kressin, PhD
VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- OTHER
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 20, 2008
First Posted
May 23, 2008
Study Start
July 20, 2008
Primary Completion
September 30, 2008
Study Completion
October 1, 2008
Last Updated
June 6, 2017
Record last verified: 2017-06