NCT00903071

Brief Summary

In this project the investigators implement and test the ability of a Personalized Physician Learning (PPL) intervention to improve hypertension (HT) care with the following specific aims: Specific Aim 1: Implement two versions of a Personalized Physician Learning (PPL) intervention and assess the ability of these interventions to improve hypertension control in primary care practice.

  • Hypothesis 1: Patients of physicians who receive the REAL+PPL Intervention (Group 1) will subsequently have better HT control compared to patients of control group physicians (Group 3).
  • Hypothesis 2: Patients of physicians who receive the SIM+PPL Intervention (Group 2) will subsequently have better HT control compared to patients of control group physicians (Group 3).
  • Hypothesis 3: Patients of physicians who receive the REAL+PPL (Group 1) will subsequently have better HT control compared to patients of physicians who receive the SIM+PPL (Group 2). Specific Aim 2: Assess the cost-effectiveness of the SIM+PPL and REAL+PPL interventions, relative to no intervention.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
130

participants targeted

Target at P50-P75 for not_applicable hypertension

Timeline
Completed

Started Mar 2010

Typical duration for not_applicable hypertension

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 13, 2009

Completed
2 days until next milestone

First Posted

Study publicly available on registry

May 15, 2009

Completed
10 months until next milestone

Study Start

First participant enrolled

March 1, 2010

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2011

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2013

Completed
Last Updated

June 16, 2014

Status Verified

June 1, 2014

Enrollment Period

1.8 years

First QC Date

May 13, 2009

Last Update Submit

June 12, 2014

Conditions

Hypertension

Keywords

HypertensionPrimary CarePhysician Learning

Outcome Measures

Primary Outcomes (1)

  • Hypertension control

    12 month pre and 12 month post intervention

Study Arms (3)

REAL PPL

ACTIVE COMPARATOR

REAL+PPL profiles PCP performance using real electronic medical record derived data to identify each PCP's specific failures of decision making in HT care antecedent to the personalized learning intervention.

Behavioral: Real PPL

SIM PPL

ACTIVE COMPARATOR

SIM+PPL, profiles PCP performance using simulated cases to identify each PCP's specific failures of decision making in HT care antecedent to the personalized learning intervention.

Behavioral: Sim PPL

Control

NO INTERVENTION

No intervention -control group

Interventions

Real PPLBEHAVIORAL

See above arm description

REAL PPL
Sim PPLBEHAVIORAL

See above arm description

SIM PPL

Eligibility Criteria

Age22 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Practicing physician at 1 of 2 medical groups.
  • Be a general internist of family physician.
  • Provide ongoing clinical care to at least 25 adult patients with uncontrolled hypertension. Additional patient criteria include;
  • years or more on date of physician randomization.
  • Charlson score less than 4.
  • Be linked to a primary care physician who has consented to the study.
  • Have 2 consecutive office blood pressure readings above the 7th Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC7) goal, within a 12 month time period.

You may not qualify if:

  • Physicians practicing at a second clinic for more than 1 day per week. Additional patient criteria;
  • Less than 22 years of age.
  • Charlson score of \>= 4

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

HealthPartners Research Foundation

Minneapolis, Minnesota, 55440, United States

Location

Related Publications (1)

  • O'Connor PJ, Magid DJ, Sperl-Hillen JM, Price DW, Asche SE, Rush WA, Ekstrom HL, Brand DW, Tavel HM, Godlevsky OV, Johnson PE, Margolis KL. Personalised physician learning intervention to improve hypertension and lipid control: randomised trial comparing two methods of physician profiling. BMJ Qual Saf. 2014 Dec;23(12):1014-22. doi: 10.1136/bmjqs-2014-002807. Epub 2014 Sep 16.

    PMID: 25228778DERIVED

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Study Officials

  • Patrick J O'Connor, MD, MPH

    HealthPartners Institute

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 13, 2009

First Posted

May 15, 2009

Study Start

March 1, 2010

Primary Completion

December 1, 2011

Study Completion

May 1, 2013

Last Updated

June 16, 2014

Record last verified: 2014-06

Locations

US(1)