Trial of a Nurse Led Hypertension Clinic in Inner City General Practices
Evaluation of a Nurse-led Hypertension Clinic in Two Inner City General Practices: Randomised Controlled Trial
1 other identifier
interventional
353
1 country
1
Brief Summary
The investigators will do a trial in two general practices to see if the introduction of a blood pressure clinic staffed by a specialist nurse supported by visiting consultant improves blood pressure control compared to usual care.
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 Feb 2008
Typical duration 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
Study Start
First participant enrolled
February 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2010
CompletedFirst Submitted
Initial submission to the registry
April 9, 2010
CompletedFirst Posted
Study publicly available on registry
April 12, 2010
CompletedApril 12, 2010
April 1, 2010
1.8 years
April 9, 2010
April 9, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in systolic blood pressure
This will be assessed using two audits of practice records where blood pressure was measured and recorded independently by practice staff
6 months
Secondary Outcomes (1)
Proportion of patients in each group with final blood pressure below the British Hypertension Society optimal target
6 months after recruitment
Study Arms (2)
Usual care
NO INTERVENTIONPatients not invited to the nurse-led clinic will continue with usual GP care
Nurse-led blood pressure clinic
EXPERIMENTALPatients randomly allocated to the intervention will be invited to a specialist nurse-led blood pressure clinic.
Interventions
Blood pressure will be measured according to protocol.For patients with blood pressure above optimal targets, treatment changes will be discussed with the patient, a visiting consultant physician and the patient's GP. If they agree, the GP will intensify anti-hypertensive treatment with monthly follow up by the specialist nurse until BP targets are achieved.
Eligibility Criteria
You may qualify if:
- Patients with last recorded blood pressure greater or equal to the British Hypertension Society audit standard
You may not qualify if:
- Secondary hypertension
- Housebound
- Non-English speaking
- Another major illness likely to dominate pattern of care e.g. advanced cancer, dementia
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
St George's, University of London
London, SW17 ORE, United Kingdom
Related Publications (1)
Dean SC, Kerry SM, Khong TK, Kerry SR, Oakeshott P. Evaluation of a specialist nurse-led hypertension clinic with consultant backup in two inner city general practices: randomized controlled trial. Fam Pract. 2014 Apr;31(2):172-9. doi: 10.1093/fampra/cmt074. Epub 2013 Dec 19.
PMID: 24356073DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sally Dean, SRN
St George's, University of London
- STUDY DIRECTOR
Pippa Oakeshott, MD
St George's, University of London
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
April 9, 2010
First Posted
April 12, 2010
Study Start
February 1, 2008
Primary Completion
December 1, 2009
Study Completion
April 1, 2010
Last Updated
April 12, 2010
Record last verified: 2010-04