Using Stories to Address Disparities in Hypertension
1 other identifier
interventional
618
1 country
4
Brief Summary
The purpose of this study is to determine if patients with high blood pressure are better able to control their blood pressure after watching a DVD about blood pressure.
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 2013
Typical duration for not_applicable hypertension
4 active sites
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
January 11, 2011
CompletedFirst Posted
Study publicly available on registry
January 13, 2011
CompletedStudy Start
First participant enrolled
January 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2016
CompletedResults Posted
Study results publicly available
September 30, 2016
CompletedDecember 2, 2016
October 1, 2016
2.3 years
January 11, 2011
June 16, 2016
October 21, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Systolic BP at Follow-up
Systolic Bp measurement at 6-month follow-up; we modeled the impact of Intervention assignment on SBP, adjusting for Baseline. Thus, baseline SBP was collected but not used as outcome; Baseline SBP us used as a covariate.
6 months after intervention
Diastolic BP Measurement at Follow-up
Participants BP measurement at 6-month follow-up
6-month following intervention
Study Arms (2)
Arm 1: Story-Telling DVD
EXPERIMENTALParticipant will receive a DVD with informational and story-telling components
Arm 2: Non-Storytelling DVD
ACTIVE COMPARATORParticipant will receive an informational DVD
Interventions
DVD will contain both informational and story-telling components.
Eligibility Criteria
You may qualify if:
- African-American
- Diagnosis of HTN
- Uncontrolled BP as defined by BP \>140/90 twice in the preceding 12 months
You may not qualify if:
- active substance abuse
- severe mental illness
- cognitive disabilities that might prevent them from actively or reliably participating in the interviews
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
Jesse Brown VA Medical Center, Chicago, IL
Chicago, Illinois, 60612, United States
Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA
Bedford, Massachusetts, 01730, United States
Philadelphia VA Medical Center, Philadelphia, PA
Philadelphia, Pennsylvania, 19104, United States
Ralph H. Johnson VA Medical Center, Charleston, SC
Charleston, South Carolina, 29401-5799, United States
Related Publications (4)
Houston TK, Cherrington A, Coley HL, Robinson KM, Trobaugh JA, Williams JH, Foster PH, Ford DE, Gerber BS, Shewchuk RM, Allison JJ. The art and science of patient storytelling-harnessing narrative communication for behavioral interventions: the ACCE project. J Health Commun. 2011 Aug;16(7):686-97. doi: 10.1080/10810730.2011.551997. Epub 2011 May 24.
PMID: 21541875RESULTFix GM, Bokhour BG. Understanding the context of patient experiences in order to explore adherence to secondary prevention guidelines after heart surgery. Chronic Illn. 2012 Dec;8(4):265-77. doi: 10.1177/1742395312441037. Epub 2012 Mar 2.
PMID: 22387691RESULTFix GM, Houston TK, Barker AM, Wexler L, Cook N, Volkman JE, Bokhour BG. A novel process for integrating patient stories into patient education interventions: incorporating lessons from theater arts. Patient Educ Couns. 2012 Sep;88(3):455-9. doi: 10.1016/j.pec.2012.06.012. Epub 2012 Jul 6.
PMID: 22770814RESULTHouston TK, Fix GM, Shimada SL, Long JA, Gordon HS, Pope C, Volkman J, Allison JJ, DeLaughter K, Orner M, Bokhour BG. African American Veterans Storytelling: A Multisite Randomized Trial to Improve Hypertension. Med Care. 2017 Sep;55 Suppl 9 Suppl 2:S50-S58. doi: 10.1097/MLR.0000000000000766.
PMID: 28806366DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Our multi-site trial was limited by challenges in recruitment (lower enrollment at one site) that resulted in overall recruitment lower than planned. Further, we did have some loss to follow-up.
Results Point of Contact
- Title
- Dr. Thomas K. Houston
- Organization
- CHOIR
Study Officials
- PRINCIPAL INVESTIGATOR
Thomas K Houston, MD MPH
Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 11, 2011
First Posted
January 13, 2011
Study Start
January 1, 2013
Primary Completion
May 1, 2015
Study Completion
January 1, 2016
Last Updated
December 2, 2016
Results First Posted
September 30, 2016
Record last verified: 2016-10
Data Sharing
- IPD Sharing
- Will share
We plan to report on our primary outcome