Prevalence, Awareness and Management of Hypertension in Acute Care Personnel

NCT01655654 | Completed

• 1 other identifier: PSWR-002-EHW
• Study Type: interventional
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

The primary purpose of this study is to identify the percentage of health care workers working in an acute care hospital who have high blood pressure, to determine the awareness of their blood pressure status, and to see how well it is managed. Study participants will come from the following three distinctly different types of departments: telemetry (clinical), non-telemetry (clinical), and non-direct patient care staff. All study participants are offered educational information surrounding high blood pressure and review the recommendation for their primary care engagement. Study participants with high blood pressure will be asked to continue in the study for up to 6 months. It is intended that each study participant who continues will take their blood pressure three times a day and record the results in a study provided diary. Each study participant should also make some of the suggested changes that promote a healthier lifestyle including exercising, improving their diet, and seeing their primary care provider. It is the thought that these changes will reduce the study participant's blood pressure. The secondary purpose is to determine the effect shift work has on these hospital employees and the potential positive effects of the three interventions.

Conditions

Hypertension

Keywords

Hypertension; Acute hospital staff; Exercise; Diet

Outcome Measures

Primary Outcomes (1)

• Reduction of blood pressure

  The study will look for a reduction in blood pressure during a 6-month time frame among those identified at screening to have high blood pressure and who continue on in the study.

  6 months

Study Arms (2)

Cohort 1

NO INTERVENTION

All employees within the acute care hospital that signed the informed consent form and provided their individual data.

Cohort 2

ACTIVE COMPARATOR

All subjects of cohort 1 who also are considered hypertensive and participated in one or more study interventions, which include behavioral interventions (an increase in physical activity, or dietary changes) or who have a primary care provider visit to discuss hypertension.

Behavioral: Physical activity; Behavioral: Dietary; Other: Primary care provider visit

Interventions

Physical activity BEHAVIORAL

This intervention includes cardiorespiratory exercise, resistance exercise, flexibility exercise and neuromotor exercise.

Cohort 2

Dietary BEHAVIORAL

Make at least one positive dietary change including or similar to a DASH diet snack substitution.

Cohort 2

Primary care provider visit OTHER

Subjects with hypertension will be asked to visit their primary care provider seeking treatment options. If a subject does not have a primary care provider then they will be encouraged to obtain one and seek medical treatment.

Cohort 2

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Providence Health System's Southwest Washington Service Area (SWSA) employees
• Subjects who will be included in the intervention part of the study will have two consecutive BP readings of \> 140/90
• Has or is willing to have collaborative PCP
• Understand and sign the informed consent form

You may not qualify if:

• Under the age of 18
• Has a severe systemic illness with life expectancy judged less than three years
• Has a severe vascular event such as Myocardial Infarction or Cerebral Vascular Event in the past 90 days
• Is enrolled in another therapeutic program or similar study, and
• Has a condition which, in the opinion of the investigators, may prevent the subject from participating in the study

Sponsors & Collaborators

• Providence Health & Services: lead

Study Sites (1)

Providence St. Peter Hospital

Olympia, Washington, 98506, United States

Location

MeSH Terms

Conditions

Hypertension; Motor Activity

Interventions

Exercise; Diet

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases; Behavior

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Nutritional Physiological Phenomena; Diet, Food, and Nutrition; Physiological Phenomena

Study Officials

• Dan Donahue, M.Ed.

  Providence Health and Services

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 31, 2012
• First Posted: August 2, 2012
• Study Start: August 1, 2012
• Primary Completion: July 1, 2013
• Study Completion: July 1, 2013
• Last Updated: March 10, 2020

Record last verified: 2020-03

Locations

US (1)