Achieving Blood Pressure Control Through Enhanced Discharge

NCT02069015 | Completed Results

• 1 other identifier: BCBSMF 1956.11
• Study Type: interventional
• Target: 139
• Locations: 1 country
• Sites: 1

Brief Summary

The primary aim of the study is to determine if enhanced discharge from the emergency department will improve blood pressure control and self-care management. Enhanced discharge will include a hypertension intervention delivered by a touch-screen kiosk over a three month period.

Conditions

Hypertension

Keywords

Patient education; Hypertension; Patient activation

Outcome Measures

Primary Outcomes (1)

• Blood Pressure (Systolic) at 180 Days

  Systolic Blood Pressure (SDB) at 180 days post-discharge

  180 days

Secondary Outcomes (1)

• Patient Activation Measure (PAM)

  Baseline

Other Outcomes (2)

• Emergency Department Visitation Rate

  Baseline to 180 days

• Cost Effectiveness

  180 days

Study Arms (2)

Enhanced discharge

EXPERIMENTAL

Patient education about hypertension delivered through a touch-screen kiosk at 4 time points in addition to standard discharge.

Behavioral: Patient education

Standard discharge

NO INTERVENTION

Standard discharge is patient instruction, instructions for follow-up to primary care and medication/prescription

Interventions

Patient education BEHAVIORAL

Patient education on hypertension delivered through a touchscreen kiosk.

Enhanced discharge

Eligibility Criteria

• Age: 18 Years - 89 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Present with uncontrolled blood pressure to the emergency department (\>140/90 for non-diabetics and \>130/80 for diabetics)
• Self-reported history of hypertension

You may not qualify if:

• End-stage renal disease
• No history of hypertension
• Do not present with uncontrolled blood pressure

Sponsors & Collaborators

• Wayne State University: lead
• Blue Cross Blue Shield of Michigan Foundation: collaborator

Study Sites (1)

Detroit Receiving Hospital Emergency Department

Detroit, Michigan, 48201, United States

Location

Related Publications (6)

• Gleason-Comstock JA, Streater A, Jen KL, Artinian NT, Timmins J, Baker S, Joshua B, Paranjpe A. Consumer health information technology in an adult public health primary care clinic: a heart health education feasibility study. Patient Educ Couns. 2013 Dec;93(3):464-71. doi: 10.1016/j.pec.2013.07.010. Epub 2013 Aug 12.

  PMID: 23948646 BACKGROUND

• Levy PD, Cline D. Asymptomatic hypertension in the emergency department: a matter of critical public health importance. Acad Emerg Med. 2009 Nov;16(11):1251-7. doi: 10.1111/j.1553-2712.2009.00512.x. Epub 2009 Oct 20.

  PMID: 19845553 BACKGROUND

• Levy P, Ye H, Compton S, Zalenski R, Byrnes T, Flack JM, Welch R. Subclinical hypertensive heart disease in black patients with elevated blood pressure in an inner-city emergency department. Ann Emerg Med. 2012 Oct;60(4):467-74.e1. doi: 10.1016/j.annemergmed.2012.03.030. Epub 2012 May 31.

  PMID: 22658278 BACKGROUND

• Gleason-Comstock J, Streater A, Ager J, Goodman A, Brody A, Kivell L, Paranjpe A, Vickers J, Mango L, Dawood R, Levy P. Patient education and follow-up as an intervention for hypertensive patients discharged from an emergency department: a randomized control trial study protocol. BMC Emerg Med. 2015 Dec 21;15:38. doi: 10.1186/s12873-015-0052-3.

  PMID: 26691646 BACKGROUND

• Gleason-Comstock J, Streater A, Goodman A, Janisse J, Brody A, Mango L, Dawood R, Levy P. Willingness to pay and willingness to accept in a patient-centered blood pressure control study. BMC Health Serv Res. 2017 Aug 7;17(1):538. doi: 10.1186/s12913-017-2451-5.

  PMID: 28784120 BACKGROUND

• Gleason Comstock J, Janisse J, Streater A, Brody A, Goodman A, Zhang L, Mango L, Dawood R, Costello W, Patton S, Paranjpe A, Welsh C, Welch R, Levy P. Efficacy of enhanced emergency department discharge for chronic hypertension management - Results of a randomized controlled trial. Contemp Clin Trials Commun. 2020 Jul 18;19:100613. doi: 10.1016/j.conctc.2020.100613. eCollection 2020 Sep.

  PMID: 32743119 RESULT

MeSH Terms

Conditions

Hypertension; Patient Participation

Interventions

Patient Education as Topic

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Health Education; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services

Results Point of Contact

• Title: Julie Gleason-Comstock
• Organization: Wayne State University

jgleason@med.wayne.edu

313-577-6681

Study Officials

• Julie A Gleason-Comstock, PhD

  Wayne State University

  PRINCIPAL INVESTIGATOR

• Phillip D Levy, MD

  Wayne State University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: February 19, 2014
• First Posted: February 21, 2014
• Study Start: October 1, 2013
• Primary Completion: June 1, 2015
• Study Completion: June 1, 2016
• Last Updated: December 22, 2020
• Results First Posted: December 22, 2020

Record last verified: 2020-12

Locations

US (1)