Blood Pressure (BP) Visit Intensification Study

NCT02164331 | Completed DMC

• 1 other identifier: 1R18HL117801
• Study Type: interventional
• Target: 76
• Locations: 0 countries
• Sites: N/A

Brief Summary

Aim 1: The purpose of the study is to implement the Seventh Joint National Committee on the Diagnosis, Prevention and Treatment of Hypertension (JNC VII) recommendation for monthly visits for hypertensive patients with uncontrolled blood pressure (BP) using a theoretically-informed, empirically grounded, multimodal quality improvement (QI) intervention. Aim 2: To improve BP control and reduce disparity in BP through implementation of monthly visits. Aim 3: To assess potential mediators and moderators of the intervention.

Conditions

Blood Pressure; Hypertension

Outcome Measures

Primary Outcomes (1)

• Number of office visits

  Increase patient visit intensification for patients with uncontrolled blood pressure (BP) until the BP is under control.

  Baseline and aniticipated at 1 year

Secondary Outcomes (1)

• Reduction in Blood Pressure

  Baseline and anticipated at year

Study Arms (2)

JNC guideline training

EXPERIMENTAL

Providers will receive current JNC guideline training for treating patients with uncontrolled hypertension.

Behavioral: JNC guideline training

Control

NO INTERVENTION

Provider patient panels will be assessed for number of uncontrolled hypertensives before receiving the JNC guidelines training. These baseline characteristics will serve as their control conditions.

Interventions

JNC guideline training BEHAVIORAL

Providers will receive a series of trainings on what the JNC guidelines for treating uncontrolled hypertensives are and strategies for meeting those guidelines.

JNC guideline training

Eligibility Criteria

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

You may qualify if:

• Federally Qualified Health Center in the Clinic Directors Network, Practice Champion, Electronic Medical Record System

You may not qualify if:

• Clinicians who have been at the practice less than 6 months, Practices planning to change Electronic Medical Record systems within the next 6 months

Sponsors & Collaborators

• University of Rochester: lead

Related Publications (2)

• Fiscella K, He H, Sanders M, Cassells A, Carroll JK, Williams SK, Cornell J, Holder T, Khalida C, Tobin JN. Blood Pressure Visit Intensification in Treatment (BP-Visit) Findings: a Pragmatic Stepped Wedge Cluster Randomized Trial. J Gen Intern Med. 2022 Jan;37(1):32-39. doi: 10.1007/s11606-021-07016-9. Epub 2021 Aug 11.

  PMID: 34379277 DERIVED

• Fiscella K, Ogedegbe G, He H, Carroll J, Cassells A, Sanders M, Khalida C, D'Orazio B, Tobin JN. Blood Pressure Visit Intensification Study in Treatment: Trial design. Am Heart J. 2015 Dec;170(6):1202-10. doi: 10.1016/j.ahj.2015.08.022. Epub 2015 Sep 12.

  PMID: 26678642 DERIVED

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases

Study Officials

• Kevin A Fiscella, MD MPH

  University of Rochester

  PRINCIPAL INVESTIGATOR

• Jonathan Tobin, PhD

  Clinical Directors Network

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, MPH

Study Record Dates

• First Submitted: April 7, 2014
• First Posted: June 16, 2014
• Study Start: October 1, 2013
• Primary Completion: December 1, 2017
• Study Completion: December 1, 2017
• Last Updated: July 31, 2018

Record last verified: 2018-07