NCT02511093

Brief Summary

The purpose of this study is to determine whether a team-based care (TBC) intervention, combining physician, nurse and pharmacist care improves BP control compared to usual care at 6 months among outpatients with uncontrolled hypertension.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
110

participants targeted

Target at P50-P75 for not_applicable hypertension

Timeline
Completed

Started Sep 2014

Longer than P75 for not_applicable hypertension

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2014

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

July 27, 2015

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 29, 2015

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2018

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2018

Completed
Last Updated

July 29, 2015

Status Verified

July 1, 2015

Enrollment Period

3.8 years

First QC Date

July 27, 2015

Last Update Submit

July 28, 2015

Conditions

Keywords

HypertensionTeam-based careCollaborationHealthcare professionalsHealthcare services

Outcome Measures

Primary Outcomes (2)

  • Difference in daytime ABPM at 6-month between TBC and usual care patients

    Difference in daytime ABPM at 6-month between TBC and usual care patients

    6-month

  • Difference in the proportion of patients with controlled blood pressure (daytime ABPM <135/85 mmHg) at 6-month between TBC and usual care patients

    Difference in the proportion of patients with controlled blood pressure (daytime ABPM \<135/85 mmHg) at 6-month between TBC and usual care patients

    6-month

Secondary Outcomes (2)

  • Patients and healthcare professionals' acceptance and satisfaction with the TBC-intervention

    6-month

  • Difference in the proportion of TBC and usual care patients with controlled blood pressure (daytime ABPM <135/85 mmHg) at 12-month (6 months after intervention stopped)

    12-month

Study Arms (2)

TBC intervention

EXPERIMENTAL

A structured collaborative intervention delivered by trained nurses of ambulatory clinics and by community pharmacists working in collaboration with physicians during 6-month of follow-up includes: * BP measurements; * an educational and counselling intervention on patient adherence; * an educational and counselling intervention on lifestyle (physical activity and diet). Physicians adjust antihypertensive medications based on nurse and pharmacist feedback.

Behavioral: TBC intervention

Usual care

NO INTERVENTION

Interventions

A structured collaborative intervention delivered by trained nurses of ambulatory clinics and by community pharmacists working in collaboration with physicians during 6-month of follow-up includes: * BP measurements; * an educational and counselling intervention on patient adherence; * an educational and counselling intervention on lifestyle (physical activity and diet) Physicians adjust antihypertensive medications based on nurse and pharmacist feedback.

TBC intervention

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • treated patients with uncontrolled hypertension (defined as daytime systolic/diastolic ambulatory blood pressure monitoring (ABPM) ≥135/85mmHg) taking one or two antihypertensive medications;
  • speak and understand French;
  • agree to use the same pharmacy's services for the whole duration of the study.

You may not qualify if:

  • unable to understand the study aim;
  • pregnancy and lactating;
  • livimg in a nursing home;
  • hospitalization during the recruitment period;
  • participation in another study;
  • daytime ABPM\>180/110 mmHg.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Service de Néphrologie et Hypertension, Centre Hospitalier Universitaire Vaudois

Lausanne, Canton of Vaud, 1011, Switzerland

RECRUITING

Related Publications (2)

  • Santschi V, Wuerzner G, Pais B, Chiolero A, Schaller P, Cloutier L, Paradis G, Burnier M. Team-Based Care for Improving Hypertension Management: A Pragmatic Randomized Controlled Trial. Front Cardiovasc Med. 2021 Oct 25;8:760662. doi: 10.3389/fcvm.2021.760662. eCollection 2021.

  • Santschi V, Wuerzner G, Chiolero A, Burnand B, Schaller P, Cloutier L, Paradis G, Burnier M. Team-based care for improving hypertension management among outpatients (TBC-HTA): study protocol for a pragmatic randomized controlled trial. BMC Cardiovasc Disord. 2017 Jan 21;17(1):39. doi: 10.1186/s12872-017-0472-y.

MeSH Terms

Conditions

Hypertension

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Study Officials

  • Valerie Santschi, PhD

    Centre Hospitalier Universitaire Vaudois

    PRINCIPAL INVESTIGATOR
  • Michel Burnier, MD

    Centre Hospitalier Universitaire Vaudois

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr. Valérie Santschi, PharmDipl, PhD

Study Record Dates

First Submitted

July 27, 2015

First Posted

July 29, 2015

Study Start

September 1, 2014

Primary Completion

June 1, 2018

Study Completion

December 1, 2018

Last Updated

July 29, 2015

Record last verified: 2015-07

Locations