The Effect of Self-Titration and Predictors for Blood Pressure Control in Patients With Hypertension
National Defense Medical Center
1 other identifier
interventional
222
1 country
1
Brief Summary
This study aims to investigate the relationship among self-efficacy, anxiety, depressive symptoms, quality of life, lifestyle, heart rate variability and blood pressure control; and to examine the effects of self-titration strategy on self-efficacy, anxiety, depressive symptoms,heart rate variability, sodium excretion, lifestyle modification,quality of life, and blood pressure control in patients with hypertension.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2017
1 active site
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
Study Start
First participant enrolled
February 3, 2017
CompletedFirst Submitted
Initial submission to the registry
March 13, 2018
CompletedFirst Posted
Study publicly available on registry
March 20, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
July 31, 2018
CompletedMarch 20, 2018
March 1, 2018
1.2 years
March 13, 2018
March 13, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
evaluate the effects of self-titration strategy on the improvement of home blood pressure
Patients evaluated their home blood pressure by corrected sphygmomanometer.
up to 3 months
Study Arms (2)
Intervention Group
EXPERIMENTALThe intervention group receives self-titration strategy training and lifestyle education.
Control Group
NO INTERVENTIONThe control group receives usual care and lifestyle education.
Interventions
The self-titration strategy allows patients or medical professionals to adjust their medicine (additional, maintain, or decrease dose) depending on a bespoke plan. The bespoke plan for hypertensive patients involves setting target blood pressure, self-monitoring blood pressure, recording blood pressure readings and constructing a medication titration schedule. Each medication titration step is conducted based on the average home BP measurement readings.
Eligibility Criteria
You may qualify if:
- ≥ 20 years old.
- diagnosed with primary hypertension.
- no addiction to drugs or alcohol.
- not using anti-depression therapy.
- able to read and understand Chinese or Taiwanese.
- willing to participate in this study.
You may not qualify if:
- stroke.
- arrhythmia.
- major psychiatric disorders
- thyroid disease.
- had received a heart transplant, a permanent pacemaker or an implantable cardioverter defibrillator, diagnosed with (6) cancer, (7) heart failure, or (8) acute myocardial infarction.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Tri-service General Hospital
Taipei, Neihu District, 11490, Taiwan
Related Publications (1)
Kao CW, Chen TY, Cheng SM, Lin WS, Chang YC. A Web-Based Self-Titration Program to Control Blood Pressure in Patients With Primary Hypertension: Randomized Controlled Trial. J Med Internet Res. 2019 Dec 5;21(12):e15836. doi: 10.2196/15836.
PMID: 31804186DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Chi-Wen Kao, Ph.D.
Tri-Service General Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director, Head of Obstetrics and Gynecology
Study Record Dates
First Submitted
March 13, 2018
First Posted
March 20, 2018
Study Start
February 3, 2017
Primary Completion
April 30, 2018
Study Completion
July 31, 2018
Last Updated
March 20, 2018
Record last verified: 2018-03
Data Sharing
- IPD Sharing
- Will not share