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.

Abstract

Background: There is a presumption that, for patients with uncontrolled blood pressure (BP), early follow-up, that is, within 4 weeks of an elevated reading, improves BP control. However, data are lacking regarding effective interventions for increasing clinician frequency of follow-up visits and whether such interventions improve BP control.

Methods/design: Blood Pressure Visit Intensification Study in Treatment involves a multimodal approach to improving intensity of follow-up in 12 community health centers using a stepped wedge study design.

Discussion: The study will inform effective interventions for increasing frequency of follow-up visits among patients with uncontrolled BP and determine whether increasing follow-up frequency is associated with better BP control.

Trial registration: ClinicalTrials.gov NCT02164331.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Antihypertensive Agents / therapeutic use*
  • Attitude of Health Personnel
  • Attitude to Health
  • Blood Pressure / drug effects
  • Blood Pressure Monitoring, Ambulatory / methods*
  • Cluster Analysis
  • Female
  • Humans
  • Hypertension* / diagnosis
  • Hypertension* / drug therapy
  • Hypertension* / psychology
  • Male
  • Research Design

Substances

  • Antihypertensive Agents

Associated data

  • ClinicalTrials.gov/NCT02164331