Overview

This trial is active, not recruiting.

Conditions blood pressure, hypertension
Treatment jnc guideline training
Sponsor University of Rochester
Start date October 2013
End date October 2018
Trial size 60 participants
Trial identifier NCT02164331, 1R18HL117801

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.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification safety/efficacy study
Intervention model crossover assignment
Masking open label
Primary purpose health services research
Arm
(Experimental)
Providers will receive current JNC guideline training for treating patients with uncontrolled hypertension.
jnc guideline training
Providers will receive a series of trainings on what the JNC guidelines for treating uncontrolled hypertensives are and strategies for meeting those guidelines.
(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.

Primary Outcomes

Measure
Number of office visits
time frame: Baseline and aniticipated at 1 year

Secondary Outcomes

Measure
Reduction in Blood Pressure
time frame: Baseline and anticipated at year

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - Federally Qualified Health Center in the Clinic Directors Network, Practice Champion, Electronic Medical Record System Exclusion Criteria: - Clinicians who have been at the practice less than 6 months, Practices planning to change Electronic Medical Record systems within the next 6 months

Additional Information

Official title A Multimodal Quality Improvement Intervention Using the JNC Guidelines to Promote Control of Patients' BP in Federally Qualified Health Centers
Principal investigator Kevin A Fiscella, MD MPH
Description This study is a stepped wedged cluster randomized trial designed to improve management of uncontrolled blood pressure among patients in federally qualified health centers through the auspices of the the Clinical Directors Network Practice-Based Research Network (CDN PBRN).
Trial information was received from ClinicalTrials.gov and was last updated in June 2016.
Information provided to ClinicalTrials.gov by University of Rochester.