At a glance
ClinicalIndex Comparison Record- ✓Hypertension diagnosis documented in medical record at least twice in the past 24 months
- ✓Current systolic BP ≥150 mm Hg or diastolic BP ≥95 mm Hg
- ✓Most recent previous visit showed systolic BP ≥150 mm Hg or diastolic BP ≥95 mm Hg
- ✓Attends study clinic for primary care visit within study period with uncontrolled blood pressure
- ✕Pregnancy
- ✕End Stage Kidney Disease
- ✕Currently in hospice care or permanently residing in a nursing home
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Pragmatic Trial Comparing Telehealth Care and Optimized Clinic-Based Care for Uncontrolled High Blood Pressure
In Brief
A clinical study evaluating Best Practice Clinic-Based Care and Telehealth Care for Hypertension. Completed, enrolled 3,071 participants across 1 site.
Detailed Summary
This pragmatic trial will compare two team-based care models for managing hypertension, Best Practice Clinic-based Care and Telehealth Care with pharmacist management, in a large care system in Minnesota. Clinics in the study are randomized to offer one of the two treatment models to participants with uncontrolled hypertension. The investigators aim to determine a) whether one model is more effective than the other for lowering patient's blood pressure and b) which model patients prefer.
Study Details
Timeline
Interventions
Relies primarily on the physician-medical assistant dyad and face-to-face visits to promote: 1. Improved recognition of uncontrolled BP at primary care encounters, 2. Therapeutic action to address uncontrolled BP at primary care encounters, 3. Reliable follow-up visits to re-assess uncontrolled BP every 2-4 weeks.
All elements of Clinic-Based Care are performed, plus a telemonitoring and pharmacist case management program is offered, specifically: 1. Referral to care by MTM pharmacist or Nurse Practitioner and receiving a home blood pressure telemonitoring device 2. Systematic home BP telemonitoring with data transmitted into patient medical record 3. Systematic home-based care by pharmacist or nurse practitioner via telephone and/or secure email