CompletedNot Applicable

Implementing Hypertension Screening Guidelines in Primary Care

United States1,186 participantsStarted 2018-04-01

Plain-language summary

The goal of this study is to use a cluster-randomized design (1:1 ratio) among 8 primary care clinics affiliated with New York-Presbyterian Hospital to test the effectiveness of a theory-informed multifaceted implementation strategy designed to increase the uptake of the 2015 United States Preventive Services Task Force (USPSTF) hypertension screening guidelines. The primary outcome is the ordering of out-of-office blood pressure testing, either ambulatory blood pressure monitoring (ABPM) or home blood pressure monitoring (HBPM), by primary care clinicians for patients with newly elevated office blood pressure (BP), as recommended by the 2015 guidelines.

Who can participate

Age range18 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Patient Inclusion Criteria (as per electronic medical records): * Elevated blood pressure (BP) (systolic BP\>=140 mmHg or diastolic BP \>=90 mmHg) at a scheduled clinic visit with a primary care provider from a clinic that is participating in the study; if multiple BP readings were taken from a visit, then the average of the readings will be used Patient Exclusion Criteria (as per electronic medical records): * Prior diagnosis of hypertension * Prior diagnosis of white-coat hypertension * Prior evaluation for white-coat hypertension by 24-hr ABPM or HBPM * Prescribed antihypertensive medication * Manual office BP \<140/90 mmHg * Severely elevated BP (systolic BP\>=180 mmHg or diastolic BP\>=110 mmHg) * Evidence of target-organ damage (chronic kidney disease, cardiovascular disease) Clinic Inclusion Criteria: * Primary care clinics that are part of the New York-Presbyterian Hospital Ambulatory Care Network and were not part of implementation development Clinic Exclusion Criteria: * Medical director of clinic declines to participate in cluster randomized trial

What they're measuring

Percentage of Patient Visits With Completion of Out-of-office BP Monitoring Within 6 Months of an Eligible Visit During the Pre-Implementation Period

Timeframe: 6 months (Pre-Implementation period)

Percentage of Patient Visits With Completion of Out-of-office BP Monitoring Within 6 Months of an Eligible Visit During the Post-Implementation Period

Timeframe: 6 months (Post-Implementation period)

Trial details

NCT IDNCT03480217

SponsorColumbia University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2022-07-01

Results submitted2023-03-29

View on ClinicalTrials.gov More Hypertension,Essential trials