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Treating to Target for Patients With Hypertension

This study has been completed.
Sponsor:
Collaborator:
Kaiser Permanente
Information provided by (Responsible Party):
Thomas Bodenheimer, University of California, San Francisco
ClinicalTrials.gov Identifier:
NCT01013857
First received: November 12, 2009
Last updated: November 9, 2012
Last verified: November 2012
History of Changes

November 12, 2009
November 9, 2012
January 2009
February 2010   (final data collection date for primary outcome measure)
Systolic blood pressure [ Time Frame: 6 months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT01013857 on ClinicalTrials.gov Archive Site
Diastolic blood pressure [ Time Frame: 6 months ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Treating to Target for Patients With Hypertension
Treating to Target for Patients With Hypertension

Patients with poorly controlled hypertension will have improved hypertensive control with telephone coaching and with telephone coaching combined with home-titration of medications.

Patients with poorly controlled hypertension are randomized to a control arm which receives telephone coaching or an active arm which receives telephone coaching plus intensification of medications via telephone coaching with the coaches using treatment algorithms approved by the patients' physician. These patients' blood pressure control will be compared with usual care patients in a passive arm (chart review only).
Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Hypertension
  • Behavioral: Health coaching
    Calling patients every week to discuss medication adherence
  • Behavioral: Health coaching plus home titration
    Calling patients every week and intensifying medications if appropriate based on physician-created algorithm
  • Active Comparator: Health coaching
    Phone patients every week to discuss medication adherence
    Intervention: Behavioral: Health coaching
  • Experimental: Health coaching plus home-titration
    Health coaches call patients every week to discuss medication adherence and to intensify medications if appropriate according to physician-created algorithm
    Intervention: Behavioral: Health coaching plus home titration
Bennett H, Laird K, Margolius D, Ngo V, Thom DH, Bodenheimer T. The effectiveness of health coaching, home blood pressure monitoring, and home-titration in controlling hypertension among low-income patients: protocol for a randomized controlled trial. BMC Public Health. 2009 Dec 10;9:456.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
240
December 2011
February 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • 2 blood pressure readings above 145/90.

Exclusion Criteria:

  • Cognitive impairment,
  • Short life expectancy,
  • Creatinine greater than 1.5,
  • Inability to check blood pressures at home.
Both
30 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01013857
H40013-33128-02
No
Thomas Bodenheimer, University of California, San Francisco
University of California, San Francisco
Kaiser Permanente
Principal Investigator: Thomas Bodenheimer, MD University of California, San Francisco
University of California, San Francisco
November 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP