Support for Cardiovascular Health in African American Primary Care Patients
NCT ID: NCT00948714
Last Updated: 2017-07-21
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
130 participants
INTERVENTIONAL
2008-05-31
2011-01-31
Brief Summary
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Poor hypertension control has dire consequences for the African-American population who suffer greater death and disability from heart disease, stroke, and renal failure than whites. To reduce these health disparities it is critical to promote of a healthy lifestyle in regard to diet, exercise, adherence to medications, as well as other behaviors. However, physicians usually fail to address lifestyle behaviors in the context of the harried patient visit. Therefore, the investigators hypothesized that the investigators could reduce cardiovascular risk by providing additional support to persons with poorly controlled hypertension through phone calls from trained peer patients and visits to an office support staff member.
Study Design:
A single-blind, randomized, controlled trial in 280 African-American primary care patients aged 40-75 with poorly controlled hypertension (HTN). The intervention group receives a practice-based team intervention that combines peer coach with office staff (i.e., medical assistant or licensed practice nurse) visits to address lifestyle challenges. Both intervention and control groups receive informational materials and healthy soul food recipes from the American Heart Association. The 6 month intervention alternates monthly phone calls from peer coaches about lifestyle behavioral changes with office-based visits with the support staff member during which patients review and discuss low literacy slide shows about healthy behaviors as well as examine their personal cardiovascular risk profile.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Case
Peer Coach Phone Calls
Subjects will receive 3 phone calls from a trained peer coach over 6 months.
Health Educator Visits
Subjects will meet 2 times with a trained health educator in the practice
written materials
Subjects will receive written material and brochures and a cookbook from the American Heart Association addressing healthy lifestyle
Control
written materials
Subjects will receive written material and brochures and a cookbook from the American Heart Association addressing healthy lifestyle
Interventions
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Peer Coach Phone Calls
Subjects will receive 3 phone calls from a trained peer coach over 6 months.
Health Educator Visits
Subjects will meet 2 times with a trained health educator in the practice
written materials
Subjects will receive written material and brochures and a cookbook from the American Heart Association addressing healthy lifestyle
Eligibility Criteria
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Inclusion Criteria
* Uncontrolled Hypertension
* at least 3 practice visits in the past 2 years
* One lipid panel since 2005
Exclusion Criteria
* Kept less than 60% of primary care visits in the prior 2 years
40 Years
75 Years
ALL
Yes
Sponsors
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Robert Wood Johnson Foundation
OTHER
Pfizer
INDUSTRY
University of Pennsylvania
OTHER
Responsible Party
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Principal Investigators
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Mark G Weiner, MD
Role: PRINCIPAL_INVESTIGATOR
University of Pennsylvania
Locations
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Edward S. Cooper Practice of General Internal Medicine
Philadelphia, Pennsylvania, United States
PennCare Internal Medicine Associates
Philadelphia, Pennsylvania, United States
Countries
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References
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Turner BJ, Hollenbeak CS, Liang Y, Pandit K, Joseph S, Weiner MG. A randomized trial of peer coach and office staff support to reduce coronary heart disease risk in African-Americans with uncontrolled hypertension. J Gen Intern Med. 2012 Oct;27(10):1258-64. doi: 10.1007/s11606-012-2095-4. Epub 2012 May 9.
Other Identifiers
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808214
Identifier Type: -
Identifier Source: org_study_id
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