Treating to Target for Patients With Hypertension

NCT ID: NCT01013857

Last Updated: 2022-03-21

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2011-12-31

Brief Summary

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

Detailed Description

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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).

Conditions

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Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Health coaching

Phone patients every week to discuss medication adherence

Group Type ACTIVE_COMPARATOR

Health coaching

Intervention Type BEHAVIORAL

Calling patients every week to discuss medication adherence

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

Group Type EXPERIMENTAL

Health coaching plus home titration

Intervention Type BEHAVIORAL

Calling patients every week and intensifying medications if appropriate based on physician-created algorithm

Interventions

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Health coaching

Calling patients every week to discuss medication adherence

Intervention Type BEHAVIORAL

Health coaching plus home titration

Calling patients every week and intensifying medications if appropriate based on physician-created algorithm

Intervention Type BEHAVIORAL

Eligibility Criteria

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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.
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kaiser Permanente

OTHER

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Thomas Bodenheimer, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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San Francisco General Hospital

San Francisco, California, United States

Site Status

Countries

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United States

References

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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. doi: 10.1186/1471-2458-9-456.

Reference Type DERIVED
PMID: 20003300 (View on PubMed)

Other Identifiers

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H40013-33128-02

Identifier Type: -

Identifier Source: org_study_id

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