Trial of a Nurse Led Hypertension Clinic in Inner City General Practices

NCT ID: NCT01101737

Last Updated: 2010-04-12

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

353 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-02-29

Study Completion Date

2010-04-30

Brief Summary

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The investigators will do a trial in two general practices to see if the introduction of a blood pressure clinic staffed by a specialist nurse supported by visiting consultant improves blood pressure control compared to usual care.

Detailed Description

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Conditions

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Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Usual care

Patients not invited to the nurse-led clinic will continue with usual GP care

Group Type NO_INTERVENTION

No interventions assigned to this group

Nurse-led blood pressure clinic

Patients randomly allocated to the intervention will be invited to a specialist nurse-led blood pressure clinic.

Group Type EXPERIMENTAL

Nurse-led blood pressure clinic

Intervention Type OTHER

Blood pressure will be measured according to protocol.For patients with blood pressure above optimal targets, treatment changes will be discussed with the patient, a visiting consultant physician and the patient's GP. If they agree, the GP will intensify anti-hypertensive treatment with monthly follow up by the specialist nurse until BP targets are achieved.

Interventions

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Nurse-led blood pressure clinic

Blood pressure will be measured according to protocol.For patients with blood pressure above optimal targets, treatment changes will be discussed with the patient, a visiting consultant physician and the patient's GP. If they agree, the GP will intensify anti-hypertensive treatment with monthly follow up by the specialist nurse until BP targets are achieved.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with last recorded blood pressure greater or equal to the British Hypertension Society audit standard

Exclusion Criteria

* Secondary hypertension
* Housebound
* Non-English speaking
* Another major illness likely to dominate pattern of care e.g. advanced cancer, dementia
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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St George's, University of London

OTHER

Sponsor Role lead

Responsible Party

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St George's, University of London

Principal Investigators

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Sally Dean, SRN

Role: PRINCIPAL_INVESTIGATOR

St George's, University of London

Pippa Oakeshott, MD

Role: STUDY_DIRECTOR

St George's, University of London

Locations

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St George's, University of London

London, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Dean SC, Kerry SM, Khong TK, Kerry SR, Oakeshott P. Evaluation of a specialist nurse-led hypertension clinic with consultant backup in two inner city general practices: randomized controlled trial. Fam Pract. 2014 Apr;31(2):172-9. doi: 10.1093/fampra/cmt074. Epub 2013 Dec 19.

Reference Type DERIVED
PMID: 24356073 (View on PubMed)

Other Identifiers

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General Nursing Council 2007

Identifier Type: -

Identifier Source: org_study_id

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