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
535 participants
INTERVENTIONAL
2011-09-30
2014-10-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Interventions
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Complex quality improvement intervention
We are implementing a complex quality improvement intervention that includes changes in practice processes to enhance hypertension care, provision of home blood pressure monitors to patients, and telephone coaching around hypertension self-management.
Eligibility Criteria
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Inclusion Criteria
* Able and willing to give informed consent,
* A current patient of 1 of the 5 participating practices,
* Have a current diagnosis of hypertension by their primary care physician or have 3 documented blood pressures above 150/90,
* Their most recent systolic blood pressure was greater than or equal to 150 at their most recent clinic visit,
* Receive physician approval to participate in the study.
* Anyone enrolled in the High Blood Pressure study is eligible to participate in the genomics component of the project.
Exclusion Criteria
* current treatment of psychosis,
* diagnosed with advanced dementia as determined by the clinician,
* current substance abuse,
* lack of phone access,
* history of malignancy, other than non-melanoma skin cancer, that has not been in remission or cured surgically for \> 5 years,
* estimated creatinine clearance less than 30 ml/min (because hypertension management becomes more complicated at this point),
* are pregnant.
18 Years
ALL
No
Sponsors
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National Heart, Lung, and Blood Institute (NHLBI)
NIH
University of North Carolina, Chapel Hill
OTHER
Responsible Party
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Jacquie Halladay, MD, MPH
Associate Professor
Principal Investigators
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Jacqueline Halladay, MD
Role: PRINCIPAL_INVESTIGATOR
University of North Carolina, Chapel Hill
Locations
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Kinston Enterprise Center - Study Office
Kinston, North Carolina, United States
Countries
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References
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D'Agostino RB Sr, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, Kannel WB. General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation. 2008 Feb 12;117(6):743-53. doi: 10.1161/CIRCULATIONAHA.107.699579. Epub 2008 Jan 22.
Cummings DM, Adams A, Halladay J, Hinderliter A, Donahue KE, Cene CW, Li Q, Miller C, Garcia B, Tillman J, Little E, DeWalt D. Race-Specific Patterns of Treatment Intensification Among Hypertensive Patients Using Home Blood Pressure Monitoring: Analysis Using Defined Daily Doses in the Heart Healthy Lenoir Study. Ann Pharmacother. 2019 Apr;53(4):333-340. doi: 10.1177/1060028018806001. Epub 2018 Oct 3.
Chatterjee A, Daftary G, Gatison L, Gillman MW. Lessons Learned From a Partnership to Evaluate a School Food Program. Prog Community Health Partnersh. 2016;10(4):577-584. doi: 10.1353/cpr.2016.0066.
Cummings DM, Wu JR, Cene C, Halladay J, Donahue KE, Hinderliter A, Miller C, Garcia B, Penn D, Tillman J, DeWalt D. Perceived Social Standing, Medication Nonadherence, and Systolic Blood Pressure in the Rural South. J Rural Health. 2016 Spring;32(2):156-63. doi: 10.1111/jrh.12138. Epub 2015 Sep 3.
Halladay JR, Donahue KE, Hinderliter AL, Cummings DM, Cene CW, Miller CL, Garcia BA, Tillman J, DeWalt D; Heart Healthy Lenoir Research Team. The Heart Healthy Lenoir project--an intervention to reduce disparities in hypertension control: study protocol. BMC Health Serv Res. 2013 Oct 25;13:441. doi: 10.1186/1472-6963-13-441.
Related Links
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Summary information about the Heart Healthy Lenoir Project
Other Identifiers
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10-0395
Identifier Type: -
Identifier Source: org_study_id