A Team-Based Care for Hypertension Management (TBC-HTA)

Vaud University Hospital Center

Status: Unknown

Conditions: Hypertension

Treatments: Behavioral: TBC intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT02511093

449/13

Details and patient eligibility

About

The purpose of this study is to determine whether a team-based care (TBC) intervention, combining physician, nurse and pharmacist care improves BP control compared to usual care at 6 months among outpatients with uncontrolled hypertension.

Enrollment: 110 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• treated patients with uncontrolled hypertension (defined as daytime systolic/diastolic ambulatory blood pressure monitoring (ABPM) ≥135/85mmHg) taking one or two antihypertensive medications;
• speak and understand French;
• agree to use the same pharmacy's services for the whole duration of the study.

Exclusion criteria

• unable to understand the study aim;
• pregnancy and lactating;
• livimg in a nursing home;
• hospitalization during the recruitment period;
• participation in another study;
• daytime ABPM>180/110 mmHg.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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110 participants in 2 patient groups

TBC intervention

Experimental group

Description:

A structured collaborative intervention delivered by trained nurses of ambulatory clinics and by community pharmacists working in collaboration with physicians during 6-month of follow-up includes: * BP measurements; * an educational and counselling intervention on patient adherence; * an educational and counselling intervention on lifestyle (physical activity and diet). Physicians adjust antihypertensive medications based on nurse and pharmacist feedback.

Treatment:

Behavioral: TBC intervention

Usual care

No Intervention group