Addressing Antihypertensive Medication Adherence Through EHR-enabled Teamlets in Primary Care

NYU Langone Health

Status: Completed

Conditions: Medication Adherence; Blood Pressure

Treatments: Behavioral: Electronic Health Record (EHR) Enabled Teamlets

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05349422

R01HL156355 (U.S. NIH Grant/Contract)

21-00133

Details and patient eligibility

About

The study team will conduct a cluster randomized control trial in 10 NYU primary care practices to assess the effectiveness and implementation of the multicomponent intervention on medication adherence and blood pressure control for patients who are non-adherent to antihypertensive medications.

Enrollment: 1,726 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Individuals:

1. Age>18 years

2. Presence of Hypertension as defined by either:

   1. Blood pressure ≥140/90
   2. Hypertension diagnosis
   3. Prescription for at least one antihypertensive medication

3. Outpatient clinic visit in the NYULH between 06/1/2022 and 12/31/2025

MAs, PCPs, LPNs, and RNs:

1. A clinician from an NYULH ambulatory practice location.

   a. Eligible clinicians include physicians, medical assistants, licensed practical nurses, and registered nurses.

2. Adult patients during appointments with eligible clinicians

3. Age > 18 years

Exclusion criteria

1. Patients who decline to be observed.
2. The study team has no specific exclusion criteria for patients in chart review.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,726 participants in 2 patient groups

Intervention Group

Experimental group

Treatment:

Behavioral: Electronic Health Record (EHR) Enabled Teamlets

Usual Care Group

No Intervention group

Description:

Usual Care Clinical Decision Support (CDS) Tools