Efficiency of Monitoring and Control Program of Hypertension Through Pharmacy Offices. APOF Project

Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

Status: Completed

Conditions: Hypertension

Treatments: Other: Measurement of Arterial Pressure

Study type: Interventional

Funder types: Other

Identifiers

NCT02032472

APOF_IDIAP

Details and patient eligibility

About

Background: Hypertension in adults is the factor most prevalent cardiovascular risk and motivates further inquiries, generating a very high cost of medical care.

Objective: To evaluate the monitoring of well-controlled hypertensive patients Pharmacy Offices. Hypothesis: the monitoring of these patients through the Office of Pharmacy will be as effective in obtaining good control of blood pressure as it is to obtained through health centers. Design: Multicenter randomized controlled trial along one year of follow up. Location: the city of Cerdanyola del Vallès (Barcelona). Participants: All patients diagnosed with hypertension and good control criteria in the past year. Arms: Health centers (control) and Pharmacy Offices (intervention). Outcome variable: blood pressure under good control along the monitoring

Enrollment: 677 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age not less than 18 years
• HTA controlled over 2 years of evolution
• Subjects with a history open to participating health centers or stable residence in the geographic area
• Subjects who agree to participate

Exclusion criteria

• Comorbidity and concomitant (Diabetes Mellitus, Heart failure or renal failure
• Patients with temporary residence in the geographic area of study
• Subjects of hypertension controlled by outside professionals to our primary care teams.
• Subjects with home care or any other cause which does not permit their displacement, transfer to the clinic or pharmacy during the evaluation period.
• Subjects with severe diseases of poor prognosis, hopefully less than one year of life.
• Subjects who do not have telephones.
• Subjects with communication problems (cognitive impairment, sensory, language barrier)

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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677 participants in 2 patient groups

Health Center (usual practice)

No Intervention group

Description:

Controlling arterial pressure in the health center (a common practice is carried out)

Collaboration of pharmacies

Experimental group

Description:

Pharmacies cooperate in Measurement of Arterial Pressure of patients

Treatment:

Other: Measurement of Arterial Pressure