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Improving Practice Patterns for the Treatment of Hypertension

US Department of Veterans Affairs (VA) logo

US Department of Veterans Affairs (VA)

Status

Completed

Conditions

Hypertension

Treatments

Behavioral: Hypertension Alert
Behavioral: Provider Education
Behavioral: Patient Education

Study type

Interventional

Funder types

Other U.S. Federal agency

Identifiers

NCT00265044
IMV 04-091

Details and patient eligibility

About

To improve the quality of hypertension care in our facility, while concurrently, examining the relative contribution of each aspect of a multi-factorial intervention designed to improve hypertension care.

Full description

This project was a randomized trial designed to examine the relative contribution of three quality improvement interventions of increasing intensity on BP control in veterans. Providers in each stratum and their eligible patients were randomized to one of three study arms. The providers randomized to the first arm received education alone, and were considered the controls. Providers randomized to the second arm received both provider education and a hypertension alert. The third arm included provider education, a hypertension alert, and patient education. Patients were eligible for inclusion if they were aged 21- 90 years and filled their medications with the VA pharmacies. Between July and December 2003, we determined patient eligibility using a search strategy using data from the Mid South Quality Improvement Data warehouse, which is downloaded monthly from Veterans' Health Information System and Technology Architecture (VistA).

Enrollment

1,300 estimated patients

Sex

All

Ages

21 to 90 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Patients were eligible for inclusion if they were aged 21- 90 years and filled their medications with the VA pharmacies. Seen in 2003 and had a primary care visit coded as hypertension using International Classification of Diseases Ninth Revision; Clinical Modification (ICD 9-CM) (24) of 401.1 or 401.9 and who were prescribed only one antihypertensive medication

Exclusion criteria

More than one antihypertensive medication Refuse consent to review medical record Pregnant Prisoners

Trial design

1,300 participants in 1 patient group

Arm 1
Other group
Treatment:
Behavioral: Patient Education
Behavioral: Hypertension Alert
Behavioral: Provider Education

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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