Provider Skill Building for Engagement and Communication in Healthcare - Hypertension Management (REACH - HTN)

Duke University

Status: Invitation-only

Conditions: Patient-centered Care

Treatments: Other: REACH - Hypertension

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT07147075

R34HL174728 (U.S. NIH Grant/Contract)

Pro00115680

Details and patient eligibility

About

Brief Summary:

The study has three main goals: The first goal is to make a skills training program that improves how doctors talk with, listen to, and work with patients. The second goal is to make sure the process of collecting data and completing the program can be done. The third goal is to make sure the skills training program is feasible and acceptable for doctors.

Study Activities:

• Doctors will first complete a questionnaire and have their patients' appointments audio-recorded.
• Then they will go through the training program.
• After finishing the program, doctors will have more patient appointments audio-recorded.
• Then the doctors will complete questionnaires again and have an interview with the study team.

Enrollment: 180 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Doctor Cohort: Independently practicing physicians (MD, DO, PA, or NP)
• Doctor Cohort: Responsible for a panel of primary care adult patients in the Duke Primary Care clinic
• Patient Cohort: Receiving primary care from an enrolled DPC clinician at the enrolled DPC clinic
• Patient Cohort: Age at least 18 years
• Patient Cohort: Diagnosis of hypertension based on EHR ICD coding
• Patient Cohort: Able to complete a primary care encounter without an interpreter
• Patient Cohort: Able to use the study tablet for consent, data collection, and audio-recording a clinical encounter
• Patient Cohort, post-intervention: Not previously enrolled at any other timepoint
• EHR Cohort: Non-urgent patient encounters for enrolled clinicians 6 months pre intervention to 6 months post intervention completion

Exclusion criteria

• Doctor Cohort: Not an independently practicing physician (MD, DO, PA, or NP) at the enrolled Duke Primary Care clinic
• Patient Cohort: Previously enrolled at any other timepoint
• EHR Cohort: Urgent patient encounters

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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180 participants in 3 patient groups

Clinicians

Experimental group

Description:

Doctors will complete the program over 5-6 weeks, requiring a total of 3 hours.

Treatment:

Other: REACH - Hypertension

Patients

No Intervention group

Description:

Enrolled patients will be asked to audio-record their clinical encounter with their enrolled primary care provider and complete two surveys. No intervention will be administered to the enrolled patients.

EHR (Electronic Health Record) Cohort

No Intervention group

Description:

EHR data will be collected on all patients of enrolled doctors. These patients will not consent, and no Intervention will be administered