Treating to Target for Patients With Hypertension

University of California San Francisco (UCSF)

Status: Completed

Conditions: Hypertension

Treatments: Behavioral: Health coaching; Behavioral: Health coaching plus home titration

Study type: Interventional

Funder types: Other

Identifiers

NCT01013857

H40013-33128-02

Details and patient eligibility

About

Patients with poorly controlled hypertension will have improved hypertensive control with telephone coaching and with telephone coaching combined with home-titration of medications.

Full description

Patients with poorly controlled hypertension are randomized to a control arm which receives telephone coaching or an active arm which receives telephone coaching plus intensification of medications via telephone coaching with the coaches using treatment algorithms approved by the patients' physician. These patients' blood pressure control will be compared with usual care patients in a passive arm (chart review only).

Enrollment: 240 patients

Sex: All

Ages: 30+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 2 blood pressure readings above 145/90.

Exclusion criteria

• Cognitive impairment,
• Short life expectancy,
• Creatinine greater than 1.5,
• Inability to check blood pressures at home.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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240 participants in 2 patient groups

Health coaching

Active Comparator group

Description:

Phone patients every week to discuss medication adherence

Treatment:

Behavioral: Health coaching

Health coaching plus home-titration

Experimental group

Description:

Health coaches call patients every week to discuss medication adherence and to intensify medications if appropriate according to physician-created algorithm

Treatment:

Behavioral: Health coaching plus home titration