Ignite Creation Date:
2024-05-05 @ 11:59 AM
Last Modification Date:
2024-10-26 @ 9:18 AM
Study NCT ID:
NCT00201045
Status:
COMPLETED
Last Update Posted:
2014-03-27
First Post:
2005-09-12
Brief Title:
Team Management of High Blood Pressure
Sponsor:
University of Iowa
Organization:
University of Iowa
Study Overview
Official Title:
Collaborative Management of Hypertension
Status:
COMPLETED
Status Verified Date:
2007-12
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to test whether blood pressure control can be improved by physician education and feedback provided through the development of physicianpharmacist collaborative teams
Detailed Description:
BACKGROUND
The Healthy People 2010 target calls for controlled BP in 50 of the 50 million Americans with hypertension BP is currently controlled in only 27 of the population These population figures are in contrast to data from clinical trials efficacy in which BP has been controlled in 70 to 80 of study participants Poor BP control exists in spite of six sets of guidelines generated over the last 30 years in the United States While there are many causes for poor control several studies have found that physicians are frequently satisfied with uncontrolled BPs Numerous strategies exist to assist physicians with achieving better BP control but a consistent effective approach to solving the problem has not been found
DESIGN NARRATIVE
The objective of this study is to test whether BP control can be improved by physician education and feedback provided through the development of physicianpharmacist collaborative teams The rationale for this proposal is generated from studies demonstrating that physician knowledge quality of prescribing and attainment of treatment goals can be improved when physicians collaborate with clinical pharmacists Previous studies have suffered from insufficient sample size and controls and did not include a structured intervention This study will address these gaps in knowledge by conducting a randomized prospective study in 5 clinics 2 intervention and 3 control with 27 physicians who care for 180 patients with uncontrolled BP The structured intervention will involve clinical pharmacists who evaluate BP therapy and treatment strategies and make specific recommendations to the physician Patients will be seen at baseline and at 2 4 6 8 and 9 months at which time random zero BP measurements will be performed The specific aims of this study are 1 to determine if better BP control can be achieved by the use of physicianpharmacist teams that utilize physician education and feedback when compared to usual care 2 to determine if improvements in BP control are related to an increase in physician knowledge of and adherence to BP guidelines when they are involved in physicianpharmacist teams and 3 to determine if changes in BP control are associated with the level and scope of the physicianpharmacist relationships This model utilizes an innovative system approach to improve BP control This intervention has the potential to achieve marked improvements in BP control This model could become one additional strategy to help achieve the BP goals for Healthy People 2010
The Healthy People 2010 target calls for controlled BP in 50 of the 50 million Americans with hypertension BP is currently controlled in only 27 of the population These population figures are in contrast to data from clinical trials efficacy in which BP has been controlled in 70 to 80 of study participants Poor BP control exists in spite of six sets of guidelines generated over the last 30 years in the United States While there are many causes for poor control several studies have found that physicians are frequently satisfied with uncontrolled BPs Numerous strategies exist to assist physicians with achieving better BP control but a consistent effective approach to solving the problem has not been found
DESIGN NARRATIVE
The objective of this study is to test whether BP control can be improved by physician education and feedback provided through the development of physicianpharmacist collaborative teams The rationale for this proposal is generated from studies demonstrating that physician knowledge quality of prescribing and attainment of treatment goals can be improved when physicians collaborate with clinical pharmacists Previous studies have suffered from insufficient sample size and controls and did not include a structured intervention This study will address these gaps in knowledge by conducting a randomized prospective study in 5 clinics 2 intervention and 3 control with 27 physicians who care for 180 patients with uncontrolled BP The structured intervention will involve clinical pharmacists who evaluate BP therapy and treatment strategies and make specific recommendations to the physician Patients will be seen at baseline and at 2 4 6 8 and 9 months at which time random zero BP measurements will be performed The specific aims of this study are 1 to determine if better BP control can be achieved by the use of physicianpharmacist teams that utilize physician education and feedback when compared to usual care 2 to determine if improvements in BP control are related to an increase in physician knowledge of and adherence to BP guidelines when they are involved in physicianpharmacist teams and 3 to determine if changes in BP control are associated with the level and scope of the physicianpharmacist relationships This model utilizes an innovative system approach to improve BP control This intervention has the potential to achieve marked improvements in BP control This model could become one additional strategy to help achieve the BP goals for Healthy People 2010
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01HL069801 | NIH | None | httpsreporternihgovquickSearchR01HL069801 |