Ignite Creation Date:
2024-05-05 @ 11:07 AM
Last Modification Date:
2024-10-26 @ 9:05 AM
Study NCT ID:
NCT00005707
Status:
COMPLETED
Last Update Posted:
2015-12-10
First Post:
2000-05-25
Brief Title:
Improving Hypertension Care for Inner City Minorities
Sponsor:
Baylor College of Medicine
Organization:
Baylor College of Medicine
Study Overview
Official Title:
None
Status:
COMPLETED
Status Verified Date:
2015-12
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:
To improve long-term blood pressure BP control in a predominantly African-American low SES community of a large city
Detailed Description:
BACKGROUND
The study was in response to a demonstration and education initiative Improving Hypertensive Care for Inner City Minorities which was reviewed and approved by the Clinical Applications and Prevention Advisory Committee in April 1992 and by the National Heart Lung and Blood Advisory Council in May 1992 The Request for Applications was released in October 1992
DESIGN NARRATIVE
Components of the program included a community education campaign an educational intervention for private physicians and major modifications in the process of care for hypertensives in a health care system that was the largest single provider to the target area The intervention area was compared to a similar community in another part of the city which was served by different private and public providers Pre- and post-intervention random samples of persons ages 18-74 were selected from each geographical area to assess the effectiveness of the program in reducing the prevalence of uncontrolled hypertension The community intervention focused on improving awareness and need to maintain treatment The private physician intervention focused on strategies for promoting long-term patient adherence The public hospital clinicsystems components were 1 educating providers 2 instituting an evening clinic for the working poor 3 providing tailored patient education programs which were culturally sensitive and did not require class attendance and 4 implementing a program in the public hospital emergency center to identify and refer patients with undetected hypertension or hypertension not under regular care
Efforts including reminders and follow-up by community health center social workers were used to keep patients active in treatment programs The community intervention was directed by the co-investigator from Texas Southern University TSU an historically Black university located in the intervention area He had extensive experience in community outreach The intervention toward private physicians was directed by investigators from Baylor College of Medicine who had established clinical credibility in the physician community The investigators from Baylor also had direct supervision over the physicians who provided care in the Harris County Hospital District HCHD public health care system The HCHD was deeply committed to the project and had a high level of representation in all the planning phases
The study was in response to a demonstration and education initiative Improving Hypertensive Care for Inner City Minorities which was reviewed and approved by the Clinical Applications and Prevention Advisory Committee in April 1992 and by the National Heart Lung and Blood Advisory Council in May 1992 The Request for Applications was released in October 1992
DESIGN NARRATIVE
Components of the program included a community education campaign an educational intervention for private physicians and major modifications in the process of care for hypertensives in a health care system that was the largest single provider to the target area The intervention area was compared to a similar community in another part of the city which was served by different private and public providers Pre- and post-intervention random samples of persons ages 18-74 were selected from each geographical area to assess the effectiveness of the program in reducing the prevalence of uncontrolled hypertension The community intervention focused on improving awareness and need to maintain treatment The private physician intervention focused on strategies for promoting long-term patient adherence The public hospital clinicsystems components were 1 educating providers 2 instituting an evening clinic for the working poor 3 providing tailored patient education programs which were culturally sensitive and did not require class attendance and 4 implementing a program in the public hospital emergency center to identify and refer patients with undetected hypertension or hypertension not under regular care
Efforts including reminders and follow-up by community health center social workers were used to keep patients active in treatment programs The community intervention was directed by the co-investigator from Texas Southern University TSU an historically Black university located in the intervention area He had extensive experience in community outreach The intervention toward private physicians was directed by investigators from Baylor College of Medicine who had established clinical credibility in the physician community The investigators from Baylor also had direct supervision over the physicians who provided care in the Harris County Hospital District HCHD public health care system The HCHD was deeply committed to the project and had a high level of representation in all the planning phases
Study Oversight
Has Oversight DMC:
Is a FDA Regulated Drug?:
Is a FDA Regulated Device?:
Is an Unapproved Device?:
Is a PPSD?:
Is a US Export?:
Is an FDA AA801 Violation?:
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01HL051121 | NIH | None | httpsreporternihgovquickSearchR01HL051121 |