Status:

COMPLETED

Improving Adherence to Blood Pressure Guidelines

Lead Sponsor:

University of Iowa

Collaborating Sponsors:

National Heart, Lung, and Blood Institute (NHLBI)

Conditions:

Hypertension

Eligibility:

All Genders

21+ years

Phase:

NA

Brief Summary

The purpose of this study is to evaluate the impact of physician/pharmacist collaborative teams on hypertension guideline adherence for patients with uncontrolled hypertension in six family medicine p...

Detailed Description

BACKGROUND: Hypertension is a prevalent chronic condition that, if left untreated, can lead to significant cardiovascular morbidity and premature mortality. There are established, evidence-based guid...

Eligibility Criteria

Inclusion

  • Inclusion Criteria for Phase II:
  • Poorly controlled blood pressure based on clinic blood pressures
  • Males or females, over 21 years of age
  • Taking zero to three BP medications with no change in the regimen or dose within the past 4 weeks
  • Have established medical care at the Family Medicine Clinic
  • Nondiabetic patients with clinic BP values (average of the last three clinic readings during the previous 12 months) of 140 to 179 mm Hg systolic BP or 90 to 109 mm Hg diastolic BP, or diabetic patients with clinic BP values of 130 to 179 systolic or 80 to 109 diastolic
  • Exclusion Criteria for Phase II:
  • Stage 3 hypertension (BPs greater than 180/110 mm Hg), or any evidence of hypertensive urgency or emergency
  • Recent myocardial infarction or stroke (within the past 6 months prior to enrollment)
  • New York Heart Association Class III or IV congestive heart failure
  • Unstable angina
  • Serious renal or hepatic disease, including greater than or equal to 1 gram of proteinuria per day
  • Pregnancy
  • Poor prognosis with a life expectancy estimated at less than 3 years
  • Dementia or cognitive impairment

Exclusion

    Key Trial Info

    Start Date :

    August 1 2003

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    July 1 2009

    Estimated Enrollment :

    623 Patients enrolled

    Trial Details

    Trial ID

    NCT00201019

    Start Date

    August 1 2003

    End Date

    July 1 2009

    Last Update

    December 2 2015

    Active Locations (1)

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    1

    University of Iowa College of Pharmacy

    Iowa City, Iowa, United States, 52242