Status:

COMPLETED

A Behavioral Intervention To Improve Hypertension Control In Veterans

Lead Sponsor:

US Department of Veterans Affairs

Conditions:

Hypertension

Eligibility:

All Genders

21+ years

Phase:

NA

Brief Summary

The purpose of this study is to determine whether a stage-matched intervention (SMI) will lower BP and improve treatment adherence compared to usual care (UC) or a health education intervention (HEI) ...

Detailed Description

We propose a randomized controlled trial to evaluate the effect of telephone-delivered interventions (SMI and HEI) to improve BP control. Veterans with uncontrolled hypertension (n=533) will be rando...

Eligibility Criteria

Inclusion

  • Patients receiving continuity of care in the outpatient clinics will be eligible. This will be operationalized as 2 visits in the previous year.
  • Adults (= 21 years) with hypertension, on antihypertensive medication for = 1 year, and who have current uncontrolled BP will be enrolled.
  • Patients with CVD:
  • chronic stable angina
  • unstable angina
  • uncomplicated myocardial infarction
  • coronary artery bypass surgery
  • percutaneous coronary angioplasty
  • atherectomy or stent placement
  • chronic stable angina pectoris
  • stable Class I or Class II congestive heart failure
  • stroke
  • peripheral vascular disease
  • will be entered into the study if the CVD event or diagnosis occurred = 6 months ago.

Exclusion

  • Patients with limited life expectancy (\< 1 year) due to severe co-existing non-CVD disease such as:
  • terminal illnesses such as terminal cancer
  • CVD \< 6 months ago
  • Class III or IV CHF
  • severe psychiatric illness such as psychosis
  • manic depression
  • alcohol abuse (\> 21 drinks/week)
  • serious chronic conditions like AIDS
  • tuberculosis
  • lupus
  • and end-stage renal failure
  • will be excluded.
  • Other exclusions include inability to understand English
  • Lack of a landline telephone
  • Unable to follow the study protocol
  • Recent major surgery (\< 3 months)
  • Patients who are temporarily in the area and plan to move in \< 1 year or will not be available for follow-up
  • Those unable to provide informed consent.
  • All patients excluded and reason for exclusion will be recorded.
  • Prior to recruitment, each patient will be informed about the study and informed consent obtained.

Key Trial Info

Start Date :

July 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2011

Estimated Enrollment :

533 Patients enrolled

Trial Details

Trial ID

NCT00286754

Start Date

July 1 2006

End Date

September 1 2011

Last Update

June 1 2015

Active Locations (1)

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VA New York Harbor Health Care System

New York, New York, United States, 10010