Status:

COMPLETED

Impact of Self-monitoring of Blood Pressure and Self-titration of Medication in the Control of Hypertension (ADAMPA)

Lead Sponsor:

Fundación para la Investigación del Hospital Clínico de Valencia

Collaborating Sponsors:

Spanish Clinical Research Network - SCReN

Carlos III Health Institute

Conditions:

Hypertension

Adjustment

Eligibility:

All Genders

40+ years

Phase:

NA

Brief Summary

The ADAMPA study is a pragmatic randomized clinical trial which aims to evaluate the effectiveness of an intervention based on self-monitoring and self-titration of medication in poorly controlled hyp...

Detailed Description

ADAMPA study. Objectives: To evaluate the comparative effectiveness of an intervention that includes educational components, self-monitoring of blood pressure and self-titration of antihypertensive me...

Eligibility Criteria

Inclusion

  • 40 years or older
  • Diagnosis of hypertension of any origin
  • Systolic blood pressure (SBP) \> 145 or diastolic blood pressure (DBP) \> 90 mm Hg at baseline
  • Voluntarily participation in the study and having signed the corresponding informed consent.

Exclusion

  • Inability to understand and/or perform self-adjustment of the medication, including dementia or significant cognitive impairment (at the discretion of the investigator performing the recruitment).
  • History of orthostatic hypotension (fall\> 20 mm Hg in SBP after adopting the orthostatic position).
  • SBP\> 200 or DBP\> 100 mm Hg on the baseline examination
  • Being on treatment with more than 4 antihypertensive drugs
  • Participation in another study on high blood pressure or in a clinical trial
  • Presence of tremor or neurological disease that makes it difficult to perform BP self-measurement.
  • Presence of arrhythmia
  • Presence of terminal illness
  • Chronic disability impeding to leave home
  • History of acute cardiovascular event in the last 3 months
  • Hypertension managed directly by specialist physicians outside the primary care setting.
  • Spouse selected for the study
  • Non-resident or transient patients
  • Pregnancy

Key Trial Info

Start Date :

July 21 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 25 2020

Estimated Enrollment :

366 Patients enrolled

Trial Details

Trial ID

NCT03242785

Start Date

July 21 2017

End Date

August 25 2020

Last Update

August 19 2021

Active Locations (1)

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Departamento de Salud Valencia Clínico Malvarrosa

Valencia, Spain

Impact of Self-monitoring of Blood Pressure and Self-titration of Medication in the Control of Hypertension (ADAMPA) | DecenTrialz