Status:
COMPLETED
Implementing Hypertension Screening Guidelines in Primary Care
Lead Sponsor:
Columbia University
Collaborating Sponsors:
Agency for Healthcare Research and Quality (AHRQ)
Weill Medical College of Cornell University
Conditions:
Hypertension,Essential
White Coat Hypertension
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The goal of this study is to use a cluster-randomized design (1:1 ratio) among 8 primary care clinics affiliated with New York-Presbyterian Hospital to test the effectiveness of a theory-informed mult...
Detailed Description
The goal of this study is to assess the effect of a multifaceted implementation strategy aimed at increasing adherence to the 2015 U.S. Preventive Services Task Force (USPSTF) recommendations for hype...
Eligibility Criteria
Inclusion
- Patient Inclusion Criteria (as per electronic medical records):
- Elevated blood pressure (BP) (systolic BP\>=140 mmHg or diastolic BP \>=90 mmHg) at a scheduled clinic visit with a primary care provider from a clinic that is participating in the study; if multiple BP readings were taken from a visit, then the average of the readings will be used
- Patient Exclusion Criteria (as per electronic medical records):
- Prior diagnosis of hypertension
- Prior diagnosis of white-coat hypertension
- Prior evaluation for white-coat hypertension by 24-hr ABPM or HBPM
- Prescribed antihypertensive medication
- Manual office BP \<140/90 mmHg
- Severely elevated BP (systolic BP\>=180 mmHg or diastolic BP\>=110 mmHg)
- Evidence of target-organ damage (chronic kidney disease, cardiovascular disease)
- Clinic
- Primary care clinics that are part of the New York-Presbyterian Hospital Ambulatory Care Network and were not part of implementation development
- Clinic
Exclusion
- Medical director of clinic declines to participate in cluster randomized trial
Key Trial Info
Start Date :
April 1 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 1 2022
Estimated Enrollment :
1186 Patients enrolled
Trial Details
Trial ID
NCT03480217
Start Date
April 1 2018
End Date
October 1 2022
Last Update
June 13 2025
Active Locations (2)
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1
Center for Behavioral Cardiovascular Health
New York, New York, United States, 10032
2
Weill Cornell Medical Center
New York, New York, United States, 10065