scholarly journals Effect of a Physician Uncertainty Reduction Intervention on Blood Pressure in Uncontrolled Hypertensives—A Cluster Randomized Trial

2011 ◽  
Vol 27 (4) ◽  
pp. 413-419 ◽  
Author(s):  
David J. Hyman ◽  
Valory N. Pavlik ◽  
Anthony J. Greisinger ◽  
Wenyaw Chan ◽  
Jose Bayona ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Uncertainty Reduction ◽  
Physician Uncertainty ◽  
Cluster Randomized

Abstract P494: Long-term Outcomes of a Cluster-randomized Trial Testing the Effects Blood Pressure Telemonitoring and Pharmacist Management

Hypertension ◽  
2017 ◽  
Vol 70 (suppl_1) ◽  
Author(s):  
Karen L Margolis ◽  
Stephen E Asche ◽  
Anna R Bergdall ◽  
Steven P Dehmer ◽  
Beverly B Green ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Trial ◽  
Clinical Care ◽  
Cluster Randomized Trial ◽  
Home Blood Pressure ◽  
Uncontrolled Hypertension ◽  
Routine Clinical Care ◽  
Differential Reduction ◽  
Cluster Randomized

Background/Aims: Hypertension is a common condition and leading cause of cardiovascular disease. We previously reported results of a cluster-randomized trial evaluating a home blood pressure (BP) telemonitoring and pharmacist management intervention, with significant reductions in BP favoring the intervention arm over 18 months. This analysis examined the durability of the intervention effect on BP through 54 months of follow-up and compared BP measurements performed in the research clinic and in routine clinical care. Methods: The Hyperlink trial randomized 16 primary care clinics having 450 study-enrolled patients with uncontrolled hypertension to either Telemonitoring Intervention (TI) or usual care (UC) study arms. BP was measured as the mean of 3 measurements obtained at each research clinic visit. General linear mixed models utilizing a direct likelihood-based ignorable approach for missing data were used to examine change from baseline to 54 months in systolic and diastolic BP (SBP and DBP). Results: Research clinic BP measurements were obtained from 326 (72%) study patients at the 54 month follow-up visit. Routine clinical care BP measurements were obtained from 444 (99%) of study patients from 7025 visits during the follow-up period. For TI patients, based on research clinic measurements baseline SBP was 148.2 mm Hg and 54 month follow-up was 131.2 mm Hg (-17.0 mm Hg, p<.001). For UC patients, baseline SBP was 147.7 mm Hg and 54 month follow-up was 131.7 mm Hg ( -16.0 mm Hg, p<.001). The differential reduction by study arm in SBP from baseline to 54 months was -1.0 mm Hg (95% CI: -5.4 to 3.4, p=0.63). For TI patients, baseline DBP was 84.4 mm Hg and 54 month follow-up was 77.8 (-6.6 mm Hg, p<.001). For UC patients, baseline DBP was 85.1 mm Hg and 54 month follow-up was 79.1 mm Hg (-6.0 mm Hg, p<.001). The differential reduction by study arm in DBP from baseline to 54 months was -0.6 mm Hg (95% CI: -3.5 to 2.4, p=0.67). SBP and DBP results from routine clinical measurements closely approximated the pattern of results from research clinic measurements. Conclusion: Significant BP reductions in the TI arm relative to UC were no longer seen at 54 month follow-up. To maintain intervention benefits over a longer period of time additional intervention is needed.

scholarly journals Long-Term Outcomes of a Cluster-Randomized Trial Testing the Effects of Blood Pressure Telemonitoring and Pharmacist Management

2017 ◽  
Vol 4 (3) ◽  
pp. 166
Author(s):  
Stephen Asche ◽  
Anna Bergdall ◽  
Steven Dehmer ◽  
Beverly Green ◽  
JoAnn Sperl-Hillen ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Long Term Outcomes ◽  
Trial Testing ◽  
Cluster Randomized

Rationale, design, and implementation of a cluster randomized trial using certified diabetes educators to intensify treatment for glycemia, blood pressure and lipid control: REMEDIES 4D

2014 ◽  
Vol 39 (1) ◽  
pp. 124-131 ◽  
Author(s):  
Janice C. Zgibor ◽  
Shihchen Kuo ◽  
Sharlene Emerson ◽  
Patricia Gittinger ◽  
Francis X. Solano ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Design And Implementation ◽  
Lipid Control ◽  
Cluster Randomized ◽  
Diabetes Educators

scholarly journals Design and rationale for Home Blood Pressure Telemonitoring and Case Management to Control Hypertension (HyperLink): A cluster randomized trial

2012 ◽  
Vol 33 (4) ◽  
pp. 794-803 ◽  
Author(s):  
Karen L. Margolis ◽  
Tessa J. Kerby ◽  
Stephen E. Asche ◽  
Anna R. Bergdall ◽  
Michael V. Maciosek ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Case Management ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Home Blood Pressure ◽  
Cluster Randomized

scholarly journals A cluster-randomized trial of task shifting and blood pressure control in Ghana: study protocol

2014 ◽  
Vol 9 (1) ◽  
Author(s):  
Gbenga Ogedegbe ◽  
Jacob Plange-Rhule ◽  
Joyce Gyamfi ◽  
William Chaplin ◽  
Michael Ntim ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Trial ◽  
Blood Pressure Control ◽  
Study Protocol ◽  
Cluster Randomized Trial ◽  
Pressure Control ◽  
Task Shifting ◽  
Cluster Randomized

scholarly journals A Cluster Randomized Trial to Evaluate Physician/Pharmacist Collaboration to Improve Blood Pressure Control

2008 ◽  
Vol 10 (4) ◽  
pp. 260-271 ◽  
Author(s):  
Barry L. Carter ◽  
George R. Bergus ◽  
Jeffrey D. Dawson ◽  
Karen B. Farris ◽  
William R. Doucette ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Trial ◽  
Blood Pressure Control ◽  
Cluster Randomized Trial ◽  
Pressure Control ◽  
Improve Blood Pressure Control ◽  
Cluster Randomized
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