None listed
Conditions
Brief summary
The purpose of this study is to find out whether an intervention including training of doctors, and using forms to collect and document necessary information and assessment on high blood pressure according to guidelines from patient and doctors will improve blood pressure control.
Interventions
This is a before-and-after study using clinical support tools and health care professional training. Assessments are done at 0-3 months post intervention for immediate effect of intervention and 3-6 months post interventions for sustainability of intervention.
The intervention package consists of :
1. A training session conducted by senior academicians to modify the primary care physicians' practice according to guidelines recommendations pre intervention
2. A quick reference guide summarisi
This is a before-and-after study using clinical support tools and health care professional training. Assessments are done at 0-3 months post intervention for immediate effect of intervention and 3-6 months post interventions for sustainability of intervention. The intervention package consists of : 1. A training session conducted by senior academicians to modify the primary care physicians' practice according to guidelines recommendations pre intervention 2. A quick reference guide summarising recommendations from the guideline to put on desktops as well as online on computers of each consultation room for easy access and reference for doctors throughout the study duration 3. At patient's first visit: (i) Patients have to fill self assessment forms prior to consultation with doctor (ii) Patients' anthropometric parameters (weight, height and waist circumference) are measured by nurses (iii) A personalized checklist for the doctors is placed in the patient's medical record to be utilized as a quick reference and reminder to the doctor on the essential parameters that are required for evaluation. The checklist includes documentation of cardiovascular risk factors and comorbidities, secondary causes, investigations ordered, target organ damage, patient's estimated cardiovascular risk, medications, BP measurement and physcical examination findings. (iv) Sets of investigations forms are placed in the medical records as reminder for doctors and for ease of administration 4. At patients' follow up visits at 3 to 6 months, a checklist is placed in the medical records that includes documentation of weight, blood pressure, investigations ordered, medications, presence of target organ damage and complications.
Sponsors
University of Malaya
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
No
Inclusion criteria
All primary care physician working at the Primary Care Clinic at the University Malaya Medical Centre (UMMC) who are treating the cohort of patients with hypertension from earlier phase of this study (patient with hypertension for at least a year and have been followed up at the Primary Care Clinic). Earlier phase of the study is a retrospective review of records and it is not registered as it is not an intervention trial. We have published a paper from earlier phase of the study : Liew et al.: Statins use is associated with poorer glycaemic control in a cohort of hypertensive patients with diabetes and without diabetes. Diabetology & Metabolic Syndrome 2014 6:53. doi:10.1186/1758-5996-6-53
Exclusion criteria
All primary care physician working at the Primary Care Clinic at the University Malaya Medical Centre (UMMC) who are not treating the cohort of patients with hypertension from earlier phase of the study
Outcome results
None listed