Hypertension Circulatory System Essential (primary) hypertension
Conditions
Interventions
This is a randomised, single-centre trial of a telemetric home blood pressure monitoring service. This trial is also a qualitative study of a different model of service involving interviews and focus
Sponsors
Napier University (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Both males and females, aged over 18 years 2. On practices' hypertension registers 3. Last recorded surgery blood pressure over 150 mmHg systolic or 90 mmHg diastolic
Exclusion criteria
Exclusion criteria: 1. Secondary hypertension 2. Hypertension or renal disease being managed in secondary care 3. On practice stroke register 4. Treatment for cardiac event, or other life-threatening illness within the past 6 months or surgery within the last 3 months 5. Unable to consent 6. Unable to use self-monitoring equipment 7. Atrial fibrillation 8. Patients with diabetes will also be excluded from this trial because they have different blood pressure targets and excluding them will simplify the initial introduction of the home monitoring service for GPs and practice nurses 9. Pregnancy 10. Daytime ambulatory blood pressure <135/85 mmHg
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Average daytime systolic blood pressure at 6 months measured by ambulatory monitoring. | — |
Secondary
| Measure | Time frame |
|---|---|
| The following will be assessed at baseline and 6 months: 1. Average diastolic blood pressure 2. Serum cholesterol 3. Body mass index 4. Breath carbon monoxide 5. Spot urinary sodium/creatinine ratio 6. HbA1c 7. Self-reported alcohol intake and smoking 8. Anxiety and depression, assessed by the Hospital Anxiety and Depression (HAD) scale 9. Quality of life (Euroqol) 10. Self-efficacy and medication adherence 11. Grip strength 12. Self-reported exercise frequency 13. Self-reported exercise tolerance 14. Number of attendances at practice nurse, GP, accident and emergency and out of hours care 15. Prescriptions for anti-hypertensives taken from GP practice records 16. Number of telephone/email contacts with practice nurses and GPs 17. Health care providers' experiences and opinions of this service | — |
Countries
United Kingdom
Outcome results
None listed