Hypertension
Conditions
Brief summary
Patients with poorly controlled hypertension will have improved hypertensive control with telephone coaching and with telephone coaching combined with home-titration of medications.
Detailed description
Patients with poorly controlled hypertension are randomized to a control arm which receives telephone coaching or an active arm which receives telephone coaching plus intensification of medications via telephone coaching with the coaches using treatment algorithms approved by the patients' physician. These patients' blood pressure control will be compared with usual care patients in a passive arm (chart review only).
Interventions
BEHAVIORALHealth coaching
Calling patients every week to discuss medication adherence
BEHAVIORALHealth coaching plus home titration
Calling patients every week and intensifying medications if appropriate based on physician-created algorithm
Sponsors
Kaiser Permanente
University of California, San Francisco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
30 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 2 blood pressure readings above 145/90.
Exclusion criteria
* Cognitive impairment, * Short life expectancy, * Creatinine greater than 1.5, * Inability to check blood pressures at home.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Systolic blood pressure | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Diastolic blood pressure | 6 months |
Countries
United States
Outcome results
None listed