Hypertension
Conditions
Keywords
Hypertension, Team-based care, Collaboration, Healthcare professionals, Healthcare services
Brief summary
The purpose of this study is to determine whether a team-based care (TBC) intervention, combining physician, nurse and pharmacist care improves BP control compared to usual care at 6 months among outpatients with uncontrolled hypertension.
Interventions
BEHAVIORALTBC intervention
A structured collaborative intervention delivered by trained nurses of ambulatory clinics and by community pharmacists working in collaboration with physicians during 6-month of follow-up includes: * BP measurements; * an educational and counselling intervention on patient adherence; * an educational and counselling intervention on lifestyle (physical activity and diet) Physicians adjust antihypertensive medications based on nurse and pharmacist feedback.
Sponsors
University of Applied Sciences of Western Switzerland
Université du Québec à Trois-Rivières
McGill University
Centre Hospitalier Universitaire Vaudois
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* treated patients with uncontrolled hypertension (defined as daytime systolic/diastolic ambulatory blood pressure monitoring (ABPM) ≥135/85mmHg) taking one or two antihypertensive medications; * speak and understand French; * agree to use the same pharmacy's services for the whole duration of the study.
Exclusion criteria
* unable to understand the study aim; * pregnancy and lactating; * livimg in a nursing home; * hospitalization during the recruitment period; * participation in another study; * daytime ABPM\>180/110 mmHg.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in daytime ABPM at 6-month between TBC and usual care patients | 6-month | Difference in daytime ABPM at 6-month between TBC and usual care patients |
| Difference in the proportion of patients with controlled blood pressure (daytime ABPM <135/85 mmHg) at 6-month between TBC and usual care patients | 6-month | Difference in the proportion of patients with controlled blood pressure (daytime ABPM \<135/85 mmHg) at 6-month between TBC and usual care patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patients and healthcare professionals' acceptance and satisfaction with the TBC-intervention | 6-month | Patients and healthcare professionals' acceptance and satisfaction with the TBC-intervention |
| Difference in the proportion of TBC and usual care patients with controlled blood pressure (daytime ABPM <135/85 mmHg) at 12-month (6 months after intervention stopped) | 12-month | Difference in the proportion of TBC and usual care patients with controlled blood pressure (daytime ABPM \<135/85 mmHg) at 12-month (6 months after intervention stopped) |
Countries
Switzerland
Contacts
Primary ContactValerie Santschi, PhD
Backup ContactMichel Burnier, MD
Outcome results
None listed