High Blood Pressure, Hypertension
Conditions
Brief summary
This study will utilize a three-phase approach that is informed by a theory-driven implementation framework to: 1) conduct a needs analysis in order to identify individual-, health care team-, and practice-level barriers and facilitators to conducting adherence counseling in safety-net primary care practices; 2) develop a virtual communication simulation designed to improve the quality of adherence counseling by allowing nurses repeated opportunities to practice discussing medication adherence with virtual patients; and 3) conduct a pilot study to evaluate the feasibility, acceptability and preliminary efficacy of the simulation on changes in: a) nurses' collaborative communication skills, b) medication adherence, and c) reduction in BP in a sample of 20 patients with uncontrolled hypertension (HTN) who are non-adherent to their medications.
Interventions
BEHAVIORALAudiotaped Counseling Session
Patients and nurses will complete audio taped counseling session at least 3 months following the baseline visit. Patients will rate quality of nurse communication skills
Sponsors
NYU Langone Health
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* PCPs and nurses will be enrolled if they fulfill the following criteria: 1. male or female healthcare provider (MD/DO, NP, and Registered Nurse) practicing at the clinic 2. age 18 years or older. No exclusions will be made based on provider race/ethnic origin. We will oversample males to examine differential communication skills based on gender. * Patient eligibility criteria include: 1. receiving care at the participating clinic 2. having uncontrolled HTN (BP\>140/90 mmHg) at two visits in the past year 3. being prescribed at least one antihypertensive medication and are non-adherent 4. are ≥age 18 years 5. fluent in English
Exclusion criteria
* Unable to give consent * Have a diagnosis of cognitive dysfunction or significant psychiatric comorbidity, * Participating in another HTN-related study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility measured by documenting total available and eligible nurses and patients approached to enroll 1 participant through final study visit | 6 Months |
| Acceptability measured by % of nurses who complete the simulation | 6 Months |
Countries
United States
Outcome results
None listed