Hypertension
Conditions
Brief summary
The Telephone-Based Patient Outreach to Improve Home Blood Pressure Monitoring (HBPM) in Chronic Hypertension study is a pragmatic, randomized, open-label quality improvement implementation trial designed to evaluate the effectiveness of a structured telephone outreach intervention in increasing the proportion of patients with chronic hypertension who present to clinic visits with a completed home blood pressure log compared to the receipt of usual primary care services over a 90-day period. The study aims to address the inconsistent integration of HBPM-an evidence-based strategy endorsed by major guidelines to improve diagnostic accuracy and longitudinal management-into routine primary care workflows where no standardized educational or documentation process currently exists. Patients with documented chronic uncontrolled hypertension, defined as three documented readings exceeding 130/80 mmHg, are eligible for participation. Typically, patients at this academic primary care practice lack a standardized process for receiving education on home monitoring or a dedicated mechanism for documenting logs, which can lead to therapeutic inertia and missed opportunities to optimize treatment. The intervention is designed around a structured telephone outreach program led by medical students using a standardized script to provide direct patient education on the clinical value of HBPM and to encourage the completion and presentation of BP logs during subsequent primary care visits.
Interventions
OTHERA structured, telephone-based educational outreach to encourage HBPM
Telephone-based educational outreach to encourage HBPM
Sponsors
AdventHealth
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients must have a documented diagnosis of chronic uncontrolled hypertension * "Uncontrolled" was defined as having three documented blood pressure readings exceeding 130/80 mmHg within the electronic health record.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HBPM Log Adherence | Adherence was measured at follow-up within a 90-day window of the intervention. | The primary outcome was the proportion of patients with a documented home blood pressure log in the electronic health record (EHR). A "documented log" was operationally defined as any notation in the medical record indicating that a patient presented with, reported, or submitted home blood pressure readings, whether through a scanned paper log, free-text documentation in a clinical note, or an entry in a structured data field |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Blood Pressure | The most recent follow-up measurement recorded within a 90-day window of the intervention. | The secondary outcomes consisted of the mean change in both systolic and diastolic blood pressure. These clinical metrics were selected to evaluate the impact of the HBPM intervention on objective blood pressure control |
Countries
United States
Outcome results
None listed