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Effect of a Secure Message Reminder on Hypertension Follow-up at an Integrated Health Care System

Primary Purpose

Hypertension

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Secure message reminder
Sponsored by
Kaiser Permanente
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Hypertension focused on measuring hypertension

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Member of Kaiser Permanente Georgia Pharmacy Cardiac Risk Service (PCRS)
  • 18-75 years of age
  • Enrolled in http://kp.org
  • Most recent documented blood pressure is greater than or equal to 140/90 mmHg

Exclusion Criteria:

  • Most recent documented blood pressure is greater than or equal to 180/110 mmHg

Sites / Locations

  • Kaiser Permanente Georgia

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Active Comparator

Arm Label

Routine Care

Secure message reminder

Arm Description

Routine care, no intervention

Will receive a secure message reminder asking subjects to schedule an appointment with their provider or make a nurse visit to follow-up on their blood pressure

Outcomes

Primary Outcome Measures

Appointment with new blood pressure reading
Percentage of patients who complete an appointment with a new documented blood pressure reading within six weeks after distributing the secure message reminder

Secondary Outcome Measures

New appointment with new blood pressure reading
Existing appointment kept with new blood pressure reading
Change in antihypertensive regimen

Full Information

First Posted
September 24, 2013
Last Updated
September 24, 2013
Sponsor
Kaiser Permanente
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1. Study Identification

Unique Protocol Identification Number
NCT01952119
Brief Title
Effect of a Secure Message Reminder on Hypertension Follow-up at an Integrated Health Care System
Official Title
Effect of a Secure Message Reminder on Hypertension Follow-up at an Integrated Health Care Delivery System
Study Type
Interventional

2. Study Status

Record Verification Date
September 2013
Overall Recruitment Status
Completed
Study Start Date
October 2011 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
June 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kaiser Permanente

4. Oversight

5. Study Description

Brief Summary
This study will assess whether adding a secure message reminder to routine care improves the percentage of patients who complete a follow-up appointment with a new, documented blood pressure reading.
Detailed Description
Hypertension is one of the leading risk factors for cardiovascular disease. Optimizing blood pressure management can help prevent adverse cardiovascular outcomes. The National Committee for Quality Assurance (NCQA) defines blood pressure control as less than 140/90 mmHg. Per this definition, less than half of Americans with hypertension are considered controlled. Literature has been published describing several ways of improving blood pressure management, but results have been variable.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertension
Keywords
hypertension

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
182 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Routine Care
Arm Type
No Intervention
Arm Description
Routine care, no intervention
Arm Title
Secure message reminder
Arm Type
Active Comparator
Arm Description
Will receive a secure message reminder asking subjects to schedule an appointment with their provider or make a nurse visit to follow-up on their blood pressure
Intervention Type
Other
Intervention Name(s)
Secure message reminder
Intervention Description
Single secure message reminder asking subjects to schedule an appointment with their provider or make a nurse visit to follow-up on their blood pressure
Primary Outcome Measure Information:
Title
Appointment with new blood pressure reading
Description
Percentage of patients who complete an appointment with a new documented blood pressure reading within six weeks after distributing the secure message reminder
Time Frame
6 weeks
Secondary Outcome Measure Information:
Title
New appointment with new blood pressure reading
Time Frame
6 weeks
Title
Existing appointment kept with new blood pressure reading
Time Frame
6 weeks
Title
Change in antihypertensive regimen
Time Frame
6 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Member of Kaiser Permanente Georgia Pharmacy Cardiac Risk Service (PCRS) 18-75 years of age Enrolled in http://kp.org Most recent documented blood pressure is greater than or equal to 140/90 mmHg Exclusion Criteria: Most recent documented blood pressure is greater than or equal to 180/110 mmHg
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alina Kuo, PharmD
Organizational Affiliation
Kaiser Permanente Georgia
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kaiser Permanente Georgia
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30305
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
20238338
Citation
Glynn LG, Murphy AW, Smith SM, Schroeder K, Fahey T. Interventions used to improve control of blood pressure in patients with hypertension. Cochrane Database Syst Rev. 2010 Mar 17;(3):CD005182. doi: 10.1002/14651858.CD005182.pub4.
Results Reference
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Effect of a Secure Message Reminder on Hypertension Follow-up at an Integrated Health Care System

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