Back to resultsTrial of a Nurse Led Hypertension Clinic in Inner City General Practices
Primary Purpose
Hypertension
Status
Completed
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
Nurse-led blood pressure clinic
Sponsored by
About this trial
This is an interventional health services research trial for Hypertension focused on measuring Hypertension, clinical trial, nurse-led clinic, primary care
Eligibility Criteria
Inclusion Criteria:
- Patients with last recorded blood pressure greater or equal to the British Hypertension Society audit standard
Exclusion Criteria:
- Secondary hypertension
- Housebound
- Non-English speaking
- Another major illness likely to dominate pattern of care e.g. advanced cancer, dementia
Sites / Locations
- St George's, University of London
Arms of the Study
Arm 1
Arm 2
Arm Type
No Intervention
Experimental
Arm Label
Usual care
Nurse-led blood pressure clinic
Arm Description
Patients not invited to the nurse-led clinic will continue with usual GP care
Patients randomly allocated to the intervention will be invited to a specialist nurse-led blood pressure clinic.
Outcomes
Primary Outcome Measures
Change in systolic blood pressure
This will be assessed using two audits of practice records where blood pressure was measured and recorded independently by practice staff
Secondary Outcome Measures
Proportion of patients in each group with final blood pressure below the British Hypertension Society optimal target
Full Information
NCT ID
NCT01101737
First Posted
April 9, 2010
Last Updated
April 9, 2010
Sponsor
St George's, University of London
1. Study Identification
Unique Protocol Identification Number
NCT01101737
Brief Title
Trial of a Nurse Led Hypertension Clinic in Inner City General Practices
Official Title
Evaluation of a Nurse-led Hypertension Clinic in Two Inner City General Practices: Randomised Controlled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
April 2010
Overall Recruitment Status
Completed
Study Start Date
February 2008 (undefined)
Primary Completion Date
December 2009 (Actual)
Study Completion Date
April 2010 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
St George's, University of London
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The investigators will do a trial in two general practices to see if the introduction of a blood pressure clinic staffed by a specialist nurse supported by visiting consultant improves blood pressure control compared to usual care.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertension
Keywords
Hypertension, clinical trial, nurse-led clinic, primary care
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
353 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Usual care
Arm Type
No Intervention
Arm Description
Patients not invited to the nurse-led clinic will continue with usual GP care
Arm Title
Nurse-led blood pressure clinic
Arm Type
Experimental
Arm Description
Patients randomly allocated to the intervention will be invited to a specialist nurse-led blood pressure clinic.
Intervention Type
Other
Intervention Name(s)
Nurse-led blood pressure clinic
Intervention Description
Blood pressure will be measured according to protocol.For patients with blood pressure above optimal targets, treatment changes will be discussed with the patient, a visiting consultant physician and the patient's GP. If they agree, the GP will intensify anti-hypertensive treatment with monthly follow up by the specialist nurse until BP targets are achieved.
Primary Outcome Measure Information:
Title
Change in systolic blood pressure
Description
This will be assessed using two audits of practice records where blood pressure was measured and recorded independently by practice staff
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Proportion of patients in each group with final blood pressure below the British Hypertension Society optimal target
Time Frame
6 months after recruitment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Patients with last recorded blood pressure greater or equal to the British Hypertension Society audit standard
Exclusion Criteria:
Secondary hypertension
Housebound
Non-English speaking
Another major illness likely to dominate pattern of care e.g. advanced cancer, dementia
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sally Dean, SRN
Organizational Affiliation
St George's, University of London
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Pippa Oakeshott, MD
Organizational Affiliation
St George's, University of London
Official's Role
Study Director
Facility Information:
Facility Name
St George's, University of London
City
London
ZIP/Postal Code
SW17 ORE
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
24356073
Citation
Dean SC, Kerry SM, Khong TK, Kerry SR, Oakeshott P. Evaluation of a specialist nurse-led hypertension clinic with consultant backup in two inner city general practices: randomized controlled trial. Fam Pract. 2014 Apr;31(2):172-9. doi: 10.1093/fampra/cmt074. Epub 2013 Dec 19.
Results Reference
derived
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Trial of a Nurse Led Hypertension Clinic in Inner City General Practices
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