Improving Care for Patients With High Blood Pressure
| Status: | Completed |
|---|---|
| Conditions: | High Blood Pressure (Hypertension), Peripheral Vascular Disease |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 10/21/2012 |
| Start Date: | September 2011 |
| End Date: | August 2014 |
| Contact: | Cassandra Miller, MPH |
| Email: | cassiem@email.unc.edu |
| Phone: | 919-966-9812 |
Heart Healthy Lenoir: Improving Care for Patients With High Blood Pressure
The investigators are conducting a single group intervention study to improve blood pressure
control and reduce racial and literacy related disparities among people with hypertension.
The intervention includes providing patients with home blood pressure monitors,
administering phone-coaching to participants, and improving hypertension care at the
participating practices from which patients are enrolled. The investigators will follow the
patients for 2 years to determine if blood pressure control improves. In addition, the
project will explore genetic factors associated with cardiovascular disease risk and
treatment success.
Inclusion Criteria:
- Men and women who meet the following inclusion criteria will be eligible for study
participation:
- 18 years or older,
- Able and willing to give informed consent,
- A current patient of 1 of the 5 participating practices,
- Have a current diagnosis of hypertension by their primary care physician or have 3
documented blood pressures above 150/90,
- Their most recent systolic blood pressure was greater than or equal to 150 at their
most recent clinic visit,
- Receive physician approval to participate in the study.
- Anyone enrolled in the High Blood Pressure study is eligible to participate in the
genomics component of the project.
Exclusion Criteria:
- non-English speaking,
- current treatment of psychosis,
- diagnosed with advanced dementia as determined by the clinician,
- current substance abuse,
- lack of phone access,
- history of malignancy, other than non-melanoma skin cancer, that has not been in
remission or cured surgically for > 5 years,
- estimated creatinine clearance less than 30 ml/min (because hypertension management
becomes more complicated at this point),
- are pregnant.
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