Controlling Hypertension Outcomes by Improved Communication & Engagement
| Status: | Active, not recruiting |
|---|---|
| Conditions: | High Blood Pressure (Hypertension), Neurology |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Neurology |
| Healthy: | No |
| Age Range: | 18 - 99 |
| Updated: | 4/21/2016 |
| Start Date: | September 2009 |
| End Date: | January 2017 |
Controlling Hypertension Outcomes by Improved Communication & Engagement (CHOICE)
This randomized control study tested the feasibility of two communication enhancement
interventions: one with veterans who had a stroke and demonstrated poorly controlled
hypertension; the other with VA primary care providers who provided routine outpatient
medical care to these veterans. This study intervened with both members of the
provider-patient dyad in an attempt to improve the self-management of hypertension by
improving communication during visits to the VA outpatient clinic, specifically by enabling
veterans to communicate their questions and concerns about chronic disease self-management
to their providers more effectively, and to help providers improve their ability to
communicate more effectively with this population of veterans.
interventions: one with veterans who had a stroke and demonstrated poorly controlled
hypertension; the other with VA primary care providers who provided routine outpatient
medical care to these veterans. This study intervened with both members of the
provider-patient dyad in an attempt to improve the self-management of hypertension by
improving communication during visits to the VA outpatient clinic, specifically by enabling
veterans to communicate their questions and concerns about chronic disease self-management
to their providers more effectively, and to help providers improve their ability to
communicate more effectively with this population of veterans.
The communication intervention had two goals; (a) coaching to enhance veteran's abilities to
communicate their questions and concerns about self-management for hypertension to their
physician; and (b) improving provider's communication skills for enhancing and encouraging
self-management of hypertension.
A health educator met with each participating veteran in the intervention arm prior to the
2nd visit to develop a plan for enhancing communication about self-management of
hypertension.
The PI provided the Four Habits communication training to the 5 primary care providers in
the intervention arm. Two clinic visits between each participating provider-patient pair
were videotaped and coded.
This project had a goal of enrolling 10 VA primary care providers to participate in the
randomized control trial and 30 veterans (3 veterans from the panel of each of the 10
participating providers) who had a stroke and now demonstrated poorly controlled
hypertension. The study evaluated the difference between the two groups, and compared the
content of the provider-patient conversations around hypertension management.
communicate their questions and concerns about self-management for hypertension to their
physician; and (b) improving provider's communication skills for enhancing and encouraging
self-management of hypertension.
A health educator met with each participating veteran in the intervention arm prior to the
2nd visit to develop a plan for enhancing communication about self-management of
hypertension.
The PI provided the Four Habits communication training to the 5 primary care providers in
the intervention arm. Two clinic visits between each participating provider-patient pair
were videotaped and coded.
This project had a goal of enrolling 10 VA primary care providers to participate in the
randomized control trial and 30 veterans (3 veterans from the panel of each of the 10
participating providers) who had a stroke and now demonstrated poorly controlled
hypertension. The study evaluated the difference between the two groups, and compared the
content of the provider-patient conversations around hypertension management.
Inclusion Criteria:
Veteran:
- Veteran is a patient of the enrolled provider
- History of prior stroke
- Poorly controlled hypertension with at least one measurement >140/90 mm Hg in the
past 12 months
- Complete a 6-item screen for cognitive and language impairment with a score of 3 or
higher
- Sign the VA Media consent for use of picture and/or voice
Provider:
- Primary care provider, Medicine Service
- Sign VA media consent for use of picture and/or voice
Exclusion Criteria:
- Life expectancy is less than 6 months
- Non-English language patients
- Inability to provide informed consent
We found this trial at
2
sites
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