Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2015 Dec;170(6):1202-10.
doi: 10.1016/j.ahj.2015.08.022. Epub 2015 Sep 12.

Blood Pressure Visit Intensification Study in Treatment: Trial design

Affiliations
Randomized Controlled Trial

Blood Pressure Visit Intensification Study in Treatment: Trial design

Kevin Fiscella et al. Am Heart J. 2015 Dec.

Abstract

Background: There is a presumption that, for patients with uncontrolled blood pressure (BP), early follow-up, that is, within 4 weeks of an elevated reading, improves BP control. However, data are lacking regarding effective interventions for increasing clinician frequency of follow-up visits and whether such interventions improve BP control.

Methods/design: Blood Pressure Visit Intensification Study in Treatment involves a multimodal approach to improving intensity of follow-up in 12 community health centers using a stepped wedge study design.

Discussion: The study will inform effective interventions for increasing frequency of follow-up visits among patients with uncontrolled BP and determine whether increasing follow-up frequency is associated with better BP control.

Trial registration: ClinicalTrials.gov NCT02164331.

PubMed Disclaimer

Conflict of interest statement

Competing interests

The authors declare that they have no competing interests with this research project.

Figures

Figure 1
Figure 1
Timing of stepped wedges (the intervention) for BP VISIT
Figure 2
Figure 2
The 5As: Engaging patients in collaborative partnerships for improving BP control.

References

    1. National Center for Health Statistics CDC. Health, United States, 2012. Hyattsville, MD: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2013.
    1. Kit BK, Ogden CL, Flegal KM. Prescription medication use among normal weight, overweight, and obese adults, United States, 2005–2008. Ann Epidemiol. 2008;22:112–9. - PubMed
    1. Chobanian AV, Bakris GL, Black HR, et al. Seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension. 2003;42:1206–52. - PubMed
    1. Wong MD, Shapiro MF, Boscardin WJ, et al. Contribution of major diseases to disparities in mortality. N Engl J Med. 2002;347:1585–92. - PubMed
    1. Mozaffarian D, Benjamin EJ, Go AS, et al. Executive summary: heart disease and stroke statistics—2015 update. A report from the American Heart Association. Circulation. 2015;131:434–41. - PubMed

Publication types

Substances

Associated data