Evidence Synthesis: Hypertension Medication Adherence & Intensification
NCT00682968 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 20
Last updated 2017-06-06
Summary
Hypertension affects nearly 50 million Americans \[1\] and is the most common chronic condition among veterans. Unfortunately, many patients with established hypertension have poorly controlled blood pressure (BP); control rates in the VA are at approximately 70% currently. While clinician failure to aggressively manage hypertension through therapeutic intensification (clinical inertia, or failure to intensify pharmacotherapy appropriately) contributes to poor blood pressure control, even when doctors do intensify therapy, 43-78% of patients fail to adhere to recommended therapies, indicating that adherence remains a central problem in hypertension care. This suggests important opportunities for interventions to improve risk factor control by working through clinicians, their teams, or their delivery systems, as well as with patients, to address both patient adherence and clinical inertia.
Conditions
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Nancy R. Kressin, PhD · VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2008-07-20
- Primary Completion
- 2008-09-30
- Completion
- 2008-10-01
Countries
- United States
Study Locations
More Related Trials
-
Trial of Low and High Intensity Strategies to Maintain BP Control
NCT00760552 ·Status: COMPLETED ·Phase: NA
-
Evaluating Whether Treating Elevated Blood Pressure in the Inpatient Setting Impacts Patient Outcomes
NCT07208669 ·Status: RECRUITING ·Phase: NA
-
Improving Practice Patterns for the Treatment of Hypertension
NCT00265044 ·Status: COMPLETED ·Phase: NA
-
Self-management of Blood Pressure Medication for Hypertensive Veterans
NCT03224624 ·Status: COMPLETED ·Phase: NA
-
A Behavioral Intervention To Improve Hypertension Control In Veterans
NCT00286754 ·Status: COMPLETED ·Phase: NA
-
Medication Adherence in Hypertension Study
NCT00688350 ·Status: COMPLETED ·Phase: NA
-
Veteran Preference For Group Visits and Its Effect on Hypertension Outcomes
NCT00439816 ·Status: COMPLETED ·Phase: NA
-
Study to Lower Veterans BP: Patient/Physician Intervention
NCT00105716 ·Status: COMPLETED ·Phase: NA
-
Improving Adherence to Blood Pressure Guidelines
NCT00201019 ·Status: COMPLETED ·Phase: NA
-
Telehealth & Remote Measurement Technologies to Improve Medication Adherence in Hypertension
NCT01439256 ·Status: COMPLETED ·Phase: NA
-
Therapeutic Adherence in Uncontrolled Arterial Hypertension
NCT04464746 ·Status: COMPLETED ·Phase: NA
-
Implementing Evidence Based Treatment of Hypertension
NCT00265538 ·Status: COMPLETED ·Phase: NA
-
Medication Adherence and "True" Resistance in Patients With Resistant Hypertension
NCT02128386 ·Status: UNKNOWN
-
Hypertension: Prediction of Biofeedback Success
NCT00026065 ·Status: COMPLETED ·Phase: PHASE1
-
Impact of Computerized Reminders on Blood Pressure Documentation and Control
NCT01640704 ·Status: COMPLETED ·Phase: PHASE1
-
Working With Veterans Organizations to Improve Blood Pressure
NCT00571038 ·Status: COMPLETED ·Phase: NA
-
Home Blood Pressure Telemonitoring and Case Management to Control Hypertension
NCT00781365 ·Status: COMPLETED ·Phase: NA
-
IN CONTROL--Hypertension Reduction in Inner City Seattle
NCT00005698 ·Status: COMPLETED
-
Improving Hypertension Medication Adherence for Older Adults
NCT05610059 ·Status: COMPLETED ·Phase: NA
-
Ambulatory Blood Pressure and Behavior
NCT00005170 ·Status: COMPLETED
-
Using Stories to Address Disparities in Hypertension
NCT01276197 ·Status: COMPLETED ·Phase: NA
-
Clinician Counseling and Cultural Competency to Improve Hypertension Control and Therapy Adherence
NCT00201149 ·Status: COMPLETED ·Phase: NA
-
Measuring Adherence to Control Hypertension
NCT01257347 ·Status: COMPLETED ·Phase: NA
-
Evaluating the Use of a Remote Telehome Monitoring Hypertension Program for Patients Receiving Virtual Care
NCT05300503 ·Status: COMPLETED ·Phase: NA
-
Adherence Monitoring in Ambulatory Hypertensive Patients
NCT05215652 ·Status: COMPLETED