Trial Outcomes & Findings for Interactive Spaced Education to Optimize Hypertension Management (NCT NCT00904007)

Results Overview

A unique hypertensive period served as the unit of analysis. A hypertensive period started on the first day during the study when a patient's BP was elevated. It ended on the first subsequent day when it was \<140/90 mm Hg or on the last day BP was recorded during the study. Duration of the hypertensive period (days) was the outcome measure. BP measurements obtained in the course of routine care were used to ascertain study outcomes, whether obtained by the PCP or at other clinic visits. These measurements were obtained from structured data (ie, BP recordings in the electronic medical record) and natural language processing of provider notes as previously described. If several measurements were recorded on the same day, the lowest mean arterial BP was used.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

111 participants

Primary outcome timeframe

Months 1-24

Results posted on

2019-02-05

Participant Flow

Participant milestones

Participant milestones
Measure	SE Game Cohort SE game clinicians were e-mailed one question every 3 days. Adaptive game mechanics re-sent questions in 12 or 24 days if answered incorrectly or correctly, respectively. Clinicians retired questions by answering each correctly twice consecutively. Posting of relative performance among peers fostered competition.	Control Cohort Control clinicians received identical educational content in an online posting with email reminders.
Overall Study STARTED	55	56
Overall Study COMPLETED	55	56
Overall Study NOT COMPLETED	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Interactive Spaced Education to Optimize Hypertension Management

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	SE Game Cohort n=55 Participants SE game clinicians were e-mailed one question every 3 days. Adaptive game mechanics re-sent questions in 12 or 24 days if answered incorrectly or correctly, respectively. Clinicians retired questions by answering each correctly twice consecutively. Posting of relative performance among peers fostered competition.	Control Cohort n=56 Participants Control clinicians received identical educational content in an online posting with email reminders.	Total n=111 Participants Total of all reporting groups
Age, Continuous	50.5 years STANDARD_DEVIATION 9.7 • n=99 Participants	53.1 years STANDARD_DEVIATION 8.5 • n=107 Participants	51.8 years STANDARD_DEVIATION 9.2 • n=206 Participants
Sex: Female, Male Female	35 Participants n=99 Participants	38 Participants n=107 Participants	73 Participants n=206 Participants
Sex: Female, Male Male	20 Participants n=99 Participants	18 Participants n=107 Participants	38 Participants n=206 Participants

PRIMARY outcome

Timeframe: Months 1-24

A unique hypertensive period served as the unit of analysis. A hypertensive period started on the first day during the study when a patient's BP was elevated. It ended on the first subsequent day when it was \<140/90 mm Hg or on the last day BP was recorded during the study. Duration of the hypertensive period (days) was the outcome measure. BP measurements obtained in the course of routine care were used to ascertain study outcomes, whether obtained by the PCP or at other clinic visits. These measurements were obtained from structured data (ie, BP recordings in the electronic medical record) and natural language processing of provider notes as previously described. If several measurements were recorded on the same day, the lowest mean arterial BP was used.