Self-management of Blood Pressure Medication for Hypertensive Veterans
NCT03224624 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 232
Last updated 2025-05-02
Summary
Hypertension is the most common medical problem among US Veterans. Treatment is available and effective, but control rates remain under 75%. While blood pressure control has traditionally been achieved through sequential visits and medication changes initiated by providers during office-based care, self-monitoring and self-management of blood pressure medication is an important strategy that would empower Veterans to achieve better control of blood pressure. The health impacts of better systems for treatment of hypertension are significant, including decreased rates of cardiovascular and kidney disease.
This two-site clinical trial will randomize 400 Veterans to either usual blood pressure care or a self-management strategy in which patient-driven self-management of blood pressure medications will be taught and used over the course of 1 year.
Conditions
Interventions
- OTHER
-
self-management protocol for hypertension care
participants in this arm will be taught to monitor and record their blood pressure. On a regular basis they will evaluate their blood pressure record and follow an algorithm to decide whether to adjust their medication.
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Dena Evette Rifkin, MD MS · VA San Diego Healthcare System, San Diego, CA
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-02-21
- Primary Completion
- 2023-03-31
- Completion
- 2023-03-31
Countries
- United States
Study Locations
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