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The goal of this project is to improve hypertension control at Kaiser Permanente Colorado (KPCO) by implementing a population-based multi-factorial intervention that uses home BP monitors that can download BP readings to KPCO's health records via internet, interactive voice response (IVR) technology, and multidisciplinary care team. Participants will be randomized to either the home blood pressure monitoring group reciving the multi-factorial intervention or the usual care group who will be receiving Kaiser standard of care. We will determine the proportion of patients in each group who achieve their target BP goals at 6 months, according to national clinical parctice guildelines. The study hypothesis is that a higher proportion of patients with uncontrolled hypertension in the home blood pressure monitoring (HBPM) group will achieve their target blood pressure compared to those in the usual care (UC) group.
• To determine the proportion of patients in each group who achieve their target BP goals at 6 months, according to national clinical practice guidelines
The following parameters will be evaluated between groups:
- Change in BP measures between baseline and at 6 months
- Proportion of patients who are receiving antihypertensive treatments in accordance to national clinical practice guidelines
- Adherence to hypertensive medication regimen during the 6-month follow-up period
- Patient satisfaction with the care model.
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Home Blood Pressure Monitoring
Kaiser Permanente Colorado, Institute of Health Research
Active, not recruiting
Published on BioPortfolio: 2014-08-27T03:12:11-0400
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Phenomenon where increased BLOOD PRESSURE readings taken in non-clinical settings (e.g., HOME BLOOD PRESSURE MONITORING) do not replicate in clinical settings.
Method in which repeated blood pressure readings are made while the patient undergoes normal daily activities. It allows quantitative analysis of the high blood pressure load over time, can help distinguish between types of HYPERTENSION, and can assess the effectiveness of antihypertensive therapy.
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