Status:
COMPLETED
Hypertension Control Program in Argentina (HCPIA)
Lead Sponsor:
Tulane University
Collaborating Sponsors:
National Heart, Lung, and Blood Institute (NHLBI)
Institute for Clinical Effectiveness and Health Policy
Conditions:
Hypertension
Eligibility:
All Genders
21+ years
Phase:
NA
Brief Summary
The objective of this cluster randomized trial is to test whether a comprehensive intervention program within a national public primary care system will improve hypertension control among uninsured hy...
Detailed Description
Background: Although the efficacy and effectiveness of lifestyle modifications and antihypertensive pharmaceutical treatment for the prevention and control of hypertension and concomitant cardiovascul...
Eligibility Criteria
Inclusion
- Inclusion Criteria for Clinics:
- The clinic is affiliated with the Remediar+Redes program.
- The clinic is located in urban poor areas according to the 2010 census data.
- The clinic has ≥1000 outpatient visits each month, so that sufficient participants can be recruited.
- The minimum distance between the selected clinics will be 10 kilometers to minimize the risk for contamination of the intervention.
- Physician visits and essential medications are free of charge to patients under all circumstances.
- The clinic has a high number of prescriptions for antihypertensive medications.
- The clinic employs community health workers.
- The clinic has general practitioners and nurses.
- The clinic has a history of good performance in the Remediar+Redes program.
- The clinic performs blood draws on patients when appropriate.
- Inclusion Criteria for Participants:
- Patients aged ≥21 years who received primary care from the participating clinics and have hypertension ( SBP ≥140 mmHg and/or DBP ≥90 mmHg on at least 2 separate visits) and their spouses (with or without hypertension) and/or any adult hypertensive family members (age ≥21 years) living in the same household will be included.
- Hypertension patients and their spouses and/or family members must be available for the first baseline nurse home visit.
- The index patient must have a cell phone that receives text messages.
- The family's homes must be located within 10 kilometers from the clinic.
- Exclusion Criteria for Participants:
- Hypertension patients who do not have a spouse or another adult with hypertension in the household.
- Plans to move from the neighborhood in the next two years
- Pregnant women or women who are planning to become pregnant in the next two years
- Persons who are bed-bound
- Persons who cannot give informed consent
- Persons with an arm circumference \>50 cm
Exclusion
Key Trial Info
Start Date :
June 1 2013
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 1 2016
Estimated Enrollment :
1954 Patients enrolled
Trial Details
Trial ID
NCT01834131
Start Date
June 1 2013
End Date
October 1 2016
Last Update
July 17 2017
Active Locations (1)
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1
Institute for Clinical Effectiveness and Health Policy
Buenos Aires, Argentina, C1414CPV