Evidence Synthesis: Hypertension Medication Adherence & Intensification

Completed

Conditions studied: Hypertension

In brief

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.

Key facts

Study ID

NCT00682968

Run by

VA Office of Research and Development

People needed

20

Starts

2008-07-20

Expected to finish

2008-10-01

Last updated by the study team

2017-06-06

Who can join

Age: any. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Studies funded by VA from 1998 to the present looking at hypertension medication adherence and physician adherence to hypertension guidelines

You may not qualify if…

• N/A

Where it is running

• VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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