Monetary Incentives and Intrinsic Motivation to Sustain Hypertension Control
Completed · Not applicable
Conditions studied: Hypertension
In brief
Despite unequivocal proof that tight control of blood pressure with antihypertensive medication can prevent hypertensive complications-including strokes, myocardial infarcts, heart failure, end-stage renal disease, and death- blood pressure remains uncontrolled in the majority of individuals with hypertension. We propose a novel patient-centered intervention that combines monetary incentives and a social psychological intervention to help patients sustain blood pressure control once incentives are no longer offered by strengthening intrinsic motivation to control blood pressure among two vulnerable populations: African Americans, who suffer disproportionately from hypertension, and Mexican Americans, who have the lowest hypertension control rates of any demographic group in the United States. If the intervention is successful, it could be adapted as a set of tools to apply in clinical practice to improve outcomes of a range of chronic diseases, by maximizing the motivation of patients to optimize their treatment.
Key facts
- Study ID
- NCT01402453
- Run by
- University of California, Los Angeles
- People needed
- 207
- Starts
- 2011-08-01
- Expected to finish
- 2013-09-01
- Last updated by the study team
- 2015-03-10
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Adults aged 18 or older who are receiving ongoing medical care at the clinic (one or more routine visits in the year prior to the visit during the study enrollment period at which their blood pressure is found to be abnormal), are capable of giving consent, and live at a fixed address.
- Must state that they intend to continue to receive care in the clinic.
- Measured BP is greater than 140mm systolic or 90mm diastolic (or 130/80 respectively for "high risk" subjects with: diabetes, established coronary artery disease, prior cardiovascular event, left ventricular hypertrophy by ECG, chronic kidney disease, or diagnosed heart failure).
You may not qualify if…
- Those whose BP's have returned to normal 1-2 weeks after the original obtained average reading.
- Children, prisoners, institutionalized individuals, or pregnant women.
Where it is running
- St. John's Well Child and Family Center Compton W.M. Keck Foundation Clinic Building — Los Angeles, California, United States
- St. John's Well Child and Family Center Dr. Louis C. Frayser Clinic — Los Angeles, California, United States
Full record on ClinicalTrials.gov
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