CONtrolling Disease Using Inexpensive IT - Hypertension in Diabetes

Completed · Not applicable

Conditions studied: Hypertension, Diabetes Mellitus

In brief

This project will develop and test a low-cost approach to using health information technology and home monitoring aimed at improving care for chronic conditions, with low barriers to adoption in a wide variety of settings - from large group practices using state-of-the-art electronic health records to small practices with no more than a computer with internet access. Success will lead to a cost-effective approach to improving control of hypertension, both among individuals with diabetes and among non-diabetics, which can make a substantial contribution to the health of the population of the United States as improving hypertension control is estimated to have a greater population health benefit than most other health interventions. Success will also set the stage for adaptation of this intervention to a variety of other chronic health conditions and further substantial improvements in the health of millions of Americans.

Key facts

Study ID

NCT01416766

Run by

University of Massachusetts, Worcester

People needed

196

Starts

2011-08-01

Expected to finish

2015-07-01

Last updated by the study team

2015-09-16

Who can join

Age: 18 and older, up to 80. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• diagnoses of both diabetes mellitus (MODIFICATION 2/13: prediabetes) and hypertension
• uncontrolled hypertension (mean of up to most recent 3 clinic BPs in previous 6 months with SBP>=145 and/or DBP>=85) AND mean of 3 readings taken at intake visit meeting same criterion

You may not qualify if…

• end-stage renal disease
• management of blood pressure by provider other than primary care provider (PCP)
• pregnancy/gestational diabetes
• terminal illness
• diagnosed or probable (based on screen) dementia
• active psychosis
• moderate-severe mental retardation
• indication by PCP that patient would be inappropriate for study
• planning to leave Reliant Medical Group (formerly Fallon Clinic) during the coming year
• MODIFICATIONS: due to a smaller pool of eligible participants and lower enrollment than anticipated, eligibility for the study has been expanded as of February 2013 to include persons with "prediabetes," defined by either a coded diagnosis of abnormal glucose (International Classification of Diseases [ICD] 9-CM codes 790.2x) or a hemoglobin A1c laboratory value from 6.0%-6.4%. For this group, the DBP eligibility criterion will be a mean, as defined above, of >=95, as target BP for this group is 140/90, not 140/80.

Where it is running

• Reliant Medical Group — Worcester, Massachusetts, United States

Full record on ClinicalTrials.gov

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