Blood Pressure-Improving Control Among Alaska Native People" (BP-ICAN)
Completed · Not applicable
Conditions studied: Hypertension
In brief
"Blood Pressure: Improving Control among Alaska Native People" (BP-ICAN) that targets blood pressure control among Alaska Native and American Indian (AN/AI) people diagnosed with hypertension. Participants will include adults with a diagnosis of hypertension who have not achieved blood pressure control. Primary Care Center (PCC) provider teams and associated panels of Alaska Native or American Indian (ANAI) adults will be randomized into the control or intervention arm. The investigators will recruit up to 10 ANAI adults per PCC provider for a total of 324 participants. Intervention participants will receive a home blood pressure monitor (HBPM), upload personal home blood pressure values into a data mall, and be encouraged to communicate with providers and pharmacists about HBPM results using an online electronic health record application, telephone, or other existing clinical processes. HBPM measurements for each intervention arm participant will be provided to provider teams and integrated pharmacists. Control participants will receive care as usual. Data will be collected over a 12 month period. Participants will meet with investigators at time of consent (baseline), and 3, 6, and 12 months after baseline. At each visit, participants will have blood pressure measured using 3 methods (aneroid sphygmomanometer, automated Omron upper arm cuff device, and automated Omron wrist cuff device), complete surveys, and have height, weight, and arm circumference measured. In-person measures are omitted during the pandemic and only one method of blood pressure measurement is used (upper arm cuff device). Clinical and service utilization information will be electronically queried with participant consent. The investigators will examine whether participants in the intervention arm have better blood pressure control at the end of the 12 month period than participants in the control arm.
Key facts
- Study ID
- NCT03872856
- Run by
- Southcentral Foundation
- People needed
- 164
- Starts
- 2019-02-19
- Expected to finish
- 2023-09-30
- Last updated by the study team
- 2024-08-01
Who can join
Age: 18 and older. Sex: male. Healthy volunteers: not accepted.
You may qualify if…
- At least one visit to SCF providers or Community Health Aides within the previous year
- Alaska Native or American Indian
- At least 18 years old
- Meet one of the following two conditions:
- I. Hypertension diagnosis and 1 systolic blood pressure (SBP) >= 140 mmHg in past 24 months in EHR, AND
- SBP >= 140 mmHg at research visit or from the mean of BP measures during the home screening period, OR
- SBP 130-139 mmHg at research visit or from the mean of BP measures during the home screening period plus at least one comorbid condition as stated in American Heart Association guidelines (cardiovascular disease, heart failure, stroke, atrial fibrillation, chronic kidney disease, kidney transplant, or diabetes) II. No hypertension diagnosis but 1 SBP >= 140 mmHg in past 18 months in EHR, AND
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- SBP >=140mmHg at research visit or from the mean of BP measures during the home screening period, OR
- SBP 130-139 mmHg at research visit or from the mean of BP measures during the home screening period plus at least one comorbid condition as stated in AHA guidelines (cardiovascular disease, heart failure, stroke, atrial fibrillation, chronic kidney disease, kidney transplant, or diabetes)
- Ability to provide informed consent
- Willingness and ability to use a HBPM
- Willingness to complete the necessary data collection procedures, including transmission of BP measurements and permission for study staff to access EHR and/or PHR data.
You may not qualify if…
- Does not meet inclusion criteria
Where it is running
- Anchorage Native Primary Care Center — Anchorage, Alaska, United States
- Benteh Nuutah Valley Native Primary Care Center — Wasilla, Alaska, United States
Full record on ClinicalTrials.gov
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