CLINICAL TRIAL

self-management protocol for hypertension care for Hypertension

Waitlist Available · 18+ · All Sexes · San Francisco, CA

Self-management of Blood Pressure Medication for Hypertensive Veterans

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About the trial for Hypertension

Treatment Groups

This trial involves 2 different treatments. Self-management Protocol For Hypertension Care is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Main TreatmentA portion of participants receive this new treatment to see if it outperforms the control.
self-management protocol for hypertension care
OTHER
Control TreatmentAnother portion of participants receive the standard treatment to act as a baseline.

Eligibility

This trial is for patients born any sex aged 18 and older. There are 3 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
People who have blood pressure that is not currently at their in-clinic goal show original
and have been prescribed antihypertensive medications People with hypertension who have been prescribed antihypertensive medications are eligible to participate. show original
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Odds of Eligibility
Unknown<50%
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial
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Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: 1 year
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: 1 year.
View detailed reporting requirements
Trial Expert
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- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether self-management protocol for hypertension care will improve 1 primary outcome, 1 secondary outcome, and 3 other outcomes in patients with Hypertension. Measurement will happen over the course of 1 year (start to end of intervention).

24-hour ambulatory blood pressure change
1 YEAR (START TO END OF INTERVENTION)
Home (24 hour) ambulatory blood pressure change measured from start to end of study
in-clinic blood pressure change
1 YEAR (END OF INTERVENTION)
Blood pressure as measured in clinic at start and end of study
Self-efficacy (patient-reported)
1 YEAR
Patients will report their hypertension-specific self-efficacy on a scale that will be repeated at start and end of study.
Intervention acceptability (patient-reported)
1 YEAR
acceptability of the intervention as measured by patient-reported scale of acceptability.
Incidence of Treatment-Emergent Adverse Events [Safety]
1 YEAR
Comparison of study-related adverse events in intervention vs. usual care arm. Events considered to be study-related include ER or urgent care visits for low or high blood pressure; hospitalizations related to low or high blood pressure; clinical events (hypertensive urgency, heart attack, stroke, syncope, death) related to high or low blood pressure.

Patient Q & A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Can hypertension be cured?

Hypertension seems to be primarily determined by environmental triggers, whereas disease triggers are largely insignificant in hypertension. While hypertension can certainly be controlled, even in advanced cases, it is likely that most patients will have to accept their health status for years to come. In the light of current medical and public health treatments, cure remains highly unlikely and long-term care is recommended for all patients with hypertension in order to prevent organ damage.

Anonymous Patient Answer

What are common treatments for hypertension?

Most prevalent treatment for hypertension is medication. For mild to moderate cases of hypertension, medications targeting the renin-angiotensin system and/or calcium channel blockers should be considered. For those with significant complications, the first-line of treatment should be based on patient risk.

Anonymous Patient Answer

What are the signs of hypertension?

In all patients with renovascular hypertension a pulse pressure greater than 120 mmHg was identified as a characteristic sign of hypertension. The pulse pressure was not increased in patients with hypertension from any cause. Left ventricle systolic function should also be assessed.\n

Anonymous Patient Answer

How many people get hypertension a year in the United States?

In addition to strokes, hypertension-related morbidity in the U.S. is one of the biggest contributors to the burden of disease. Each year, around one in two adults dies from hypertension-related illness.

Anonymous Patient Answer

What causes hypertension?

Hypertension is caused by a complex interaction of factors such as the blood pressure (BP) reading, blood sugar (A1C) levels, ethnicity, diet, lifestyle, exercise, and genetics.\n\nOther health problems that are often not recognized as part of the risk of developing hypertension are high cholesterol, high potassium, or heart disease. As the BP is higher, the likelihood of hypertension is also higher.\n\nDietary and lifestyle factors can affect a person’s risk for developing hypertension in the future. Lifestyle habits such as diet, exercise, and alcohol consumption can be used as a screening measure for hypertension risk.

Anonymous Patient Answer

What is hypertension?

Hypertension can occur in the absence of a history of smoking and can arise over an extended period of time, thus being considered a 'latent' condition. It is estimated that by 2035 half of all UK mortality is related to non-communicable disease, particularly heart disease. It is estimated that half of the UK population over one year old is hypertensive, and by 2015 the prevalence of hypertension in the United Kingdom will have risen to 55.3% compared to a 2011 estimate of 39.3%.

Anonymous Patient Answer

What is the latest research for hypertension?

The present review includes a literature review on the different treatment options for hypertension like beta blockers, alpha blockers, calcium channel blockers, diuretics, thiazide diuretics, renin-angiotensin-aldosterone system inhibitors, and other non-traditional intervention like acupuncture, and a comprehensive overview including all the existing publications for the use of medical therapy for hypertension. A review on clinical investigations including recent trials for treatment options for hypertension is also presented.

Anonymous Patient Answer

Is self-management protocol for hypertension care safe for people?

The current self-management protocol for hypertension care is safe. However, it should be recommended as the next level of care in hypertensive patients in clinical settings with the purpose of achieving the guidelines of treatment. But there may be a need for future studies concerning adherence to self-management protocol.

Anonymous Patient Answer

What is the average age someone gets hypertension?

Hypertension occurs at similar rates irrespective of race, gender, age, marital, occupation, and social status. The mean age at diagnosis of hypertension in the United States has increased significantly over the past 15 years (1978 versus 2003), and the prevalence of hypertension is increasing by 1% per year (2010). Recent findings may reflect changes in diagnostic guidelines, improved detection of hypertension, and changes in demographics. In the United States, blacks and Hispanics have higher prevalence of (non-hypertensive) obesity than whites (2008). Although the association between obesity and hypertension is not very strong, it is more prominent among black women than among white women. The presence of obesity can result in the earlier diagnosis of hypertension.

Anonymous Patient Answer

What are the common side effects of self-management protocol for hypertension care?

The common side effects of the SMT is an increase in heartburn, headache, dizziness, insomnia, dry mouth, constipation and dyspepsia. It had no impact on other side effects when compared with the standard care.

Anonymous Patient Answer

What are the latest developments in self-management protocol for hypertension care for therapeutic use?

The most advanced self-management protocol can be safely administered in conjunction with medication therapy. The protocol is feasible and can save time and money as well as improve satisfaction of patient and clinician because it can be easily replicated as needed. It may provide improved results by educating patients and allowing them to communicate their own needs and take more personal responsibility for their illness.

Anonymous Patient Answer

Does self-management protocol for hypertension care improve quality of life for those with hypertension?

Self-management care alone did not improve quality-of-life results as indicated by HRQL. Furthermore, there were no significant differences in baseline and post-intervention in terms of patient perceptions and perceptions towards self-management care for the patients with hypertension.

Anonymous Patient Answer
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