Clinical Decision Support Tool for High Blood Pressure
(AI-HTN Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new digital tool designed to help doctors manage high blood pressure (BP) during regular clinic visits. The research aims to determine if this Clinical Decision Support (CDS) tool can improve blood pressure control compared to usual care methods. Participants will be divided into two groups: one will receive standard treatment, while the other will have doctors using the CDS tool for their care. Ideal participants are adults diagnosed with high blood pressure, currently taking medication for it, and having a systolic BP of 130 mmHg or higher. As an unphased trial, this study offers participants the chance to contribute to innovative research that could enhance future hypertension management.
Will I have to stop taking my current medications?
The trial does not specify if you need to stop taking your current medications. However, since participants must already be on at least one blood pressure medication, it seems likely you can continue your current treatment.
What prior data suggests that this clinical decision support tool is safe for use in managing high blood pressure?
Research has shown that clinical decision support tools (CDSTs) are generally safe in healthcare. These tools assist doctors in making better choices, such as selecting the right medication mix for high blood pressure, by using information from patient visits, like recent blood pressure readings.
Studies have found that CDSTs help doctors adhere to treatment guidelines more effectively and lower blood pressure. No direct evidence indicates that these tools cause harm, so they are considered safe. The primary focus is on how they aid doctors and patients in managing health conditions, rather than causing side effects.12345Why are researchers excited about this trial?
Researchers are excited about the Clinical Decision Support Tool for high blood pressure because it integrates directly into Electronic Medical Records (EMR) to aid clinicians in prescribing more effective medication combinations. Unlike the standard approach, where doctors rely on their individual judgment and experience, this tool provides data-driven insights and personalized recommendations. This innovation could lead to more efficient hypertension management, potentially improving patient outcomes by optimizing treatment plans based on the latest research and patient-specific data.
What evidence suggests that this Clinical Decision Support Tool is effective for lowering high blood pressure?
Research has shown that tools designed to assist doctors in decision-making can effectively lower blood pressure in individuals with hypertension. A review of several studies found that these tools improved both systolic and diastolic blood pressure readings. One study found that these tools helped doctors adhere more closely to guidelines for managing high blood pressure. In this trial, some participants will receive care using the Clinical Decision Support Tool, embedded in the Electronic Medical Record, to aid clinicians in prescribing more effective medication combinations. Trials with patients demonstrated that these tools were more effective in controlling high blood pressure than standard care alone. Overall, the evidence suggests that these decision-support tools can be a valuable addition to treating high blood pressure.24678
Who Is on the Research Team?
Luke Laffin, MD
Principal Investigator
The Cleveland Clinic
Are You a Good Fit for This Trial?
This trial is for individuals with uncontrolled high blood pressure who are receiving standard medical treatment. They should be available for a follow-up clinic visit 4 weeks after their initial appointment to check their blood pressure.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive treatment with the Clinical Decision Support Tool or standard care for hypertension management
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Clinical Decision Support Tool
Trial Overview
The study is testing if using a Clinical Decision Support (CDS) tool, integrated with the electronic medical record system during outpatient visits, can more effectively lower patients' blood pressure compared to usual care without the CDS tool.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Clinical Decision Support Tool embedded into the Electronic Medical Record to help support clinicians to prescribe more effective combinations of medications
Clinicians will use their own standard of care recommendations for combinations of medications.
Find a Clinic Near You
Who Is Running the Clinical Trial?
The Cleveland Clinic
Lead Sponsor
Citations
study protocol for a pragmatic cluster-randomized controlled trial
The LIGHT trial will provide evidence on the effectiveness of a CDSS for improving guideline adherence for hypertension management in primary ...
Do clinical decision support tools improve quality of care ...
Meta-analysis revealed CDSTs showed improvement in systolic (Mean Standardised Difference (MSD)=0.39, 95 %CI=-0.31, -1.10) and diastolic blood pressure ...
Results From a Cluster Randomized Trial
We performed a cluster randomized trial to test the effectiveness and cost‐effectiveness of a clinical DSS among Indian adult hypertensive patients.
Clinical Decision Support Systems Using Home Blood ...
Objective: This study aimed to summarize existing studies on CDSSs that use HBP readings to manage patients with hypertension. Methods: We ...
5.
digital.ahrq.gov
digital.ahrq.gov/ahrq-funded-projects/evaluation-computerized-clinical-decision-support-system-and-electronic-healthEvaluation of a Computerized Clinical Decision Support ...
This project analyzed the efficacy of using clinical decision support and performance feedback to improve the control of hypertension in patients treated in ...
Clinical Decision Support Systems Using Home Blood ...
In the context of hypertension, a CDSS can detect elevated BP readings at clinic visits and support clinicians in diagnosing hypertension, ...
Implementation of an Integrated, Clinical Decision Support ...
The intervention integrated structured clinical data, including recent BP readings, laboratory results, and visit dates, into the electronic ...
8.
trialsjournal.biomedcentral.com
trialsjournal.biomedcentral.com/articles/10.1186/s13063-022-06374-xEffectiveness of a clinical decision support system for ... - Trials
The LIGHT trial will provide evidence on the effectiveness of a CDSS for improving guideline adherence for hypertension management in primary care in China.
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