Blood Pressure Visit Intensification Study in Treatment: Trial design

Abstract

Background: There is a presumption that, for patients with uncontrolled blood pressure (BP), early follow-up, that is, within 4 weeks of an elevated reading, improves BP control. However, data are lacking regarding effective interventions for increasing clinician frequency of follow-up visits and whether such interventions improve BP control.

Methods/design: Blood Pressure Visit Intensification Study in Treatment involves a multimodal approach to improving intensity of follow-up in 12 community health centers using a stepped wedge study design.

Discussion: The study will inform effective interventions for increasing frequency of follow-up visits among patients with uncontrolled BP and determine whether increasing follow-up frequency is associated with better BP control.

Trial registration: ClinicalTrials.gov NCT02164331.

Conflict of interest statement

Competing interests

The authors declare that they have no competing interests with this research project.

Copyright © 2015 Elsevier Inc. All rights reserved.

Figures

Figure 1

Timing of stepped wedges (the intervention) for BP VISIT

Figure 2

The 5As: Engaging patients in collaborative partnerships for improving BP control.