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- Ensaio Clínico NCT00207194
Interactive Multirisk-Factor Intervention for Hypertension (HTN) Blacks
Interactive Multirisk-Factor Intervention for HTN Blacks
The aim of this study is to assess the efficacy of Telephone-Linked_Care for Hypertension Regimen Adherence in an African American population (TLC-HTN-AA). TLC-HTN-AA is a computer-based telecommunication system that will monitor, educate and counsel African American adults with hypertension on adherence to medication, diet, and exercise. The primary hypotheses are:
- TLC-HTN-AA use will improve medication regiment adherence
- TLC-HTN-AA will improve adherence to 3 healthy diet recommendations
- TLC-HTN-AA will improve levels of regular exercise
- Patients receiving TLC-HTN-AA will be more likely to become adherent to all 3 target regiments than patients in the control group
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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Massachusetts
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Boston, Massachusetts, Estados Unidos, 02118
- Medical Information Systems Unit/Boston Medical Center
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- a patient with a primary care provider at one of Boston Medical Center's Adult Primary Care Medical Practices or one of three HealthNet health centers participating in the study
- have a physician diagnosis of hypertension
- be African American by self-report
- be 35 years of age or older
- be prescribed at least one medication for hypertension
- have poorly controlled blood pressure
- be non-adherent to at least one hypertensive medication
- understand spoken English
- have a home telephone
Exclusion Criteria:
- patients for whom a medication, diet or exercise regiment adherence improvement or maintenance program would be inappropriate
- patients with a terminal illness
- patients with severe medical or psychiatric illness
- patients with cognitive difficulty
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Comparador Ativo: Automated Telephone Program
The intervention was a totally automated, computer-based, interactive telephone counseling system called Telephone- Linked-Care, designed to monitor, educate, and counsel African-American adults with hypertension and to provide summary data regularly to the patient's primary care provider.
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The intervention incorporated principles of social cognitive theory, the transtheoretical model of behavioral change, and motivational interviewing, and was tailored to the user's values.
Content was also adapted to cultural characteristics of culturally African-American adults (i.e., not Caribbean-American, Black-Hispanic, etc.).
These participants also received the same health behavior education those in the control condition received.
Participants received a 75-page resource manual that described hypertension, listed dietary recommendations, heart healthy food recipes, and local resources for exercise, and provided information to support antihypertensive medication adherence.
They received a 20-min education session based on the content of this manual, and were given a pedometer and a digital weight scale (Healthometer, model # HDR900KD01).
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Comparador de Placebo: Health Behavior Education
The comparator group received health education relating to the management of hypertension.
Members of this group also received standard primary medical care.
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Participants received a 75-page resource manual that described hypertension, listed dietary recommendations, heart healthy food recipes, and local resources for exercise, and provided information to support antihypertensive medication adherence.
They received a 20-min education session based on the content of this manual, and were given a pedometer and a digital weight scale (Healthometer, model # HDR900KD01).
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
---|---|---|
1-proportion of study subjects who achieve adequate adherence (greater than or equal to 80% of doses taken) at the end of the intervention period
Prazo: 8 months
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Outcomes were assessed at baseline, 4 months, 8 months (the end of the study intervention) and 12 months.
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8 months
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2-consumption of more than 5 servings of fruits and vegetables a day, less than 30% of calories from fat, and less than 2400 mg of sodium a day at the end of the intervention period
Prazo: 8 months
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Outcomes were assessed at baseline, 4 months, 8 months (the end of the study intervention) and 12 months.
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8 months
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3-adherence to CDC-ACSM recommendations for moderate intensity physical activity at the end of the intervention period
Prazo: 8 months
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Outcomes were assessed at baseline, 4 months, 8 months (the end of the study intervention) and 12 months.
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8 months
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
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1-TLC-HTN-AA use will reduce the mean blood pressure and the proportion of the treatment group having uncontrolled hypertension at the end of the intervention period
Prazo: 8 months
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Outcomes were assessed at baseline, 4 months, 8 months (the end of the study intervention) and 12 months.
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8 months
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Robert Friedman, MD, Boston Medical Center
- Diretor de estudo: Jeffrey Migneault, PhD, Boston University
Publicações e links úteis
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Estimativa)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- HL 69395
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .
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