NCT00286754

A Behavioral Intervention To Improve Hypertension Control In Veterans

A Behavioral Intervention to Improve Hypertension Control in Veterans

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 533 (actual)
• Sponsor: US Department of Veterans Affairs · Federal
• Sex: All
• Age: 21 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to determine whether a stage-matched intervention (SMI) will lower BP and improve treatment adherence compared to usual care (UC) or a health education intervention (HEI) in veterans with uncontrolled BP. The study will also examine the effect of SMI on patient's health-related quality of life, satisfaction, acceptability and determine its cost-effectiveness.

Detailed description

We propose a randomized controlled trial to evaluate the effect of telephone-delivered interventions (SMI and HEI) to improve BP control. Veterans with uncontrolled hypertension (n=533) will be randomized equally to 3 groups: 1) The SMI will use the Transtheoretical model (TTM) as the unifying framework. Veterans will receive TTM stage-matched counseling for exercise, diet, and medications via monthly counseling sessions. A social worker (SW) will assess each participant's behavior and deliver the appropriate tailored SMI based on their stage of change, decisional balance, self-efficacy and the skills model questions. 2) The HEI group receives monthly telephone calls by a SW during which they will receive education about hypertension management. 3) The UC group participates in all the in-person visits but does not receive monthly calls. There will be an initial 6-month active intervention phase followed by a 6 month monitoring phase to assess sustainability. All participants will visit the VAMC's at baseline and at 3, 6, and 12 months. Outcomes of interest include BP; adherence (to diet, exercise and medications); quality of life; satisfaction; acceptability; cost and cost-effectiveness. Patients will be blinded to which of the intervention arms (SMI or HEI) they are in, SW's will be blinded to patient's BP and staff measuring outcomes will be blinded to study assignment. The study will be analyzed using longitudinal data analysis methods using an intention to treat strategy.

Conditions

• Hypertension

Interventions

Type	Name	Description
BEHAVIORAL	SMI	Stage-matched intervention
BEHAVIORAL	HEI	Health Education Intervention
BEHAVIORAL	UC	Usual Care
BEHAVIORAL	SMI	Stage-matched intervention
BEHAVIORAL	HEI	Health Education Intervention
BEHAVIORAL	UC	Usual Care

Timeline

• Start date: 2006-07-01
• Primary completion: 2010-01-01
• Completion: 2011-09-01
• First posted: 2006-02-03
• Last updated: 2015-06-01
• Results posted: 2015-04-09

Locations

1 site across 1 country: United States