N/A
N=111
Interactive Spaced Education to Optimize Hypertension Management
Hypertension
Bottom Line
View on ClinicalTrials.gov: NCT00904007 ↗Enrolled (actual)
111
Serious AEs
0.0%
Results posted
Aug 2014
Primary outcome: Primary: Cross-cohort Comparison of the Average Time Needed to Normalize Patients' Blood Pressure — 137; 145 days
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Interactive Spaced Education (ISE) --- online education (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Mar 2012
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Cross-cohort Comparison of the Average Time Needed to Normalize Patients' Blood Pressure |
137; 145 | — |
| SECONDARY Cross-cohort Comparison of Patients' Average Blood Pressure at 12 Months After Trial Launch (Last Measured Blood Pressure in Months 1-12) |
— | — |
| SECONDARY Cross-cohort Comparison of Patients' Average Change in Blood Pressure Over Months 1-12 (Last Measured Blood Pressure in Months 1-12) |
— | — |
| SECONDARY Cross-cohort Comparison of Patients' Average Blood Pressure at 24 Months After Trial Launch (Last Measured Blood Pressure in Months 13-24) |
— | — |
| SECONDARY Cross-cohort Comparison of Patients' Average Change in Blood Pressure Over Months 13-24 (Last Measured Blood Pressure in Months 13-24) |
— | — |
| SECONDARY Cross-cohort Comparison of Patients' Average Blood Pressure at 24 Months After Trial Launch (Last Measured Blood Pressure in Months 1-24) |
— | — |
| SECONDARY Cross-cohort Comparison of Patients' Average Change in Blood Pressure Over Months 1-24 (Last Measured Blood Pressure in Months 1-24) |
— | — |
| SECONDARY Cross-cohort Comparison of Frequency of Treatment Intensification |
— | — |
| SECONDARY Cross-cohort Comparison of Patients' Follow-up Intervals After Clinical Encounters With Elevated Blood Pressure |
— | — |
| SECONDARY Pre-test Performance Differences by Provider-related Variables (Site of Care, Age, Date of Recertification, Etc.) |
— | — |
| SECONDARY Cross-cohort Comparison of Providers' Post-test Scores (Score Improvements) |
— | — |
| SECONDARY Baseline Knowledge Levels of Providers Assessed Via Their Initial Responses to Spaced Education Items (Spaced Education Cohort Only) |
— | — |
| SECONDARY Performance Differences by Provider-related Variables (Site of Care, Age, Date of Recertification, Sex, Etc.) in the Spaced Education Program (Spaced Education Cohort Only) |
— | — |
| SECONDARY Provider-perceived Acceptability of Spaced Education Intervention |
— | — |
| SECONDARY Provider-perceived Effectiveness of Spaced Education Intervention |
— | — |
| SECONDARY Providers' Perceptions of the Optimal Parameters for the Spaced Education Intervention |
— | — |
| SECONDARY Provider-perceived Barriers and Facilitators to the Spaced Education Intervention |
— | — |
Summary
Online interactive spaced education (ISE) is a novel educational methodology based on the "spacing effect", the psychological finding that repeated presentations of educational material over spaced intervals increase learning efficiency and improve knowledge retention. ISE is delivered using periodic emails that contain clinical case scenarios and multiple-choice question. The investigators recently completed a randomized trial involving 95 VISN 1 primary care providers (PCPs) which demonstrated that an ISE intervention can significantly improve clinician's practice patterns. Those clinicians randomized to the ISE intervention on prostate cancer screening demonstrated a 26% relative reduction in inappropriate screening. The investigators propose to conduct a randomized controlled trial involving PCPs in VISN 1 to determine whether ISE can (1) increase knowledge of the appropriate treatment of hypertensive patients, (2) reduce clinical inertia in hypertension management, and (3) improve the blood pressure control in hypertensive patients.
Anticipated Impacts on Veterans' Healthcare: This study aims to demonstrate that online interactive spaced education (ISE) can improve providers' care of patients with hypertension. ISE is the type of intervention that can be deployed across the VHA with content tailored to meet specific needs and can be implemented as a tool to improve performance measures and clinical outcomes
Eligibility Criteria
Inclusion Criteria
- VA VISN 1 primary care clinicians (MD, NP, PA) who have at least a 50% (4/8 time) clinical appointment.
Exclusion Criteria
- VA VISN 1 primary care clinicians (MD, NP, PA) who do not have at least a 50% (4/8 time) clinical appointment.
Data sourced from ClinicalTrials.gov (NCT00904007). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.