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N/A N=920 Randomized Prevention

Northwestern University and Access Community Health Network Medication Education Study

Hypertension

Enrolled (actual)
920
Serious AEs
0.0%
Results posted
Jun 2019
Primary outcome: Primary: Systolic Blood Pressure — 134.5; 141.7; 134.6 mm Hg

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
EHMI (Behavioral); Nurse Educator + EHMI (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Northwestern University
Primary completion
Jun 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Systolic Blood Pressure
134.5; 141.7; 134.6
SECONDARY
Effectiveness of the Electronic Health Record-based Health Literacy Medication Therapy Management Strategy (EHMI), With and Without a Nurse Educator, Compared to Standard Care.
61; 48; 64
SECONDARY
Effects of These Strategies by Patients' Literacy Skills
135.5; 141.7; 133.8; 138.4; 138.4; 132.2

Summary

Many patients have difficulty performing routine medication management tasks. Individuals with limited literacy are at high risk for these problems. The overall study objective is to rigorously evaluate two primary care-based medication therapy management strategies that leverage an electronic health record (EHR) to promote patient understanding, medication reconciliation, medication adherence and disease control among hypertensive patients at safety net clinics.

Eligibility Criteria

Inclusion Criteria

  • age is 18 years or older
  • at least 3 medications are prescribed by their physician
  • standardized mean blood pressure measurement ≥130 mm Hg systolic or ≥ 80 mm Hg diastolic if they are diabetic or mean blood pressure measurement ≥ 135 mm Hg systolic or ≥ 85 mm Hg diastolic if they are not
  • a Mini-Cog Exam score of ≥ 3
  • the patient is the person primarily responsible for administering their medication
  • the patient does not intend to move or change their usual source of medical care during the next year.

Exclusion Criteria

  • the patient's usual source of medical care is not a participating ACCESS Community Health Center
  • is non-English language speaking
  • does not meet mean blood pressure criteria
  • has a Mini-Cog Exam score of < 3
  • is not the person primarily responsible for administering medication
  • intends to move or change their usual source of medical care during the next year.
  • Is not prescribed at least 3 medications
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01578577). 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.

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