Blood Pressure Visit Intensification Study in Treatment: Trial design
Blood Pressure Visit Intensification Study in Treatment: Trial design
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DOI：
10.1016/j.ahj.2015.08.022
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发表时间：
2015-12-01
影响因子：
4.8
通讯作者：
Tobin, Jonathan N.
中科院分区：
文献类型：
--
作者：
Fiscella, Kevin;Ogedegbe, Gbenga;Tobin, Jonathan N.
有一种假设认为，对于血压（BP）不受控制的患者，早期随访，即在阅读升高的4周内，可以改善BP控制。然而，在这方面，缺乏关于增加随访频率的有效干预措施以及此类干预措施是否改善BP控制的数据。方法/设计血压访视强化治疗研究涉及多模式方法，以提高12个社区卫生中心的随访强度，采用阶梯楔形研究设计。对血压不受控制的患者进行随访，并确定增加随访频率是否与更好的血压控制相关。
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.