Rationale and design of a pragmatic clinical trial to assess the impact of self-monitoring blood pressure at home and self-titration of antihypertensive medication in poorly controlled hypertension: the ADAMPA study protocol
| العنوان: | Rationale and design of a pragmatic clinical trial to assess the impact of self-monitoring blood pressure at home and self-titration of antihypertensive medication in poorly controlled hypertension: the ADAMPA study protocol |
|---|---|
| المؤلفون: | José, Sanfélix-Genovés, Clara L, Rodríguez-Bernal, Irene, Marco-Moreno, Patricia, Martinez-Ibañez, Lucía, Martinez-Ibañez, María, Bóveda-García, Ignacio, Barreira-Franch, Mercedes, Calleja-Del Ser, Greta, Borrás-Moreno, Eugenia, Avelino-Hidalgo, Marina, Escrig-Veses, Margherita, Lauriano, Margarita, Giménez-Loreiro, Laura, Bellot-Pujalte, Aníbal, García-Sempere, Salvador, Peiró, Gabriel, Sanfélix-Gimeno, Cristina, Vivas-Miquel |
| المصدر: | BMC FAMILY PRACTICE r-FISABIO. Repositorio Institucional de Producción Científica instname r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) BMC Family Practice r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA BMC Family Practice, Vol 19, Iss 1, Pp 1-10 (2018) |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, Population, Primary care, Pragmatic clinical trial, 030204 cardiovascular system & hematology, 03 medical and health sciences, 0302 clinical medicine, Intervention (counseling), medicine, Humans, Self-monitoring, 030212 general & internal medicine, Intensive care medicine, education, Antihypertensive Agents, Antihypertensive medication, Protocol (science), lcsh:R5-920, education.field_of_study, business.industry, Self-titration, Blood Pressure Determination, Blood Pressure Monitoring, Ambulatory, Self Care, Clinical trial, Blood pressure, Spain, Hypertension, lcsh:Medicine (General), Family Practice, business |
| الوصف: | Background Lack of control of hypertension is one of the most prevalent problems encountered by general practitioners (GPs). Self-measured blood pressure monitoring at home (SMBP) and self-titration of medication could be a good strategy to improve hypertension management, however, evidence is limited and not conclusive. We aimed to assess the effectiveness, in the primary care setting, of an intervention that includes educational components, SMBP and self-titration of antihypertensive medication to decrease systolic blood pressure compared to usual care, in a population with poorly controlled hypertension, during a 12-month period. Methods Pragmatic, controlled, randomized, unblinded clinical trial with two parallel groups assigned in a ratio of 1:1 to self-management (which includes educational components, SBMP and self-titration of antihypertensive medication based on a patient’s GP’s pre-established adjustment plan) or to usual care (with educational components too). Discussion If the data from this trial show positive results, the study may contribute to a change of strategy in the treatment of hypertension, focusing on the patient as the main actor to achieve blood pressure control. Furthermore, this approach might contribute to the financial sustainability of the National Health Service. Trial registration This trial has been registered in the database with reference number EudraCT: 2016-003986-25. Registered 05 May 2017, https://www.clinicaltrialsregister.eu/ctr-search/search?query=2016-003986-25Test |
| تدمد: | 1471-2296 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::89103ff416864a3f6798f9bae49ab95dTest https://doi.org/10.1186/s12875-018-0846-yTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....89103ff416864a3f6798f9bae49ab95d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712296 |
|---|