Ignite Creation Date:
2024-05-06 @ 3:20 PM
Last Modification Date:
2025-12-16 @ 8:08 PM
Study NCT ID:
NCT04603560
Status:
None
Last Update Posted:
2024-08-21 00:00:00
First Post:
2020-10-08 00:00:00
Brief Title:
Personalizing Intervention to Reduce Clinical Inertia in the Treatment of Hypertension
Sponsor:
Brigham and Womens Hospital
Organization:
Brigham and Women's Hospital
Study Overview
Official Title:
Personalizing Intervention to Reduce Clinical Inertia in the Treatment of Hypertension
Status:
None
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
We propose a pragmatic randomized controlled trial to test two interventions targeting clinical inertia in hypertension compared to control, followed by predictive modeling to identify factors that are associated with intervention responsiveness.
For Aim 1, we will use Electronic Health Record (EHR) data to identify physicians of patients whose hypertension treatment was not intensified despite their having persistently elevated blood pressure. We will then randomize primary care physicians to on of three arms: academic e-detailing, social norming, or no intervention (control).
For Aim 2, we will conduct interviews with select physicians from each arm. We will then identify patient and physician characteristics that are associated with inertia and with responsiveness to each intervention.
For Aim 1, we will use Electronic Health Record (EHR) data to identify physicians of patients whose hypertension treatment was not intensified despite their having persistently elevated blood pressure. We will then randomize primary care physicians to on of three arms: academic e-detailing, social norming, or no intervention (control).
For Aim 2, we will conduct interviews with select physicians from each arm. We will then identify patient and physician characteristics that are associated with inertia and with responsiveness to each intervention.
Detailed Description:
We propose a pragmatic randomized controlled trial to test two interventions targeting clinical inertia in hypertension compared to control followed by predictive modeling to identify factors that are associated with intervention responsiveness
For Aim 1 we will use Electronic Health Record EHR data to identify physicians of patients whose hypertension treatment was not intensified despite their having persistently elevated blood pressure We will then randomize primary care physicians to on of three arms academic e-detailing social norming or no intervention control
For Aim 2 we will conduct interviews with select physicians from each arm We will then identify patient and physician characteristics that are associated with inertia and with responsiveness to each intervention
For Aim 1 we will use Electronic Health Record EHR data to identify physicians of patients whose hypertension treatment was not intensified despite their having persistently elevated blood pressure We will then randomize primary care physicians to on of three arms academic e-detailing social norming or no intervention control
For Aim 2 we will conduct interviews with select physicians from each arm We will then identify patient and physician characteristics that are associated with inertia and with responsiveness to each intervention
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| P30AG064199 | NIH | None | httpsreporternihgovquickSearchP30AG064199 |