Ignite Creation Date:
2024-05-05 @ 9:31 PM
Last Modification Date:
2024-10-26 @ 10:05 AM
Study NCT ID:
NCT00903071
Status:
COMPLETED
Last Update Posted:
2014-06-16
First Post:
2009-05-13
Brief Title:
Personalized Physician Learning to Improve Hypertension Care
Sponsor:
HealthPartners Institute
Organization:
HealthPartners Institute
Study Overview
Official Title:
Personalized Physician Learning Intervention to Improve Hypertension Care
Status:
COMPLETED
Status Verified Date:
2014-06
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:
PPL
Brief Summary:
In this project the investigators implement and test the ability of a Personalized Physician Learning PPL intervention to improve hypertension HT care with the following specific aims
Specific Aim 1 Implement two versions of a Personalized Physician Learning PPL intervention and assess the ability of these interventions to improve hypertension control in primary care practice
Hypothesis 1 Patients of physicians who receive the REALPPL Intervention Group 1 will subsequently have better HT control compared to patients of control group physicians Group 3
Hypothesis 2 Patients of physicians who receive the SIMPPL Intervention Group 2 will subsequently have better HT control compared to patients of control group physicians Group 3
Hypothesis 3 Patients of physicians who receive the REALPPL Group 1 will subsequently have better HT control compared to patients of physicians who receive the SIMPPL Group 2
Specific Aim 2 Assess the cost-effectiveness of the SIMPPL and REALPPL interventions relative to no intervention
Specific Aim 1 Implement two versions of a Personalized Physician Learning PPL intervention and assess the ability of these interventions to improve hypertension control in primary care practice
Hypothesis 1 Patients of physicians who receive the REALPPL Intervention Group 1 will subsequently have better HT control compared to patients of control group physicians Group 3
Hypothesis 2 Patients of physicians who receive the SIMPPL Intervention Group 2 will subsequently have better HT control compared to patients of control group physicians Group 3
Hypothesis 3 Patients of physicians who receive the REALPPL Group 1 will subsequently have better HT control compared to patients of physicians who receive the SIMPPL Group 2
Specific Aim 2 Assess the cost-effectiveness of the SIMPPL and REALPPL interventions relative to no intervention
Detailed Description:
The objective of this project is to improve hypertension HT control by implementing two Personalized Physician Learning interventions designed for primary care physicians PCPs Improved HT control has long been identified as a major national health care priority because uncontrolled HT is a leading cause of strokeCVA congestive heart failure CHF chronic kidney disease CKD end-stage renal disease ESRDmyocardial infarction MI and other adverse health events The cost of uncontrolled HT and its sequelae is estimated to be at least 100 billion dollars a year in the US and there has been only minimal improvement in HT care in recent decades Currently of an estimated 68 million Americans with HT about 42 million remain uncontrolled
Personalized Physician Learning PPL interventions are powerful enough to change physician behavior and improve HT care The PPL interventions in this project are directed to individual primary care physiciansPCPs using a simple 3-step approach a Analyze each physicians pre-intervention patterns of HT care to identify specific failures of physician decision making in HT care b Provide each physician with a series of personalized HT learning cases designed to correct the failures of decision making that result in that physicians observed patterns of HT care Learning cases provide iterative on-screen feedback of blood pressure BP changes in response to a sequence of changes in therapy expert-generated suggestions for better HT care and adaptive selection of subsequent cases until identified errors in decision making are mastered c Assess intervention impact on the care of actual patients with HT in the post-intervention period to assess transfer of learning from the simulated to the office practice environment The PPL intervention strategy is based on recent work in cognitive science and learning theory and has been successfully applied in other research and educational settings although it has yet to be applied to HT care
Personalized Physician Learning PPL interventions are powerful enough to change physician behavior and improve HT care The PPL interventions in this project are directed to individual primary care physiciansPCPs using a simple 3-step approach a Analyze each physicians pre-intervention patterns of HT care to identify specific failures of physician decision making in HT care b Provide each physician with a series of personalized HT learning cases designed to correct the failures of decision making that result in that physicians observed patterns of HT care Learning cases provide iterative on-screen feedback of blood pressure BP changes in response to a sequence of changes in therapy expert-generated suggestions for better HT care and adaptive selection of subsequent cases until identified errors in decision making are mastered c Assess intervention impact on the care of actual patients with HT in the post-intervention period to assess transfer of learning from the simulated to the office practice environment The PPL intervention strategy is based on recent work in cognitive science and learning theory and has been successfully applied in other research and educational settings although it has yet to be applied to HT care
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
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 |
|---|---|---|---|
| R01HL089451-01A1 | NIH | None | httpsreporternihgovquickSearchR01HL089451-01A1 |