Hypertension Improvement Project (HIP): study protocol and implementation challenges.

ABSTRACT:

Background

Hypertension affects 29% of the adult U.S. population and is a leading cause of heart disease, stroke, and kidney failure. Despite numerous effective treatments, only 53% of people with hypertension are at goal blood pressure. The chronic care model suggests that blood pressure control can be achieved by improving how patients and physicians address patient self-care.

Methods and design

This paper describes the protocol of a nested 2 x 2 randomized controlled trial to test the separate and combined effects on systolic blood pressure of a behavioral intervention for patients and a quality improvement-type intervention for physicians. Primary care practices were randomly assigned to the physician intervention or to the physician control condition. Physician randomiz

SUBMITTER: Dolor RJ 

PROVIDER: S-EPMC2654882 | biostudies-literature | 2009 Feb

REPOSITORIES: biostudies-literature