Efficacy of Patient Activation Interventions With or Without Financial Incentives to Promote Prescribing of Thiazides and Hypertension Control: A Randomized Clinical Trial.

ABSTRACT:

Importance

Evidence-based guidelines recommend thiazide diuretics as a first-line therapy for uncomplicated hypertension; however, thiazides are underused, and hypertension remains inadequately managed.

Objective

To test the efficacy of a patient activation intervention with financial incentives to promote thiazide prescribing.

Design, setting, and participants

The Veterans Affairs Project to Implement Diuretics, a randomized clinical trial, was conducted at 13 Veterans Affairs primary care clinics from August 1, 2006, to July 31, 2008, with 12 months of follow-up. A total of 61 019 patients were screened to identify 2853 eligible patients who were not taking a thiazide and not at their blood pressure (BP) goal; 598 consented to participate. Statistical analysis was c

SUBMITTER: Kaboli PJ 

PROVIDER: S-EPMC6324341 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature