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| Name | Class |
|---|---|
| Blue Cross Blue Shield of Michigan Foundation | OTHER |
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The primary aim of the study is to determine if enhanced discharge from the emergency department will improve blood pressure control and self-care management. Enhanced discharge will include a hypertension intervention delivered by a touch-screen kiosk over a three month period.
A targeted sample of patients with uncontrolled blood pressure at the time of their emergency department visit discharge will be randomized into either standard or enhanced discharge. To control for medication effects in achieving blood pressure control, both groups will receive similar blood pressure medication while actively participating in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enhanced discharge | Experimental | Patient education about hypertension delivered through a touch-screen kiosk at 4 time points in addition to standard discharge. |
|
| Standard discharge | No Intervention | Standard discharge is patient instruction, instructions for follow-up to primary care and medication/prescription |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient education | Behavioral | Patient education on hypertension delivered through a touchscreen kiosk. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Blood Pressure (Systolic) at 180 Days | Systolic Blood Pressure (SDB) at 180 days post-discharge | 180 days |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Activation Measure (PAM) | Measure of how actively involved patient is in their medical care. | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Emergency Department Visitation Rate | Emergency department visits related to hypertension | Baseline to 180 days |
| Cost Effectiveness | 180 days |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Julie A Gleason-Comstock, PhD | Wayne State University | Principal Investigator |
| Phillip D Levy, MD | Wayne State University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Detroit Receiving Hospital Emergency Department | Detroit | Michigan | 48201 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23948646 | Background | Gleason-Comstock JA, Streater A, Jen KL, Artinian NT, Timmins J, Baker S, Joshua B, Paranjpe A. Consumer health information technology in an adult public health primary care clinic: a heart health education feasibility study. Patient Educ Couns. 2013 Dec;93(3):464-71. doi: 10.1016/j.pec.2013.07.010. Epub 2013 Aug 12. | |
| 19845553 |
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| ID | Title | Description |
|---|---|---|
| FG000 | Enhanced Discharge | Patient education about hypertension delivered through a touch-screen kiosk at 4 time points in addition to standard discharge. Patient education: Patient education on hypertension delivered through a touchscreen kiosk. |
| FG001 | Standard Discharge | Standard discharge is patient instruction, instructions for follow-up to primary care and medication/prescription |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Intervention | Patient education about hypertension delivered through a touch-screen kiosk at 4 time points in addition to standard discharge. Patient education on hypertension delivered through a touchscreen kiosk. |
| BG001 | Control |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Post-discharge |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Blood Pressure (Systolic) at 180 Days | Systolic Blood Pressure (SDB) at 180 days post-discharge | All participants for whom SBP were recorded at 180 days | Posted | Mean | Standard Deviation | mmHg | 180 days |
|
Baseline to 180 days
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Enhanced Discharge | Patient education about hypertension delivered through a touch-screen kiosk at 4 time points in addition to standard discharge. Patient education: Patient education on hypertension delivered through a touchscreen kiosk. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Julie Gleason-Comstock | Wayne State University | 313-577-6681 | jgleason@med.wayne.edu |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| D010358 | Patient Participation |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
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| ID | Term |
|---|---|
| D010353 | Patient Education as Topic |
| ID | Term |
|---|---|
| D006266 | Health Education |
| D011314 | Preventive Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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| Levy PD, Cline D. Asymptomatic hypertension in the emergency department: a matter of critical public health importance. Acad Emerg Med. 2009 Nov;16(11):1251-7. doi: 10.1111/j.1553-2712.2009.00512.x. Epub 2009 Oct 20. |
| 22658278 | Background | Levy P, Ye H, Compton S, Zalenski R, Byrnes T, Flack JM, Welch R. Subclinical hypertensive heart disease in black patients with elevated blood pressure in an inner-city emergency department. Ann Emerg Med. 2012 Oct;60(4):467-74.e1. doi: 10.1016/j.annemergmed.2012.03.030. Epub 2012 May 31. |
| 26691646 | Background | Gleason-Comstock J, Streater A, Ager J, Goodman A, Brody A, Kivell L, Paranjpe A, Vickers J, Mango L, Dawood R, Levy P. Patient education and follow-up as an intervention for hypertensive patients discharged from an emergency department: a randomized control trial study protocol. BMC Emerg Med. 2015 Dec 21;15:38. doi: 10.1186/s12873-015-0052-3. |
| 28784120 | Background | Gleason-Comstock J, Streater A, Goodman A, Janisse J, Brody A, Mango L, Dawood R, Levy P. Willingness to pay and willingness to accept in a patient-centered blood pressure control study. BMC Health Serv Res. 2017 Aug 7;17(1):538. doi: 10.1186/s12913-017-2451-5. |
| 32743119 | Result | Gleason Comstock J, Janisse J, Streater A, Brody A, Goodman A, Zhang L, Mango L, Dawood R, Costello W, Patton S, Paranjpe A, Welsh C, Welch R, Levy P. Efficacy of enhanced emergency department discharge for chronic hypertension management - Results of a randomized controlled trial. Contemp Clin Trials Commun. 2020 Jul 18;19:100613. doi: 10.1016/j.conctc.2020.100613. eCollection 2020 Sep. |
Standard discharge is patient instruction, instructions for follow-up to primary care and medication/prescription.
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Demographics | Count of Participants | Participants |
|
| Units |
|---|
| Counts |
|---|
| Participants |
|
|
|
| Secondary | Patient Activation Measure (PAM) | Measure of how actively involved patient is in their medical care. | Patients discharged from the ED with uncontrolled hypertension assessed for PAM. | Posted | Count of Participants | Participants | Baseline |
|
|
|
| Other Pre-specified | Emergency Department Visitation Rate | Emergency department visits related to hypertension | Not Posted | Baseline to 180 days | Participants |
| Other Pre-specified | Cost Effectiveness | Not Posted | 180 days | Participants |
| 0 |
| 71 |
| 0 |
| 71 |
| EG001 | Standard Discharge | Standard discharge is patient instruction, instructions for follow-up to primary care and medication/prescription | 0 | 68 | 0 | 68 |
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| D015438 | Health Behavior |
| D001519 | Behavior |
| Level 3 |
|
| Level 4 |
|
| Intervention |
|
|
| Total |
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|