Provider Skill Building for Engagement and Communication in Healthcare - Hypertension Management

Provider Skill Building for Engagement and Communication in Healthcare - Hypertension Management (REACH - Hypertension)

Brief Summary:

The study has three main goals: The first goal is to make a skills training program that improves how doctors talk with, listen to, and work with patients. The second goal is to make sure the process of collecting data and completing the program can be done. The third goal is to make sure the skills training program is feasible and acceptable for doctors.

Study Activities:

• Doctors will first complete a questionnaire and have their patients' appointments audio-recorded.
• Then they will go through the training program.
• After finishing the program, doctors will have more patient appointments audio-recorded.
• Then the doctors will complete questionnaires again and have an interview with the study team.

Inclusion Criteria:

• Doctor Cohort: Independently practicing physicians (MD, DO, PA, or NP)
• Doctor Cohort: Responsible for a panel of primary care adult patients in the Duke Primary Care clinic
• Patient Cohort: Receiving primary care from an enrolled DPC clinician at the enrolled DPC clinic
• Patient Cohort: Age at least 18 years
• Patient Cohort: Diagnosis of hypertension based on EHR ICD coding
• Patient Cohort: Able to complete a primary care encounter without an interpreter
• Patient Cohort: Able to use the study tablet for consent, data collection, and audio-recording a clinical encounter
• Patient Cohort, post-intervention: Not previously enrolled at any other timepoint
• EHR Cohort: Non-urgent patient encounters for enrolled clinicians 6 months pre intervention to 6 months post intervention completion

Exclusion Criteria:

• Doctor Cohort: Not an independently practicing physician (MD, DO, PA, or NP) at the enrolled Duke Primary Care clinic
• Patient Cohort: Previously enrolled at any other timepoint
• EHR Cohort: Urgent patient encounters