The veterans' study to improve the control of hypertension (V-STITCH): design and methodology

Bosworth, Hayden B.; Olsen, Maren K.; Goldstein, Mary K.; Orr, Melinda; Dudley, Tara K.; McCant, Felicia; Gentry, Pam; Oddone, Eugene Z.

doi:10.1016/j.cct.2004.12.006

Cited by 47 publications

(42 citation statements)

References 45 publications

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“…randomized to the nurse intervention who report they have difficulties remembering to take their medication are provided various mnemonic strategies such as setting an alarm or using a weekly pillbox (49). The nurse conveys the need and importance of taking hypertensive medication consistently and in a timely manner to both the patient and family/friends identified by the patient.…”

Section: Memory-patientsmentioning

confidence: 99%

Take Control of Your Blood pressure (TCYB) study: A multifactorial tailored behavioral and educational intervention for achieving blood pressure control

Bosworth

Olsen

Neary

et al. 2008

Patient Education and Counseling

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141

124

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Objectives-Evaluating a randomized controlled trial involving a tailored behavioral intervention conducted to improve blood pressure control.Methods-Adults with hypertension from two outpatient primary care clinics were randomly allocated to receive a nurse-administered behavioral intervention or usual care. In this ongoing study, patients receive the tailored behavioral intervention bi-monthly for two years via telephone; the goal of the intervention is to promote medication adherence and improve hypertension-related health behaviors. Patient factors targeted in the tailored behavioral intervention include perceived risk of hypertension and knowledge, memory, medical and social support, patients' relationship with their health care provider, adverse effects of medication therapy, weight management, exercise, diet, stress, smoking, and alcohol use.Results-The sample randomized to the behavioral intervention consisted of 319 adults with hypertension (average age = 60.5 years; 47% African-American). A comparable sample of adults was assigned to usual care (n=317). We had a 96% retention rate for the overall sample for the first 6 months of the study (93% at 12 months). The average phone call has lasted 18 minutes (range 2 to 51 minutes). From baseline to six months, self-reported medication adherence increased by 9% in the behavioral group vs. 1% in the non-behavioral group.Conclusion-The intervention is easily implemented and is designed to enhance adherence with prescribed hypertension regimen. The study includes both general and patient-tailored information based upon need assessment. The study design ensures internal validity as well as the ability to generalize study findings to the clinic settings. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Practice Implications-Despite knowledge of the risks and acceptable evidence, a large number of hypertensive adults still do not have their blood pressure under effective control. This study will be an important step in evaluating a tailored multibehavioral intervention focusing on improving blood pressure control. NIH Public Access

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Section: Memory-patientsmentioning

confidence: 99%

Take Control of Your Blood pressure (TCYB) study: A multifactorial tailored behavioral and educational intervention for achieving blood pressure control

Bosworth

Olsen

Neary

et al. 2008

Patient Education and Counseling

Self Cite

141

124

View full text Add to dashboard Cite

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“…A two-year trial evaluation study addressed the importance of a health care provider's role as an educator in primary settings to increase patient's knowledge about risk factors associated with HBP and to increase ability of adherence to HBP regimen [17,18]. The researchers recommended that as the level of knowledge increases, it may affect positive changes in health behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…Nurses serve as primary care givers and advocates for the population served by the CNC and promote health for all clients regardless of socioeconomic status and ethnic backgrounds by providing a comprehensive set of services [17][18][19]. A two-year trial evaluation study addressed the importance of a health care provider's role as an educator in primary settings to increase patient's knowledge about risk factors associated with HBP and to increase ability of adherence to HBP regimen [17,18].…”

Section: Discussionmentioning

confidence: 99%

Practice-based Evidence for Health Promotion in Underserved Clients with Hypertension in Primary Health Care Settings

Hong

2015

J Korean Acad Community Health Nurs

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Purpose: The purpose of this study was to explore practice-based evidence for health promotion in vulnerable populations with hypertension in primary health care settings. Methods: Two methodological procedures were adopted for this triangulation study. In the first phase, the sample was obtained from the computerized clinical data repository of a community nursing center. A total of 286 clients were assessed for hypertension as an actual circulation problem as coded in the Omaha System. In the second phase, a qualitative focus group was surveyed through semi-structured interviews conducted by nine advanced practice nurses who had been serving the hypertensive patients. Results: The community nurses provided essential primary healthcare services including health teaching guidance and counseling, and surveillance to vulnerable populations living in medically underserved community. There was a significant positive correlation between knowledge and behavior (r=.53, p<.01), between knowledge and health status (r=.40, p<.05), and between behavior and health status (r=.48, p<.01). Conclusion: This triangulation study encompassed not only quantitative findings from the computerized records of clients but also other information acquired from advanced practice nurses. This study contributes to understanding the importance of health promotion nursing interventions even with populations already diagnosed with chronic diseases such as hypertension.

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“…To this end, we anticipate at least 50% of our sample will be women and 40% will be black, based on our prior hypertension studies with similar enrollment strategies. 12,36,37 …”

Section: Methodsmentioning

confidence: 99%

“…Both intervention arms in our study will leverage the use of HealthVault and Heart360 to give participants the ability to upload their BP and glucose measurements to allow self-management and tracking of these parameters, as well as communication of these measurements to the study team and their providers. The 2 intervention arms will be similar, the difference being whether subjects receive disease management from a nurse using a tailored telephone-based intervention that has been validated in previous studies 12,36,37 or a novel, tailored, Web-based intervention without direct communication with a healthcare provider that has yet to be tested in a randomized, clinical investigation. The 2 arms will allow assessment of the clinical impact and benefit of using a tailored Web-based intervention compared with having healthcare personnel implement a tailored intervention.…”

Section: Interventionsmentioning

confidence: 99%

Secondary Prevention Risk Interventions Via Telemedicine and Tailored Patient Education (SPRITE)

Shah

Adams

Peterson

et al. 2011

Circ: Cardiovascular Quality and Outcomes

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Background-Secondary prevention by risk factor modification improves patient outcomes, yet it is often not achieved in clinical practice. Reasons for failure stem from challenges of prioritizing risk factor reduction and engaging patients in changing their behaviors. We hypothesize that a novel telemedicine intervention with tailored patient education could improve cardiovascular risk factors. Methods-To evaluate this intervention, we propose enrolling 450 patients with a recent myocardial infarction and hypertension into a 3-arm randomized, controlled trial. The first arm (nϭ150) will receive home blood pressure (BP) monitors plus a nurse-delivered, telephone-based tailored patient education intervention and will be enrolled into HealthVault, a Microsoft electronic health record platform. The second arm (nϭ150) will also receive BP monitors plus a tailored patient education intervention and be enrolled in HeartVault. However, the patient education intervention will be delivered by a Web-based program and will cover topics identical to those in the nurse-delivered intervention. Both arms will be compared with a control group receiving standard care (nϭ150). All participants will have an in-person assessment at baseline and at completion of the study, including standardized measurements of BP, LDL cholesterol, and glycosylated hemoglobin (in diabetic subjects). The study design will allow assessment of a telephone-based, nurse-administered disease management program versus standard care. The main outcome of interest is the reduction in systolic BP in each intervention group compared with the control group at 12 months. Secondary outcomes assessed will include reductions in LDL cholesterol, body weight, and glycosylated hemoglobin, as well as adherence to evidence-based therapies and improvement in health behaviors. Conclusion-If successful in optimizing BP control, managing other coronary heart disease risk factors, and demonstrating a lower cost, the Web-based disease management tool has the potential to enhance coronary artery disease management, quality of care, and ultimately, patient outcomes. Clinical Trial Registration-URL: http://www.clinicaltrials.gov. Unique identifier: NCT00901277. (Circ Cardiovasc Qual Outcomes. 2011;4:235-242.)

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The veterans' study to improve the control of hypertension (V-STITCH): design and methodology

Cited by 47 publications

References 45 publications

Take Control of Your Blood pressure (TCYB) study: A multifactorial tailored behavioral and educational intervention for achieving blood pressure control

Take Control of Your Blood pressure (TCYB) study: A multifactorial tailored behavioral and educational intervention for achieving blood pressure control

Practice-based Evidence for Health Promotion in Underserved Clients with Hypertension in Primary Health Care Settings

Secondary Prevention Risk Interventions Via Telemedicine and Tailored Patient Education (SPRITE)

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