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Sponsors and Collaborators: |
Weill Medical College of Cornell University Visiting Nurse Service of New York |
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Information provided by: | Weill Medical College of Cornell University |
ClinicalTrials.gov Identifier: | NCT00299468 |
We will test - in a chronically ill managed long term care population - the effectiveness of an intervention that provides nurse Care Managers with an inventory of evidence-based practices tailored to patients with different levels of knowledge, skills and confidence to engage in self-care management. Specifically, we will develop a "change package" of evidence-based hypertension (HTN) management strategies geared to patients scoring at the four different stages of activation on the Patient Activation Measure (PAM). We will randomly assign a group of interdisciplinary teams in the managed long-term care plan to intervention or control status and will train the Care Managers on the Intervention teams to use the change package in conjunction with a patient's PAM score to design - with the involvement of the patient - an individualized HTN management plan. We then will assess the impact of the intervention on patient activation and outcomes.
Condition | Intervention | Phase |
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Hypertension |
Behavioral: Patient Activation Measure Intervention Package |
Phase I |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Open Label, Active Control, Single Group Assignment, Efficacy Study |
Official Title: | Using the Patient Activation Measure (PAM) to Improve Patient Self-Management of Hypertension |
Enrollment: | 283 |
Study Start Date: | April 2006 |
Study Completion Date: | March 2007 |
Primary Completion Date: | March 2007 (Final data collection date for primary outcome measure) |
The three main aims of the project are to:
Determine whether the PAM-driven intervention improves HTN patients' systolic and diastolic blood pressure (BP), measured in three ways:
Conduct an analysis to examine implementation of the intervention by trainers and Care Managers in the Intervention group and to understand the barriers and facilitators affecting the implementation process.
In addition, we will conduct a feasibility study with a subset of Care Managers to determine how the Visual Scan Assessment of Patient Activation might be incorporated into routine assessment and care planning procedures. Therefore, the fourth aim of the project is to:
Ages Eligible for Study: | 21 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
United States, New York | |
Visiting Nurse Service of New York Center for Home Care Policy & Research | |
New York, New York, United States, 10001 |
Principal Investigator: | Linda M Gerber, Ph.D. | Weill Medical College of Cornell University |
Responsible Party: | Weill Medical College of Cornell University ( Linda Gerber ) |
Study ID Numbers: | 290-00-0013 |
Study First Received: | March 2, 2006 |
Last Updated: | March 12, 2008 |
ClinicalTrials.gov Identifier: | NCT00299468 |
Health Authority: | United States: Federal Government |
hypertension home care patient activation stages-of-change |
Vascular Diseases Hypertension |
Cardiovascular Diseases |