Rationale and design of a pragmatic clinical trial to assess the impact of self-monitoring blood pressure at home and self-titration of antihypertensive medication in poorly controlled hypertension: the ADAMPA study protocol.
BMC Fam Pract
; 19(1): 160, 2018 09 24.
Article
en En
| MEDLINE
| ID: mdl-30249203
ABSTRACT
BACKGROUND:
Lack of control of hypertension is one of the most prevalent problems encountered by general practitioners (GPs). Self-measured blood pressure monitoring at home (SMBP) and self-titration of medication could be a good strategy to improve hypertension management, however, evidence is limited and not conclusive. We aimed to assess the effectiveness, in the primary care setting, of an intervention that includes educational components, SMBP and self-titration of antihypertensive medication to decrease systolic blood pressure compared to usual care, in a population with poorly controlled hypertension, during a 12-month period.METHODS:
Pragmatic, controlled, randomized, unblinded clinical trial with two parallel groups assigned in a ratio of 11 to self-management (which includes educational components, SBMP and self-titration of antihypertensive medication based on a patient's GP's pre-established adjustment plan) or to usual care (with educational components too).DISCUSSION:
If the data from this trial show positive results, the study may contribute to a change of strategy in the treatment of hypertension, focusing on the patient as the main actor to achieve blood pressure control. Furthermore, this approach might contribute to the financial sustainability of the National Health Service. TRIAL REGISTRATION This trial has been registered in the database with reference number EudraCT 2016-003986-25. Registered 05 May 2017, https//www.clinicaltrialsregister.eu/ctr-search/search?query=2016-003986-25.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Autocuidado
/
Monitoreo Ambulatorio de la Presión Arterial
/
Hipertensión
/
Antihipertensivos
Tipo de estudio:
Clinical_trials
/
Guideline
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
BMC Fam Pract
Año:
2018
Tipo del documento:
Article
País de afiliación:
España