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Supporting GPs and people with hypertension to maximise medication use to control blood pressure: Protocol for a pilot cluster RCT of the MIAMI intervention.
Morrissey, Eimear; Murphy, Andrew; Murphy, Patrick; O'Grady, Louise; Byrne, Molly; Casey, Monica; Dolan, Eamon; Duane, Sinead; Durand, Hannah; Gillespie, Paddy; Hayes, Peter; Hobbins, Anna; Hynes, Lisa; McEvoy, John William; Newell, John; Molloy, Gerard.
Afiliação
  • Morrissey E; School of Psychology, University of Galway, Galway, Ireland.
  • Murphy A; HRB Primary Care Clinical Trials Network, University of Galway, Galway, Ireland.
  • Murphy P; HRB Primary Care Clinical Trials Network, University of Galway, Galway, Ireland.
  • O'Grady L; School of Psychology, University of Galway, Galway, Ireland.
  • Byrne M; School of Psychology, University of Galway, Galway, Ireland.
  • Casey M; School of Medicine, University of Limerick, Limerick, Ireland.
  • Dolan E; Connolly Hospital, Blanchardstown, Dublin, Ireland.
  • Duane S; J.E. Cairnes School of Business and Economics, University of Galway, Galway, Ireland.
  • Durand H; HRB Trials Methodology Research Network, University of Galway, Galway, Ireland.
  • Gillespie P; Division of Psychology, Faculty of Natural Sciences, University of Stirling, Stirling, UK.
  • Hayes P; Health Economics and Policy Analysis Centre, Institute for Lifecourse and Society, University of Galway, Galway, Ireland.
  • Hobbins A; CURAM, SFI Research Centre for Medical Devices (13/RC/2073_P2), University of Galway, Galway, Ireland.
  • Hynes L; School of Medicine, University of Limerick, Limerick, Ireland.
  • McEvoy JW; Health Economics and Policy Analysis Centre, Institute for Lifecourse and Society, University of Galway, Galway, Ireland.
  • Newell J; CURAM, SFI Research Centre for Medical Devices (13/RC/2073_P2), University of Galway, Galway, Ireland.
  • Molloy G; National Institute for Prevention and Cardiovascular Health, University of Galway, Galway, Ireland.
HRB Open Res ; 6: 6, 2023.
Article em En | MEDLINE | ID: mdl-38779427
ABSTRACT

Background:

Hypertension is one of the most important risk factors for stroke and heart disease. Recent international guidelines have stated that 'poor adherence to treatment - in addition to physician inertia - is the most important cause of poor blood pressure control'. The MaxImising Adherence, Minimising Inertia (MIAMI) intervention, which has been developed using a systematic, theoretical, user-centred approach, aims to support general practitioners (GPs) and people with hypertension to maximise medication use, through the facilitation of adequate information exchange within consultations about long-term antihypertensive medication use and adherence skill development. The aim of the MIAMI pilot cluster randomised controlled trial (RCT) is to gather and analyse feasibility data to allow us to (1) refine the intervention, and (2) determine the feasibility of a definitive RCT.

Methods:

GP practices (n = 6) will be recruited and randomised to the intervention arm (n = 3) or usual care control arm (n = 3). Each practice will recruit 10 patient participants. For a patient to be eligible they must have a diagnosis of hypertension, be on two or more anti-hypertensive medications, must not be achieving recommended blood pressure levels, and be over the age of 65 years. Participants in the intervention arm will meet their GP and receive the MIAMI intervention twice over three months. Quantitative data collection will take place at baseline and three month follow up. A pilot health economic analysis and a qualitative sub-study will also be incorporated into the study.

Discussion:

This pilot cluster RCT of the MIAMI intervention will allow us to gather valuable acceptability and feasibility data to further refine the intervention so it optimally designed for both GP and patient use. In particular, the qualitative component will provide an insight into GP and patient experiences of using the intervention.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2023 Tipo de documento: Article