NCT05588466Completed
Practice Facilitation to Scale up a CDS for Hypertension Management
Assessing the Use of Practice Facilitation to Optimize Scale up of CDS for Hypertension
Source: ClinicalTrials.gov · Last updated 22 May 2025
Brief summary (registry, in English)
Hypertension (HTN) is the most prevalent modifiable risk factor for cardiovascular disease among U.S. adults. Despite a long history of established guidelines to support clinical management, only half of U.S. adults diagnosed with HTN have poorly controlled blood pressure (BP) and medication adherence to proven effective treatment remains suboptimal. Clinical decision support (CDS) has the potential to overcome barriers to delivering guideline-recommended care and improve HTN management. Practice facilitation is a well-demonstrated implementation strategy to support process changes and has the potential to facilitate CDS implementation. Our objective is to rigorously evaluate whether practice facilitation provided in concert with a HTN-focused CDS that incorporates medication adherence results is an effective strategy for scaling and implementing CDS. The investigators will update an existing CDS to incorporate alerts and tools to address medication adherence then randomize 40 small independent primary care practices in New York City to receive either practice facilitation in addition to the CDS or the CDS alone. After a twelve-month intervention period, The investigators will examine the differences in blood pressure control achieved by practices in the CDS plus practice facilitation group versus practices that received the CDS alone
- Status (registry)
- Completed
- Study type
- Interventional
- Enrollment
- 37 (actual)
- First submitted
- 7 Apr 2022
- Start date
- 9 Jun 2021
- Primary completion date
- 30 Aug 2024
- Lead sponsor
- New York City Department of Health and Mental Hygiene
- Diseases
- High blood pressure
- NCT number
- NCT05588466
What you commit to
- Study type: Interventional
- Participants enrolled: 37
- From 9 Jun 2021 to the primary completion date, 30 Aug 2024
- 1 site in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other illness
- not have end-stage kidney disease as defined by an ICD-10 code for dialysis or transplantation
Other
- not pregnant
Who the study is looking for
- 18-85 years old
- an outpatient clinic visit with an HTN diagnosis based on the ICD-10 code in the prior 12 months
- must have received care at the clinic for at least 12 months
Age in the registry: 18 years to 85 years · Sex: All · Accepts healthy volunteers
Sites (1)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| NYC Department of Health and Mental Hygiene Coordinator of this site? Confirm its status | Queens | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.