Fixed-Dose Combinations Pragmatic Randomized Implementation Trial for Blood Pressure Control

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorBrigham and Women's Hospital

About this trial

The proposed study is an effectiveness-implementation hybrid type II trial designed to evaluate the impact of provider- and patient-directed interventions on FDC use. The trial will test the effectiveness of theory-driven nudges tailored to address provider and patient barriers. All interventions will be pharmacist-driven, with pharmacists delivering information via nudges to providers and via nudges or more intensive interventions (i.e., CPA) to patients. Data to evaluate outcomes will be extracted from electronic health records.

Eligibility criteria

Qualifiers

patients with documented hypertension diagnosis

had an elevated ambulatory blood pressure reading during the qualifying visit (systolic >140 mmHg or diastolic >90 mmHg

have an upcoming scheduled visit

have an active prescription for 1 blood pressure lowering medication with a fixed-dose combination (FDC) alternative

Disqualifiers

have received a prescription for a FDC in the preceding two years

reside in a nursing home

have a documented allergy to any FDC components

are pregnant

Trial design

Treatments tested in this trial

  • Provider nudge
  • Patient nudge
  • Pharmacist Virtual Visit

Treatment groups

720 Participants
are divided into 3 treatment groups

Locations

This trial has no locations

Sponsors and collaborators

Brigham and Women's Hospital

Lead sponsor

National Institute on Aging (NIA)

Collaborator

Wake Forest University Health Sciences

Collaborator