47450
document
A web-based patient activation intervention to improve hypertension care : study design and baseline characteristics in the web hypertension study . BACKGROUND Despite the known health risks of hypertension , many hypertensive patients still have uncontrolled blood pressure . Clinical inertia , the tendency of physicians not to intensify treatment , is a common barrier in controlling chronic diseases . This trial is aimed at determining the impact of activating patients to ask providers to make changes to their care through tailored feedback . METHODS Diagnosed hypertensive patients were enrolled in this RCT and randomized to one of two study groups : ( 1 ) the intervention condition -- Web-based hypertension feedback , based on the individual patient 's self-report of health variables and previous BP measurements , to prompt them to ask questions during their next physician 's visit about hypertension care ( 2 ) the control condition -- Web-based preventive health feedback , based on the individual 's self-report of receiving preventive care ( e.g. , pap testing ) , to prompt them to ask questions during their next physician 's visit about preventive care . The primary outcome of the study is change in blood pressure and change in the percentage of patients in each group with controlled blood pressure . CONCLUSION Five hundred participants were enrolled and baseline characteristics include a mean age of 60.0 years ; 57.6 % female ; and 77.6 % white . Overall 37.7 % participants had uncontrolled blood pressure ; the mean body mass index ( BMI ) was in the obese range ( 32.4 ) and 21.8 % had diabetes . By activating patients to become involved in their own care , we believe the addition of the web-based intervention will improve blood pressure control compared to a control group who receive web-based preventive messages unrelated to hypertension .
47451
Intervention_Educational
web-based patient activation intervention
47452
Intervention_Educational
the intervention condition -- Web-based hypertension feedback , based on the individual patient 's self-report of health variables and previous BP measurements , to prompt them to ask questions during their next physician 's visit about hypertension care
47453
Intervention_Control
the control condition -- Web-based
47454
Intervention_Educational
preventive health feedback
47455
Intervention_Control
, based on the individual 's self-report of receiving preventive care
47456
Intervention_Control
to prompt them to ask questions during their next physician 's visit about
47457
Intervention_Educational
preventive care
47458
Outcome_Physical
change in blood pressure
47459
Outcome_Other
change in the percentage of patients in each group with controlled blood pressure
47460
Outcome_Physical
blood pressure control
47461
Participant_Condition
hypertensive
47462
Participant_Condition
hypertensive
47463
Participant_Sample-size
Five hundred
47464
Participant_Age
60.0 years
47465
Participant_Sex
female
47466
Participant_Condition
uncontrolled blood pressure
47467
Participant_Condition
diabetes