Efficiency of Monitoring and Control Program of Hypertension Through Pharmacy Offices. APOF Project

Study Overview
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Brief Summary
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Background: Hypertension in adults is the factor most prevalent cardiovascular risk and motivates further inquiries, generating a very high cost of medical care. Objective: To evaluate the monitoring of well-controlled hypertensive patients Pharmacy Offices. Hypothesis: the monitoring of these patients through the Office of Pharmacy will be as effective in obtaining good control of blood pressure as it is to obtained through health centers. Design: Multicenter randomized controlled trial along one year of follow up. Location: the city of Cerdanyola del Vallès (Barcelona). Participants: All patients diagnosed with hypertension and good control criteria in the past year. Arms: Health centers (control) and Pharmacy Offices (intervention). Outcome variable: blood pressure under good control along the monitoring

Official Title
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Efficiency Program Monitoring and Control of Hypertension Through Pharmacy Offices. APOF Project

Conditions
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Hypertension

Intervention / Treatment
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* Other: Measurement of Arterial Pressure


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age not less than 18 years HTA controlled over 2 years of evolution Subjects with a history open to participating health centers or stable residence in the geographic area Subjects who agree to participate Exclusion Criteria: Comorbidity and concomitant (Diabetes Mellitus, Heart failure or renal failure Patients with temporary residence in the geographic area of study Subjects of hypertension controlled by outside professionals to our primary care teams. Subjects with home care or any other cause which does not permit their displacement, transfer to the clinic or pharmacy during the evaluation period. Subjects with severe diseases of poor prognosis, hopefully less than one year of life. Subjects who do not have telephones. Subjects with communication problems (cognitive impairment, sensory, language barrier)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Health Center (usual practice)<br>Controlling arterial pressure in the health center (a common practice is carried out) | |
| Experimental: Collaboration of pharmacies<br>Pharmacies cooperate in Measurement of Arterial Pressure of patients | Other: Measurement of Arterial Pressure<br>* Pharmacies cooperate in measuring blood pressure of patients<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of hypertensive patients with criteria for good control of their arterial pressure along one year follow up | We considered as a for good control criterion , obtaining values of systolic arterial pressure to below 140 mm Hg and diastolic blood pressure below 90 mm Hg dea, held along the entire the year follow-up of patients | Monitoring of patients for 12 months (from January 1 to December 31, 2010) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| reduction in the number of visits to the health center to measure blood pressure | The number of visits to the health center where blood pressure is measured. We hope that the number of visits to the health center where blood pressure is measured is lower in the intervention group (the patients have the option to go to the pharmacy to carrying out checks blood pressure) | Monitoring of patients for 12 months (from January 1 to December 31, 2010) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Blood Pressure Monitoring, Ambulatory, Arterial Pressure, Hypertension Controlled, Pharmacies