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Completed

NCT Number: NCT01655654

Prevalence, Awareness and Management of Hypertension in Acute Care Personnel

The primary purpose of this study is to identify the percentage of health care workers working in an acute care hospital who have high blood pressure, to determine the awareness of their blood pressure status, and to see how well it is managed. Study participants will come from the following three distinctly different types of departments: telemetry (clinical), non-telemetry (clinical), and non-direct patient care staff. All study participants are offered educational information surrounding high blood pressure and review the recommendation for their primary care engagement. Study participants with high blood pressure will be asked to continue in the study for up to 6 months. It is intended that each study participant who continues will take their blood pressure three times a day and record the results in a study provided diary. Each study participant should also make some of the suggested changes that promote a healthier lifestyle including exercising, improving their diet, and seeing their primary care provider. It is the thought that these changes will reduce the study participant's blood pressure. The secondary purpose is to determine the effect shift work has on these hospital employees and the potential positive effects of the three interventions.

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Key information

Conditions

Hypertension Behavior Cardiovascular Diseases Motor Activity Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Providence St. Peter Hospital

Olympia, Washington, 98506, United States

About this study

Research on hypertension (HTN) in hospital personnel during work hours is limited yet research has been published on the relationship of job strain and the risk of cardiovascular disease. HTN can be caused by sympathoadrenal activation brought on by long-term exposure to stressors and an inherent biomarker that is associated with an increased risk of cardiovascular disease.

The primary purpose of this study is to quantify differences in HTN prevalence, awareness and management in three distinctly different areas and shifts within an acute hospital. Blood pressure (BP) will be taken during working hours along with pre and post sleep hours. The secondary purpose is to identify the effect of shift work within an acute care hospital and effectiveness of: BP monitoring, increases in physical activity, positive nutritional changes, and the correlation between a primary care provider visits and lowering BP.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Providence Health System's Southwest Washington Service Area (SWSA) employees
  • Subjects who will be included in the intervention part of the study will have two consecutive BP readings of > 140/90
  • Has or is willing to have collaborative PCP
  • Understand and sign the informed consent form

Exclusion criteria

  • Under the age of 18
  • Has a severe systemic illness with life expectancy judged less than three years
  • Has a severe vascular event such as Myocardial Infarction or Cerebral Vascular Event in the past 90 days
  • Is enrolled in another therapeutic program or similar study, and
  • Has a condition which, in the opinion of the investigators, may prevent the subject from participating in the study

Treatment and study plan

Physical activity

Behavioral

This intervention includes cardiorespiratory exercise, resistance exercise, flexibility exercise and neuromotor exercise.

Dietary

Behavioral

Make at least one positive dietary change including or similar to a DASH diet snack substitution.

Primary care provider visit

Other

Subjects with hypertension will be asked to visit their primary care provider seeking treatment options. If a subject does not have a primary care provider then they will be encouraged to obtain one and seek medical treatment.

Primary outcomes

  1. Reduction of blood pressure

    Time frame: 6 months

    The study will look for a reduction in blood pressure during a 6-month time frame among those identified at screening to have high blood pressure and who continue on in the study.

Sponsors and collaborators

Lead sponsor

Providence Health & Services

Other

Registry information

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
Aug 2, 2012
Registry last updated
Mar 10, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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