A randomized controlled trial of interventions to enhance patient-physician partnership, patient adherence and high blood pressure control among ethnic minorities and poor persons: study protocol
2009

Improving Patient-Physician Partnership for Better Blood Pressure Control

Sample size: 279 publication Evidence: moderate

Author Information

Author(s): Lisa A Cooper, Debra L Roter, Lee R Bone, Susan M Larson, Edgar R Miller III, Michael S Barr, Kathryn A Carson, David M Levine

Primary Institution: Johns Hopkins University

Hypothesis

Patients in the intensive intervention groups will have better adherence to appointments, medication, and lifestyle recommendations at three and twelve months than patients in minimal intervention groups.

Conclusion

The Triple P study will provide new knowledge about how to improve patient adherence, quality of care, and cardiovascular outcomes, as well as how to reduce disparities in care and outcomes of ethnic minority and poor persons with hypertension.

Supporting Evidence

  • Ethnic minorities and low socioeconomic status individuals receive poorer quality of care.
  • Patient-centered care is linked to better health outcomes.
  • Interventions that enhance patient-physician communication can improve adherence.

Takeaway

This study is trying to help patients with high blood pressure stick to their treatment by improving how they work with their doctors.

Methodology

A randomized controlled trial with a two by two factorial design involving 50 primary care physicians and 279 patients with hypertension.

Limitations

Loss to follow-up among randomized physicians and failure to reach the recruitment target among patients may reduce the study's statistical power.

Participant Demographics

{"average_age":61.3,"gender_distribution":{"female":66,"male":34},"race_distribution":{"African_American":62,"White":36,"Asian":1.1},"education":{"average_years":11.8,"less_than_high_school":31.3},"income":{"less_than_35000":70}}

Digital Object Identifier (DOI)

10.1186/1748-5908-4-7

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