December 1, 2021BMJ OpenOpen Access

Multicomponent intervention to improve blood pressure management in chronic kidney disease: a protocol for a pragmatic clinical trial

Q: What is the clinical evidence from this study?

Study design: RCT. Population: uncontrolled hypertension in chronic kidney disease (n=184). Intervention: Clinical decision support system based in behavioural economic and user-centred design principles vs. Control arm. Primary outcome: Change in mean systolic blood pressure between baseline and 6 months.

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Key result

This protocol outlines a cluster-randomized trial of 184 clinicians evaluating a multicomponent clinical decision support intervention to improve blood pressure management in CKD over 6 months.

Why the study?

The study was designed to evaluate whether incorporating behavioural economic and user-centred design principles into a multicomponent clinical decision support intervention could improve the management of uncontrolled hypertension in chronic kidney disease in primary care.

Does a multicomponent clinical decision support system based on behavioral economics improve blood pressure management in patients with uncontrolled hypertension and chronic kidney disease?

Population

184 eligible clinicians across 15 primary care practices

Comparison

Clinical decision support intervention vs control

Design

Multicentre, pragmatic, clinician-level cluster-randomised controlled trial

Follow-up

6 months

Authors

JKJohn L. KilgallonBrigham and Women's Hospital MGMichael P. GannonBrigham and Women's Hospital ZBZoe BurnsBrigham and Women's Hospital

Discussion

Member takes

Implication

Tests behavioural economics-based intervention for HTN in CKD; leaves open whether it improves control in primary care.

Study Design

Type

RCT (n=184)

Randomization

cluster-randomised

Multicenter

Yes

Structured PICO

Does a multicomponent clinical decision support system based on behavioral economics improve blood pressure management in patients with uncontrolled hypertension and chronic kidney disease?

Population

184 eligible clinicians across 15 practices cluster-randomized to evaluate a clinical decision support system for managing uncontrolled hypertension in chronic kidney disease over 6 months.

Intervention

Multicomponent intervention consisting of a clinical decision support system based in behavioural economic and user-centred design principles to synthesize data, increase recognition of CKD and uncontrolled HTN, and deliver evidence-based management recommendations.

Comparator

Control arm (presumably standard care, as it is a controlled trial).

Outcome

Change in mean systolic blood pressure between baseline and 6 months compared across arms.surrogate

This protocol outlines a cluster-randomized trial to evaluate whether a clinical decision support system based on behavioral economics can improve systolic blood pressure control in patients with chronic kidney disease.

Cite This Study

Kilgallon et al. (2021) conducted an RCT in uncontrolled hypertension in chronic kidney disease (n=184). Clinical decision support system based in behavioural economic and user-centred design principles vs. Control arm was evaluated on Change in mean systolic blood pressure between baseline and 6 months. This protocol outlines a cluster-randomized trial of 184 clinicians evaluating a multicomponent clinical decision support intervention to improve blood pressure management in CKD over 6 months.

synapsesocial.com/papers/6a6ef974ac440176ef27c2b5 https://doi.org/10.1136/bmjopen-2021-054065

Topics

Hypertension management

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Multicomponent intervention to improve blood pressure management in chronic kidney disease: a protocol for a pragmatic clinical trial

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Topics

Multicomponent intervention to improve blood pressure management in chronic kidney disease: a protocol for a pragmatic clinical trial

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider