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CONtrolling Disease Using Inexpensive IT - Hypertension in Diabetes

Sponsored by University of Massachusetts, Worcester

Phase Quota
Phase N/A

This project will develop and test a low-cost approach to using health information technology and home monitoring aimed at improving care for chronic conditions, with low barriers to adoption in a wide variety of settings - from large group practices using state-of-the-art electronic health records to small practices with no more than a computer with internet access. Success will lead to a cost-effective approach to improving control of hypertension, both among individuals with diabetes and among non-diabetics, which can make a substantial contribution to the health of the population of the United States as improving hypertension control is estimated to have a greater population health benefit than most other health interventions. Success will also set the stage for adaptation of this intervention to a variety of other chronic health conditions and further substantial improvements in the health of millions of Americans.

Study Start Date: August 2011

Estimated Completion Date: July 2015

Specialties: Cardiology: Hypertension Internal Medicine: Cardiology,Endocrinology Endocrinology: Diabetes

Interventions

  • Other: CONDUIT self-monitoring-nurse-primary care provider (PCP) feedback loop
  • Other: Self-monitoring-nurse-primary care provider feedback loop

Inclusion criteria

  • Diagnoses of both diabetes mellitus and hypertension
  • Uncontrolled hypertension (mean of up to most recent 3 clinic BPs in previous 6 months with SBP>=145 and/or DBP>=85) AND mean of 3 readings taken at intake visit meeting same criterion

Exclusion criteria

  • End-stage renal disease
  • Pregnancy/gestational diabetes
  • Terminal illness
  • Diagnosed or probable (based on screen) dementia
  • Active psychosis
  • Moderate-severe mental retardation
  • Indication by PCP that patient would be inappropriate for study
  • Planning to leave Fallon Clinic during the coming year

Study Locations And Contact Information

  • Reliant Medical Group, Worcester Massachusetts

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