Woman and Man
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Extract
Background and study aims This study aims to compare different ways of measuring and managing high blood pressure after a stroke or ministroke (TIA). At present, decisions about whether blood pressure levels need to be treated and therefore how much and what blood pressure lowering treatment to take are usually based on blood pressure levels taken at the hospital clinics or GP surgeries. It is not known whether self-monitoring of blood pressure with some guidance and adjustment of medication would improve the blood pressure control and hence reduce the risk of stroke in people who have had a TIA and milder stroke. The aim of this study is to test whether self-monitoring of blood pressure and supervised self-management of treatment results in better blood pressure control and greater patient satisfaction. Who can participate? Patients aged 55 and over with TIA or stroke who require blood pressure management What does the study involve? Participants are randomly allocated to one of three groups. The first group monitor their blood pressure and manage their own treatment changes with the study team’s support. The second group monitor their blood pressure but the results are relayed to a participant's GP, with GP-led treatment changes. The third group undergoes standard GP clinic blood pressure measurements. All the participants’ blood pressure levels are assessed after 6 months and they are asked how they feel about home monitoring of blood pressure in terms of how easy and practical it is, what concerns they may have and how they feel about altering their treatment under supervision. This study also assesses whether blood pressure self-monitoring represents good value for money for the NHS and taxpayers. What are the possible benefits and risks of participating? Not provided at time of registration Where is the study run from? Norfolk and Norwich University Hospital NHS Trust (UK) When is the study starting and how long is it expected to run for? November 2012 to September 2016 Who is funding the study? National Institute for Health Research (UK) Who is the main contact? John Potter
Inclusion criteria
- Topic: Stroke; Subtopic: Primary Care, Rehabilitation; Disease: Therapy type