Brigham and Women's Hospital
The proposed study is an effectiveness-implementation hybrid type II trial designed to evaluate the impact of provider- and patient-directed interventions on FDC use. The trial will test the effectiveness of theory-driven nudges tailored to address provider and patient barriers. All interventions will be pharmacist-driven, with pharmacists delivering information via nudges to providers and via nudges or more intensive interventions (i.e., CPA) to patients. Data to evaluate outcomes will be extracted from electronic health records.
Inclusion Criteria: * patients with documented hypertension diagnosis * had an elevated ambulatory blood pressure reading during the qualifying visit (systolic \>140 mmHg or diastolic \>90 mmHg * have an upcoming scheduled visit * have an active prescription for 1 blood pressure lowering medication with a fixed-dose combination (FDC) alternative Exclusion Criteria: * have received a prescription for a FDC in the preceding two years * reside in a nursing home * have a documented allergy to any FDC components * are pregnant * preferred language is not English or Spanish, defined as documentat…
Pharmacists will deliver targeted nudges to providers through clinical decision support integrated into the electronic health record (EHR)
Patients will receive pharmacist-delivered nudges (e.g., text messages) 1-7 days before their visit to encourage fixed-dosed combinations
Patients will receive pharmacist counseling and prescribing delivered via virtual encounters after their visit
Arctuva estimate
Actual pay is set by the research site.
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