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NCT07147075

Provider Skill Building for Engagement and Communication in Healthcare - Hypertension Management

Enrolling by Invitation
NAAges 18+Interventional
Duke University
~180 participants
Updated 2026-06-18 on ClinicalTrials.gov
What's tested:REACH - Hypertension

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Feasibility of the intervention as measured by Clinician enrollment
Measured over Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention
+7 more outcomes measured

Conditions

Patient-centered Care

Explore related trials

Hypertension

Where it's being run

1 sites across 1 states
North Carolina1

Study leadership

  • Investigator, PhD · PRINCIPAL_INVESTIGATOR · Duke University
  • Investigator, MD · PRINCIPAL_INVESTIGATOR · Duke University

Who to contact

This trial hasn't published a contact. View it on ClinicalTrials.gov

Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

Doctor Cohort: Independently practicing physicians (MD, DO, PA, or NP)
Doctor Cohort: Responsible for a panel of primary care adult patients in the Duke Primary Care clinic
Patient Cohort: Receiving primary care from an enrolled DPC clinician at the enrolled DPC clinic
Patient Cohort: Age at least 18 years
Patient Cohort: Diagnosis of hypertension based on EHR ICD coding
Patient Cohort: Able to complete a primary care encounter without an interpreter
Patient Cohort: Able to use the study tablet for consent, data collection, and audio-recording a clinical encounter
Patient Cohort, post-intervention: Not previously enrolled at any other timepoint
EHR Cohort: Non-urgent patient encounters for enrolled clinicians 6 months pre intervention to 6 months post intervention completion

Exclusion

Doctor Cohort: Not an independently practicing physician (MD, DO, PA, or NP) at the enrolled Duke Primary Care clinic
Patient Cohort: Previously enrolled at any other timepoint
EHR Cohort: Urgent patient encounters

What this trial measures

  • Feasibility of the intervention as measured by Clinician enrollmentBaseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention
  • Feasibility of the intervention as measured by Patient enrollmentBaseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention
  • Feasibility of the intervention as measured by number of participants with completion of analyzable audio-recorded encountersBaseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention
  • Feasibility of the intervention as measured by the number of participants with intervention completionBaseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention
  • Feasibility of the intervention as measured by the number of participants with survey completionBaseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention
  • Feasibility of the intervention as measured by the number of participants with usable electronic health record (EHR) dataBaseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention
  • Change in patient-centeredness as measured by Roter interaction analysis system (RIAS)Baseline (pre-intervention), within 6 weeks post-intervention, and 12-16 weeks post-intervention

    Primary outcome for audio-recorded clinical encounters, the primary outcome is change in patient-centeredness, which includes behaviors like exploring the patient's perspective, showing empathy, and involving the patient in decision-making. This measure will be assessed using the Roter interaction analysis system (RIAS), a method for coding medical dialogue. The system codes each utterance (the smallest meaningful unit of speech) into one of approximately 40 categories related to task-focused or socioemotional communication. The scores derived are typically percentages or frequencies of specific communication behaviors within a given interaction (e.g., percentage of doctor talk, patient questions, or empathetic statements). A higher score is generally associated with more patient-centered communication.

  • Change in systolic blood pressureBaseline - [spanning 6 months pre-intervention for all patients of the enrolled clinicians] to end point - [spanning 6 months post-intervention for all patients of the enrolled clinicians]

    A lower (mean) systolic blood pressure may suggest the intervention was effective.