Nurse-led behavioral management of diabetes and hypertension in community practices: a randomized trial.

Background: Several trials have demonstrated the efficacy of nurse telephone case management for diabetes (DM) and hypertension (HTN) in academic or vertically integrated systems. Little is known about the real-world potency of these interventions.

Objective: To assess the effectiveness of nurse behavioral management of DM and HTN in community practices among patients with both diseases.

Tailored Case Management for Diabetes and Hypertension (TEACH-DM) in a community population: study design and baseline sample characteristics.

Background: Despite recognition of the benefits associated with well-controlled diabetes and hypertension, control remains suboptimal. Effective interventions for these conditions have been studied within academic settings, but interventions targeting both conditions have rarely been tested in community settings. We describe the design and baseline results of a trial evaluating a behavioral intervention among community patients with poorly-controlled diabetes and comorbid hypertension.

Economic evaluation of home blood pressure monitoring with or without telephonic behavioral self-management in patients with hypertension.

Background: The Take Control of Your Blood Pressure trial evaluated the effect of a multicomponent telephonic behavioral lifestyle intervention, patient self-monitoring, and both interventions combined compared with usual care on reducing systolic blood pressure during 24 months. The combined intervention led to a significant reduction in systolic blood pressure compared with usual care alone. We examined direct and patient time costs associated with each intervention.

Two self-management interventions to improve hypertension control: a randomized trial.

Background: Fewer than 40% of persons with hypertension in the United States have adequate blood pressure (BP) control.

Objective: To compare 2 self-management interventions for improving BP control among hypertensive patients.

Design: A 2 x 2 randomized trial, stratified by enrollment site and patient health literacy status, with 2-year follow-up.