Variable | Instrument | Time | |
---|---|---|---|
Baseline | Follow-up | ||
Patient level measures | Â | Â | Â |
Blood pressure | Average of 3 readings | X | Xa |
Literacy | Short-TOFHLA | X | Â |
Socio-demographic characteristics | Patient self-report/survey (Self Report) | Â | Â |
  Age | Self-report | X |  |
  Gender | Self-report | X |  |
  Marital status | Self-report | X |  |
  Education (grade level) | Self-report | X |  |
  Race/ethnicity (self-report) | Self-report | X |  |
  Household income | Self-report | X |  |
  Employment | Self-report | X | Xf |
  Relative social position | MacArthur Scale | X |  |
  Health insurance | Self-report | X | Xc |
  Social support | Medical outcomes study/perceived social support | X |  |
Biometrics | Â | Â | Â |
  Height | Stadiometer | X |  |
  Weight | SECA scale | X | Xa |
  Creatinine/GFR | Laboratory test | X | Xc |
  Cholesterol | Laboratory test | X | Xc |
  A1c | Laboratory test | X | Xd |
Clinical characteristics | Â | Â | Â |
  Medical comorbidities: Heart failure/high Cholesterol/Lung Disease/Chronic Back Pain/ Cancer/Arthritis/Fibromyalgia/Diabetes/Hypertension/COPD/Obstructive Sleep Apnea/ Renal Insufficiency/Stroke | Self-report | X |  |
  Depression | Mental Health Inventory (MHI-5) | X | Xe |
  Smoking status | Self-report | X | Xa |
  Current medications and supplements | List generated | X | Xa |
Patient reported outcomes | Â | Â | Â |
  Quality of life survey | SF-12 | X | Xa |
  Medication side-effects that limit use | Self-report | X | Xc |
  Knowledge/behaviors/beliefs | Self-report | X | Xa |
  Medication adherence (ADH) | Morisky adherence score | X | Xa |
  Exercise | RESIDE | X | Xd |
  Diet | Block fruit-vegetable-fiber screener | X | Xd |
  Understanding illness | HTN beliefs questionnaire | X | Xc |
  Participatory decision making (PDM) | PDM survey | X | Xc |
  Patient activation | Short- patient activation measure | X | Xa |
  Social determinants of health | Social determinants and civic engagement questionnaire |  | Xb |
Access to medication | Cost-related access to medication survey | X | Xa |
Practice Level QI Process Variables (Selected Visit planner items) | Â | Â | |
Action taken if BP uncontrolled | Visit Planner data | Continuous | |
Consequences of uncontrolled HTN discussed | Visit Planner data | Continuous | |
Assess medication adherence | Visit Planner data | Continuous | |
Assess for understanding of instructions | Visit Planner data | Continuous | |
Percent patients with HTN with BP’s < 140 mmHg and < 90 mmHg | Performance reports | Monthly and yearly |