Brief Summary

Hypertension is the most frequent chronic pathology in France and in the world. It is one of the main modifiable cardiovascular risk factors. In France, 50% of treated hypertensives are uncontrolled and only 30% of treated patients are fully adherent to their antihypertensive treatment. Poor adherence to drug treatments is considered as one of the main causes of non-control of hypertension.

Since 2018, a new profession has entered the French healthcare system: Advanced Practice Nurses (APN). They have many broad skills, at the interface of nursing and medical exercises.

The purpose of this interventional study is to assess the impact of APN on blood pressure (BP) control in the context of usual care of hypertension thanks to a better adhesion of patients and a better therapeutic alliance.

The hypothesis formulated is that an individual APN intervention, included in a usual hypertension management, improves BP control.

Conditions

• Hypertension

Intervention / Treatment

• Other: APN intervention

Primary Outcome Measures

• Blood pressure control (Medical consultation, from 2 months to 12 months after inclusion)
  Blood pressure \< 140/90 mmHg

Countries

France

Locations and Investigators

• Diagnosis and Therapeutic Center, Hôtel-Dieu Hospital, Paris, France
  • Juliette VAY-DEMOUY

Study Officials

• Jacques BLACHER, MD, PhD (Principal Investigator) — Diagnosis and Therapeutic Center, Hôtel-Dieu Hospital, Assistance Publique-Hôpitaux de Paris
• Juliette VAY-DEMOUY, MSc, PhD (Study Director) — Diagnosis and Therapeutic Center, Hôtel-Dieu Hospital, Assistance Publique-Hôpitaux de Paris