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Table 4 Final components of intervention and usual care control arms

From: Design and study protocol for a cluster randomized trial of a multi-faceted implementation strategy to increase the uptake of the USPSTF hypertension screening recommendations: the EMBRACE study

Multi-faceted implementation strategy intervention

Usual care control

• Educational presentations to primary care providers at grand rounds (one-time, in-person per clinic)

• Usual care

• Patient information materials on ABPM and HBPM (one-time printed material and website)

• Training registered nurses to assist providers with teaching patients to conduct HBPM (one-time in-person training)

• Information on how to order ABPM and HBPM to clinicians, nurses and front desk staff (one-time staff huddle and monthly–quarterly emails/newsletter)

• A computerized EHR-embedded clinical decision support tool that prompts providers to recall the USPSTF hypertension guidelines and facilitates ordering of HBPM and ABPM for guideline-eligible patients (EHR change available throughout trial)

• Monthly–quarterly feedback to primary care providers about clinic-level success with appropriately ordering ABPM and HBPM for eligible patients

• An accessible, culturally adapted and locally tailored ABPM service (in-person ABPM service available throughout trial)

  1. ABPM ambulatory blood pressure monitoring, HBPM home blood pressure monitoring, EHR electronic health record