Baseline data: research nurse administered |
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Socio-demographic characteristics: |
   Age; Ethnicity; Gender; Postcode |
Validation of stroke/transient ischaemic attack: |
   Review of medical records with patient history |
Clinical measures: |
   Six blood pressure (BP) measurements, calculating mean of 2nd and 3rd measurements and recording details of: arm used; arm circumference; BP cuff size; and time BP measurement started |
   24 hour ambulatory BP recording |
Medical history |
   Previous history of angina, myocardial infarction, heart failure, atrial fibrillation, CABG/angioplasty (balloon)/or stent, peripheral vascular disease, diabetes, chronic kidney disease. Current prescription medications. Smoking status and alcohol intake |
Patient questionnaires - self-completion |
   Health related quality of life assessed by the SF-36 [20] and EQ-5 D [19] |
   Disability assessed by the Modified Rankin Scale [26] |
   Medication Adherence Report Schedule (MARS) for BP treatment [27] |
   Symptoms/side effects questionnaire |
Patient questionnaire - research nurse completion |
   Cognitive function assessed by the Mini Mental State [21] |
Eligibility and consent |
   Review inclusion and exclusion criteria and record outcome of consent process |
Patient follow up for BP control |
GP appointment at any time patient BP medication review required |
   Action taken to treat/monitor side effects |
   Action taken to treat BP above target using study algorithm (see figure 1) |
   Make appointment with practice nurse at appropriate interval (see figure 2) |
Practice nurse follow up - 1-3 month intervals |
   Six BP readings, as per baseline data collection |
   Side effects of BP medication |
   Refer patient to GP or make further appointment with practice nurse (see figure 2) |
Patient follow up by research team |
Research nurse follow up - 6 and 12 months post randomisation |
   Six BP readings, as per baseline data collection |
   24 hour ambulatory BP recording (12 month f/u only) |
   Check details of patient visits to GP and practice nurse |
   Diagnosis of key medical conditions (as per baseline data collection) since baseline or the previous research nurse follow up |
   All hospital admissions or outpatient visits since baseline or the previous research nurse follow up |
   Record of medications introduced since baseline or the previous research nurse follow up |
   Monitor compliance with repeat medication since baseline or previous research nurse follow up |
   Completion of patient questionnaires, as per baseline data collection. |
Obtaining information on patients who died |
   Records flagged at NHS central register |