A community pharmacist-led program promoting home blood pressure monitoring reduced systolic BP from 133.2 to 129.8 mmHg (P=0.002), with no difference between digital and traditional support.
Observational (n=1,216)
Yes
Does a community pharmacist-led program promoting home blood pressure monitoring improve blood pressure control and self-management in adults with or at risk of hypertension?
A nationwide community pharmacist-led program promoting home blood pressure monitoring significantly improved blood pressure control and self-management behaviors over 3 months, with similar efficacy between digital and traditional support.
Home blood pressure (BP) monitoring (HBPM) is fundamental to effective hypertension management. Incorporating community pharmacists into care delivery, especially via hybrid case management methods utilizing digital telemonitoring, presents a promising strategy for enhancing BP control and patient self-management. Nonetheless, the efficacy of these interventions at a national level remains inadequately investigated. We performed a nationwide observational study in Taiwan from September to December 2023. A total of 1216 adults with or at increased risk of hypertension were recruited via community pharmacies. Participants were assigned to either digital case management with telemonitoring or traditional pharmacist-led support for 3 months. Outcomes encompassed alterations in BP, alongside hypertension-related knowledge, attitudes, and self-management behaviors. In hypertensive participants, systolic and diastolic BP decreased from 133.2 ± 12.3 mmHg to 129.8 ± 19.3 mmHg (P = 0.002) 83.1 ± 19.2 mmHg to 79.7 ± 9.0 mmHg (P < 0.001) over a period of 3 months, respectively. The questionnaire achieved a response rate of 94%, with notable enhancements observed in knowledge (+1.2 points), attitude (+4.2 points), and behavior (+3.5 points) scores (all P < 0.001). Older adults, individuals with diminished educational qualifications, and residents of less urbanized regions exhibited more significant improvements. No notable differences were detected between digital and non-digital case management in BP or behavioral outcomes. A nationwide hybrid intervention promoting HBPM via community pharmacist-led case management resulted in substantial enhancements in BP control and self-management outcomes. Moreover, the method was especially advantageous for socially disadvantaged groups. These findings endorse incorporating pharmacist-led hybrid care models into national hypertension management strategies.
Chen et al. (Thu,) conducted a observational in Hypertension (n=1,216). Digital case management with telemonitoring vs. Traditional pharmacist-led support was evaluated on Alterations in blood pressure, hypertension-related knowledge, attitudes, and self-management behaviors. A community pharmacist-led program promoting home blood pressure monitoring reduced systolic BP from 133.2 to 129.8 mmHg (P=0.002), with no difference between digital and traditional support.