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May 16, 2013The Journal of Clinical Pharmacology

Effectiveness of a Pharmacist‐Led Drug Counseling on Enhancing Antihypertensive Adherence and Blood Pressure Control: A Randomized Controlled Trial

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Key result

Pharmacist-led medication counseling did not significantly improve blood pressure control or medication compliance compared to a brief 3-minute drug advice over 6 months.

Why the study?

Does pharmacist counseling improve blood pressure control and medication compliance in patients taking antihypertensive agents with suboptimal compliance?

Population

274 patients taking ≥ one antihypertensive agent with suboptimal compliance in a designated family clinic in…

Comparison

Pharmacist counseling vs Brief 3-minute drug advice

Design

RCT, randomly allocated

Follow-up

6 months

Authors

MWMartin C. S. WongPreventive CardiologyKLKirin Q. L. LiuRalph Lauren Center for Cancer Care and PreventionHWHaoxiang WangNew Mexico State University

Discussion

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Implication

Brief advice suffices for BP control and compliance; challenges routine extended pharmacist counseling in similar patients.

Study Design

Type

RCT (n=274)

Randomization

randomly allocated

Multicenter

No

Structured PICO

Does pharmacist counseling improve blood pressure control and medication compliance in patients taking antihypertensive agents with suboptimal compliance?

P
Population
274 patients taking ≥1 antihypertensive agent with suboptimal compliance, followed for 6 months.
I
Intervention
Pharmacist counseling
C
Comparator
Brief 3-minute drug advice
O
Outcome
Blood pressure control and medication compliance at 3-months and 6-monthssurrogate

Pharmacist-led medication counseling did not demonstrate additional effects over a brief 3-minute drug advice on blood pressure control and compliance in patients with suboptimal adherence.

Cite This Study

Wong et al. (2013) conducted an RCT in Hypertension (n=274). Pharmacist counseling vs. Brief 3-minute drug advice was evaluated on Blood pressure control and medication compliance. Pharmacist-led medication counseling did not significantly improve blood pressure control or medication compliance compared to a brief 3-minute drug advice over 6 months.

synapsesocial.com/papers/6a228afa3cc05cab01ddb0a9https://doi.org/10.1002/jcph.101

Topics

Hypertension management
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Also Consider

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  2. 2A Randomized Trial of Direct-to-Patient Communication to Enhance Adherence to β-Blocker Therapy Following Myocardial Infarction2008 · 76 citations
  3. 3Five-Year Findings of the Hypertension Detection and Follow-up Program1979 · 1,259 citations
  4. 4Extended adherence support by community pharmacists for patients with hypertension: a randomised controlled trial2000 · 77 citations
  5. 5Effect of a Pharmacy Care Program on Medication Adherence and Persistence, Blood Pressure, and Low-Density Lipoprotein Cholesterol2006 · 814 citations