Key result
A lifestyle advice program provided by community pharmacists using motivational interviewing reduced morning systolic blood pressure by a mean difference of 6.0 mmHg compared to usual care.
Why the study?
Does brief motivational lifestyle advice provided by community pharmacists reduce morning home systolic blood pressure in hypertensive patients?
RCT (n=125)
Open-label
Blocked randomization according to pharmacy size and type
Yes
Does brief motivational lifestyle advice provided by community pharmacists reduce morning home systolic blood pressure in hypertensive patients?
Brief motivational lifestyle advice provided by community pharmacists is feasible and significantly improves morning home systolic blood pressure control in hypertensive patients.
Answers are grounded in this paper and cite their sources.
May support pharmacist-led BP interventions; leaves open efficacy in larger randomized trials.
The COMmunity Pharamcists ASSist for Blood Pressure (COMPASS-BP) study aimed to assess the effectiveness of lifestyle support programs administered in community pharmacies on hypertension control. This open-label, two-armed parallel group, cluster-randomized controlled trial included 73 pharmacies (clusters) in Japan randomized to a control or intervention group. Eligible hypertensive patients (n = 125), aged 20-75 years, received the intervention (n = 64) or the control treatment (n = 61), as dictated by their pharmacy randomization. Patients in the intervention group received brochures and healthy lifestyle advice from pharmacists using motivational interviewing methods during pharmacy visits over a 12-week period, with their usual pharmacy care. Conversely, the control group just received usual care. The main outcome measure was a change in morning systolic blood pressure (SBP) from baseline to week 12. The intervention group exhibited a decrease in morning SBP that was 6.0 mmHg greater than that of the control group (95% confidence interval [CI]: -11.0 to -0.9, p = 0.021). In a mixed-effect model for repeated measures analysis, the intergroup difference in morning SBP decrease was -4.5 mmHg (95% CI: -8.5 to -0.6, p = 0.024). Our findings indicate that implementation of a lifestyle advice program in pharmacies is feasible and may lead to reduced blood pressure.
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Okada et al. (2017) conducted an RCT in Hypertension (n=125). Lifestyle advice program provided by pharmacists vs. Usual care was evaluated on Change in morning home systolic blood pressure (SBP) from baseline to week 12 (MD -6.0 mmHg, 95% CI -11.0 to -0.9, p=0.021). A lifestyle advice program provided by community pharmacists using motivational interviewing reduced morning systolic blood pressure by a mean difference of 6.0 mmHg compared to usual care.
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