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September 1, 2014Journal of Managed Care PharmacyOpen Access

Impact of a Pill Box Clinic to Improve Systolic Blood Pressure in Veterans with Uncontrolled Hypertension Taking 3 or More Antihypertensive Medications

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Why the study?

Does a pharmacist-led pill box clinic reduce systolic blood pressure in veterans with uncontrolled hypertension taking 3 or more antihypertensive medications?

Population

60 veterans with uncontrolled hypertension currently taking at least 3 antihypertensive medications.

Comparison

Pharmacist-led pill box clinic providing two… vs Pre-intervention baseline.

Design

Cohort

Follow-up

4 weeks

Authors

APAngela K. PorterCharles George VA Medical CenterSTShawn Riser TaylorWingate UniversityAYAbigail H Yabut

Discussion

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Implication

Non-significant SBP reduction should not change practice; leaves open pharmacist-led pill box efficacy in veterans on multiple antihypertensives.

Structured PICO

Does a pharmacist-led pill box clinic reduce systolic blood pressure in veterans with uncontrolled hypertension taking 3 or more antihypertensive medications?

P
Population
60 veterans with uncontrolled hypertension currently taking at least 3 antihypertensive medications.
I
Intervention
Pharmacist-led pill box clinic providing two 7-day pill boxes to organize medications, with follow-up appointments at 2 and 4 weeks for refills, blood pressure measurement, and adherence assessment.
C
Comparator
Pre-intervention baseline (prospective pre/post study design).
O
Outcome
Reduction of systolic blood pressure by 10 mmHg from pre-intervention to post-intervention.surrogate

A pharmacist-led pill box clinic for veterans on 3 or more antihypertensives led to non-statistically significant but clinically meaningful reductions in systolic blood pressure over 4 weeks.

Cite This Study

Porter et al. (2014) studied this question.

synapsesocial.com/papers/6a753395d93df8ecca093e2bhttps://doi.org/10.18553/jmcp.2014.20.9.905

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Improving Medication Compliance by Counseling and Special Prescription Container1980 · 74 citations
  2. 2Increasing compliance. Patient-operated hypertension groups1980 · 86 citations
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  4. 4Anticoagulation: Effect of a Warfarin Adherence Aid on Anticoagulation Control in an Inner-City Anticoagulation Clinic Population2009 · 22 citations
  5. 5Long-Term Absolute Benefit of Lowering Blood Pressure in Hypertensive Patients According to the JNC VI Risk Stratification2000 · 302 citations