Key result
Pharmacist-provided intensified hypertension management resulted in significantly lower mean systolic blood pressure compared with the control group (129.7 vs 140.8 mm Hg; p<0.0001).
Why the study?
Does pharmacist-provided intensified hypertension management and drug adherence counseling improve adherence, self-efficacy, social support, and blood pressure in patients with uncontrolled primary hypertension?
Population
584 patients (aged 21-85 years) with uncontrolled primary hypertension
Comparison
Pharmacist-provided intensified hypertension… vs Control group
Design
Cohort
Follow-up
6 and 9 months
Authors
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May support pharmacist-led hypertension programs; leaves open mechanisms beyond adherence in observational data.
RCT (n=584)
randomized
Yes
Does pharmacist-provided intensified hypertension management and drug adherence counseling improve adherence, self-efficacy, social support, and blood pressure in patients with uncontrolled primary hypertension?
Absolute Event Rate: 129.7% vs 140.8%
p-value: p=<0.0001
Pharmacist-led intensified hypertension management significantly improves blood pressure control, though this effect appears largely independent of changes in patient self-efficacy, social support, or self-reported adherence.
Criswell et al. (2010) conducted an RCT in uncontrolled primary hypertension (n=584). Pharmacist-provided intensified hypertension management and drug adherence counseling vs. Control group was evaluated on Mean systolic blood pressure (p=<0.0001). Pharmacist-provided intensified hypertension management resulted in significantly lower mean systolic blood pressure compared with the control group (129.7 vs 140.8 mm Hg; p<0.0001).
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