Key result
Behavioral interventions to improve hypertension control in the VA healthcare system were reviewed across 15 trials, showing heterogeneity across patients, providers, and components.
Why the study?
Do behavioral interventions improve hypertension control in US veterans?
Do behavioral interventions improve hypertension control in US veterans?
The VA healthcare system provides a unified infrastructure that supports behavioral interventions for hypertension management, though existing studies show significant heterogeneity.
High heterogeneity in VA behavioral hypertension trials cautions against broad implementation; leaves open optimal components for veterans.
Hypertension is a common and costly disease among US veterans. The Veterans Affairs (VA) healthcare system is the largest integrated healthcare provider in the United States and reviewing hypertension interventions developed in the VA may inform interventions delivered in other integrated healthcare systems. This review describes behavioral interventions to improve hypertension control that have been conducted in the VA since 1970. The authors identified 27 articles representing 15 behavioral interventional trials. Studies were heterogeneous across patients, providers, interventionist, and intervention components. The VA bridges services related to diagnosis, treatment, medication management, and behavioral counseling in a unified approach that supports collaboration and provides infrastructure for hypertension management.
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Zullig et al. (2014) conducted a review in Hypertension. Behavioral interventions was evaluated on Hypertension control. Behavioral interventions to improve hypertension control in the VA healthcare system were reviewed across 15 trials, showing heterogeneity across patients, providers, and components.
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