Key result
An intensive 6-month pharmacist-managed intervention significantly reduced blood pressure in diabetic (-8.0/-4.0 mm Hg) and nondiabetic (-14.0/-5.0 mm Hg) veterans with hypertension (P<0.001).
Why the study?
Does an intensive pharmacist-managed intervention improve blood pressure control in veterans with hypertension?
RCT (n=37)
Yes
Does an intensive pharmacist-managed intervention improve blood pressure control in veterans with hypertension?
p-value: p=<0.001
An intensive pharmacist-managed intervention significantly improves blood pressure control and medication adherence in veterans with hypertension.
Supports incorporating pharmacist-managed hypertension care for veterans; extends RCT evidence across diabetic and nondiabetic subgroups.
This paper examines blood pressure (BP) control after 6 months of an intensive pharmacist-managed intervention in a mixed-methods randomized controlled trial conducted at the Iowa City Veteran Affairs Health Care System and two community-based outreach clinics. Patients received the pharmacist intervention for the first 6 months. The study coordinator conducted a summative evaluation with 37 patients 18 to 24 months following the initial 6-month intervention period. BP was significantly reduced in diabetic patients following an intensive pharmacist intervention (-8.0/-4.0 ± 14.4/9.1 mm Hg systolic/diastolic, P<.001 and P=.001, respectively). BP was reduced even more in nondiabetic patients (-14.0/-5.0 ± 1.9/10.0 mm Hg, P<.001). Medication adherence significantly improved from baseline to 6 months (P=.017). BPs were significantly lower at 6 months following an intensive pharmacist intervention. Patients also expressed a high level of satisfaction with and preference for co-management of their hypertension, as well as other chronic diseases.
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Parker et al. (2014) conducted an RCT in Hypertension (n=37). Intensive pharmacist-managed intervention was evaluated on Blood pressure reduction at 6 months (p=<0.001). An intensive 6-month pharmacist-managed intervention significantly reduced blood pressure in diabetic (-8.0/-4.0 mm Hg) and nondiabetic (-14.0/-5.0 mm Hg) veterans with hypertension (P<0.001).
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