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A Mixed‐Method Approach to Evaluate a Pharmacist Intervention for Veterans With Hypertension
Journal article   Open access   Peer reviewed

A Mixed‐Method Approach to Evaluate a Pharmacist Intervention for Veterans With Hypertension

Christopher P Parker, Cassie L Cunningham, Barry L Carter, Mark W Vander Weg, Kelly K Richardson and Gary E Rosenthal
The journal of clinical hypertension (Greenwich, Conn.), Vol.16(2), pp.133-140
02/2014
DOI: 10.1111/jch.12250
PMCID: PMC8032111
PMID: 24588813
url
https://doi.org/10.1111/jch.12250View
Published (Version of record) Open Access

Abstract

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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