Journal article
Effects of a community pharmacy cardiovascular practice transformation (CPT) program on blood pressure
Exploratory research in clinical and social pharmacy, Vol.17, 100559
03/2025
DOI: 10.1016/j.rcsop.2024.100559
PMCID: PMC11750546
PMID: 39845425
Abstract
To implement the Cardiovascular Practice Transformation (CPT) program and evaluate its impact on blood pressure, and to assess the feasibility of implementing the CPT program by identifying obstacles and facilitators.
Twenty-three Iowa pharmacies participated in the program, each monitoring approximately 10 hypertensive patients for 6 months. Pharmacists assessed blood pressure, medication adherence and addressed medication-related problems during patient visits. Pharmacists used a JotForm application to report patient demographics and care provided during visits. Also, blood pressure readings were collected or measured and reported. After six months, an online Qualtrics survey was sent to participating pharmacies to assess obstacles and facilitators to CPT program implementation. Descriptive statistics were calculated for the patient sample and paired t-tests compared baseline and final blood pressure readings. Frequencies were calculated for obstacles and facilitators.
A total of 232 patients participated, with 138 patients having both baseline and follow-up blood pressure data. Systolic blood pressure decreased from 144.2 to 133.6 mmHg, and diastolic blood pressure decreased from 84.4 to 78.3 mmHg, with p < 0.01 for both. Peer coaching and CPT resources were the main facilitators, while obstacles included documentation and staff time constraints.
Overall, the CPT program successfully supported pharmacies in improving blood pressure management.
•The Cardiovascular Practice Transformation (CPT) program supported pharmacists in monitoring and lowering blood pressure over time.•The pharmacies participating in the CPT program identified three key obstacles to changing their practices to monitor blood pressure: reimbursement for services, staff time, and documentation of services.•Peer coaching and CPT resources were the main facilitators for successfully monitoring and managing blood pressure.
Details
- Title: Subtitle
- Effects of a community pharmacy cardiovascular practice transformation (CPT) program on blood pressure
- Creators
- William R. Doucette - 180 S Grand Avenue 339 CPB, Iowa City, IA 52242, United States of AmericaEilan Alhersh - University of Iowa College of Pharmacy, Iowa City, IA, United States of AmericaLindsey Ludwig - CPESN IOWA, United States of AmericaStevie Veach - University of Iowa College of Pharmacy, Iowa City, IA, United States of America
- Resource Type
- Journal article
- Publication Details
- Exploratory research in clinical and social pharmacy, Vol.17, 100559
- DOI
- 10.1016/j.rcsop.2024.100559
- PMID
- 39845425
- PMCID
- PMC11750546
- NLM abbreviation
- Explor Res Clin Soc Pharm
- ISSN
- 2667-2766
- eISSN
- 2667-2766
- Publisher
- Elsevier Inc
- Grant note
- Iowa Department of Public Health
Funding This work was supported by a grant from the Iowa Department of Public Health.
- Language
- English
- Date published
- 03/2025
- Academic Unit
- Pharmacy Practice and Science
- Record Identifier
- 9984770888602771
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