Pharmacist intervention for blood pressure control: medication intensification and adherence

Tyler H Gums; Liz Uribe; Mark W Vander Weg; Paul James; Christopher Coffey; Barry L Carter

doi:10.1016/j.jash.2015.05.005

Back

Pharmacist intervention for blood pressure control: medication intensification and adherence

Journal article

Open access

Peer reviewed

Pharmacist intervention for blood pressure control: medication intensification and adherence

Tyler H Gums, Liz Uribe, Mark W Vander Weg, Paul James, Christopher Coffey and Barry L Carter

Journal of the American Society of Hypertension, Vol.9(7), pp.569-578

07/2015

DOI: 10.1016/j.jash.2015.05.005

PMCID: PMC4508208

PMID: 26077795

Files and links (1)

url

http://doi.org/10.1016/j.jash.2015.05.005View

Open Access

Abstract

The objective of this study was to describe medication adherence and medication intensification in a physician-pharmacist collaborative management (PPCM) model compared with usual care. This study was a prospective, cluster, randomized study in 32 primary care offices from 15 states. The primary outcomes were medication adherence and anti-hypertensive medication changes during the first 9 months of the intervention. The 9-month visit was completed by 539 patients, 345 of which received the intervention. There was no significant difference between intervention and usual care patients in regards to medication adherence at 9 months. Intervention patients received significantly more medication changes (4.9 vs.1.1; P = .0003) and had significantly increased use of diuretics and aldosterone antagonists when compared with usual care (P = .01).The PPCM model increased medication intensification; however, no significant change in medication adherence was detected. PPCM models will need to develop non-adherence identification and intervention methods to further improve the potency of the care team.

United States

Prospective Studies

Humans

Middle Aged

Cooperative Behavior

Male

Antihypertensive Agents - therapeutic use

Drug Information Services

Mineralocorticoid Receptor Antagonists - therapeutic use

Young Adult

Medication Adherence

Adolescent

Aged, 80 and over

Adult

Diuretics - therapeutic use

Female

Aged

Primary Health Care

Pharmacists

Patient Education as Topic

Details

Title: Subtitle: Pharmacist intervention for blood pressure control: medication intensification and adherence
Creators: Tyler H Gums - Department of Pharmacy Practice and Science, College of Pharmacy, University of Iowa, Iowa City, IA, USA; Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA. Electronic address: tyler-gums@uiowa.edu
Liz Uribe - Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA, USA
Mark W Vander Weg - University of Iowa, Community and Behavioral Health
Paul James - University of Iowa, Family and Community Medicine
Christopher Coffey - University of Iowa, Biostatistics
Barry L Carter - University of Iowa, Pharmacy Practice and Science
Resource Type: Journal article
Publication Details: Journal of the American Society of Hypertension, Vol.9(7), pp.569-578
DOI: 10.1016/j.jash.2015.05.005
PMID: 26077795
PMCID: PMC4508208
NLM abbreviation: J Am Soc Hypertens
ISSN: 1933-1711
eISSN: 1878-7436
Publisher: Elsevier; United States
Grant note: R01 HL091841 / NHLBI NIH HHS
Language: English
Date published: 07/2015
Academic Unit: Psychological and Brain Sciences; Biostatistics; Family and Community Medicine; Pharmacy Practice and Science; Injury Prevention Research Center; Community and Behavioral Health; Internal Medicine
Record Identifier: 9984001798602771

Metrics

32 Record Views

28 Times Cited - Web of Science

See more details