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A mixed-method approach to evaluate a pharmacist intervention for veterans with hypertension.
Parker CP, Cunningham CL, Carter BL, Vander Weg MW, Richardson KK, Rosenthal GE. A mixed-method approach to evaluate a pharmacist intervention for veterans with hypertension. Journal of clinical hypertension (Greenwich, Conn.). 2014 Feb 1; 16(2):133-40.
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.