A multimodal blood pressure control intervention in 3 healthcare systems.
Source: Magid, D. J., et al. 2011 - Pubmed ID: 21774100
Setting: USA, Hospitals and Clinics
RCT
Follow up: 6 months
Sample size:
Total: 338 (283)
IG: NA
CG: NA
Inclusion criteria:
- Hypertension
- 4 or fewer antihypertensice medications
- Elevation in 2/3 recent BP measurements (>130 mm Hg for systolic or >80 mm Hg for diastolic).
Home monitoring
- Blood pressure
Phone call (Interactive voice response (IVR) phone system)
- Data transfer/reporting
- Education
Phone call
- Medication discussion
- Life style changes information
Intervention: Education on how to lowering blood pressure using booklet and Home BP monitoring 3-4 times/ week. Reporting data on BP data once a week via IVR phone system. Possible to listen to educational message or request call from pharmacist. Phone call from pharmacist discussing changes in medication, lifestyle changes etc.
Duration: 6 months
Add on: +
Control group: Usual care
Clinical effect:
- Mean BP →
- Achieving goal BP →
- Changes in BP: Sys ↓/Dia →
Patient safety: NA
Patient experiences: NA
Staff experiences: NA
Investment:
Equipment/Materials
- Educational booklet (https://www.nhlbi.nih.gov/files/docs/public/heart/hbp_low.pdf)
- Home monitoring equipment
Running:
Staff resources
- Pharmacist calling patient
- Education of patients
Organization: NA
Health care utilization: NA