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

Study design:

RCT

Follow up: 6 months

Patient group:

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).

Type of technology:

Home monitoring equipment

– Blood pressure

 

Interactive voice response (IVR) phone system

– Data transfer/reporting

– Education

 

Phone call

Intervention:

Intervention:

– Education on how to lowering blood pressure using booklet

– 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/ Patient safety:

Clinical effect:

– Mean BP →

– Achieving goal BP →

Changes in BP

– Sys ↓

– Dia →

Patient safety:

NA

Patient experiences/ Staff experiences:

Patient experiences:

NA

Staff experiences:

NA

Costs and organization:

Investment:

Material

– 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

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)