A substudy evaluating treatment intensification on medication adherence among hypertensive patients receiving home blood pressure telemonitoring and pharmacist management.
What is known and objective Hypertension is a leading cause of death and major contributor to heart attacks, strokes, heart and kidney failure. Antihypertensive ( HTN medication) non-adherence contributes to uncontrolled hypertension. Effective initiatives to improve uncontrolled hypertension includ...
| Publicado en: | Journal of Clinical Pharmacy & Therapeutics Vol. 41; no. 5; pp. 493 - 499 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | equations & formulas research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117632097&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 117632097 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02694727 EV4 jtl: Journal of Clinical Pharmacy & Therapeutics issn: 02694727 maglogo: Y pubinfo: dt: Oct2016 vid: 41 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 117632097 117632097 117632097 10.1111/jcpt.12414 117632097 ppf: 493 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A substudy evaluating treatment intensification on medication adherence among hypertensive patients receiving home blood pressure telemonitoring and pharmacist management. aug: au: Pawloski, P. A. Asche, S. E. Trower, N. K. Bergdall, A. R. Dehmer, S. P. Maciosek, M. V. Nyboer, R. A. O'Connor, P. J. Sperl‐Hillen, J. M. Green, B. B. Margolis, K. L. affil: HealthPartners Institute, Minneapolis MN, USA sug: subj: Medication Compliance Patient Care Hypertension Therapy Telemedicine Pharmacy and Pharmacology Human Blood Pressure Determination Home Health Care Pharmacists Hypertension Mortality Population Data Collection Data Analysis Chi Square Test Funding Source ab: What is known and objective Hypertension is a leading cause of death and major contributor to heart attacks, strokes, heart and kidney failure. Antihypertensive ( HTN medication) non-adherence contributes to uncontrolled hypertension. Effective initiatives to improve uncontrolled hypertension include a team-based approach with home blood pressure ( BP) monitoring. Our study objective was to evaluate whether objectively measured medication adherence was influenced by home BP telemonitoring and pharmacist management. Methods We analysed HTN medication adherence in 240 patients who received home BP telemonitoring and pharmacist intervention ( TI). Adherence was measured based on prescription fills and the proportion of days covered ( PDC). HTN medications continued pre- to post-baseline were similar for telemonitoring intervention ( TI) and usual care ( UC) patients (rate ratio = 1·00, P = 0·90). Results and discussion More HTN medications were discontinued pre- to post-baseline in TI patients (rate ratio = 1·38, P = 0·04). Similarly, more HTN medications were added in TI patients (rate ratio = 2·46, P < 0·001). The proportion with a mean PDC ≥ 0·8 for HTN medications added after baseline and overall adherence did not differ between groups. What is new and conclusion Medication adherence was high in both groups; however, medication adherence was not significantly altered by the intervention. There were more medication modifications and greater medication intensification among TI patients. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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