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Randomized Controlled Trial
. 2015 Jul;9(7):569-78.
doi: 10.1016/j.jash.2015.05.005. Epub 2015 May 15.

Pharmacist intervention for blood pressure control: medication intensification and adherence

Tyler H Gums  1 , Liz Uribe  2 , Mark W Vander Weg  3 , Paul James  4 , Christopher Coffey  2 , Barry L Carter  5
Affiliations
Randomized Controlled Trial

Pharmacist intervention for blood pressure control: medication intensification and adherence

Tyler H Gums et al. J Am Soc Hypertens. 2015 Jul.

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.

Keywords: Collaboration; hypertension; team-based care.

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Conflict of interest statement

Conflict of Interest: Authors of this presentation have nothing to disclose concerning possible financial or personal relationships with commercial entities that may have a direct or indirect interest in the subject matter of this presentation.

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