Effects of a community pharmacy cardiovascular practice transformation (CPT) program on blood pressure
- PMID: 39845425
- PMCID: PMC11750546
- DOI: 10.1016/j.rcsop.2024.100559
Effects of a community pharmacy cardiovascular practice transformation (CPT) program on blood pressure
Abstract
Objectives: To implement the Cardiovascular Practice Transformation (CPT) program and evaluate its impact on blood pressure, and to assess the feasibility of implementing the CPT program by identifying obstacles and facilitators.
Methods: Twenty-three Iowa pharmacies participated in the program, each monitoring approximately 10 hypertensive patients for 6 months. Pharmacists assessed blood pressure, medication adherence and addressed medication-related problems during patient visits. Pharmacists used a JotForm application to report patient demographics and care provided during visits. Also, blood pressure readings were collected or measured and reported. After six months, an online Qualtrics survey was sent to participating pharmacies to assess obstacles and facilitators to CPT program implementation. Descriptive statistics were calculated for the patient sample and paired t-tests compared baseline and final blood pressure readings. Frequencies were calculated for obstacles and facilitators.
Results: A total of 232 patients participated, with 138 patients having both baseline and follow-up blood pressure data. Systolic blood pressure decreased from 144.2 to 133.6 mmHg, and diastolic blood pressure decreased from 84.4 to 78.3 mmHg, with p < 0.01 for both. Peer coaching and CPT resources were the main facilitators, while obstacles included documentation and staff time constraints.
Conclusion: Overall, the CPT program successfully supported pharmacies in improving blood pressure management.
Keywords: Community pharmacy; Hypertension; Pharmacy practice transformation.
© 2024 The Authors.
Conflict of interest statement
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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References
-
- Facts about hypertension Centers for Disease Control and Prevention. 2023. https://www.cdc.gov/bloodpressure/facts.htm Available at: (Accessed: 17 November 2023)
-
- World Health Organization (WHO) Guideline for the pharmacological treatment of hypertension in adults. 2024. https://apps.who.int/iris/bitstream/handle/10665/344424/9789240033986-en... Available at: (Accessed: 05 January 2024) - PubMed
-
- Unger T., et al. 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension. 2020;75(6):1334–1357. - PubMed
-
- Practice guidelines for the management of arterial hypertension of the European Society of Hypertension and the European Society of Cardiology. J Hypertens. 2019;37(2):456. ‘2018. - PubMed
-
- Tsuyuki R.T., et al. A randomized trial of the effect of pharmacist prescribing on improving blood pressure in the community: the Alberta clinical trial in optimizing hypertension (rxaction) Can J Cardiol. 2014;30(10) - PubMed
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