title: A mixed-method approach to evaluate a pharmacist intervention for veterans with hypertension.
abstract: This paper examines blood pressure (BP) control after 6 months of an intensive pharmacist-managed intervention in a mixed-methods randomized controlled trial conducted at the Iowa City Veteran Affairs Health Care System and two community-based outreach clinics. Patients received the pharmacist intervention for the first 6 months. The study coordinator conducted a summative evaluation with 37 patients 18 to 24 months following the initial 6-month intervention period. BP was significantly reduced in diabetic patients following an intensive pharmacist intervention (-8.0/-4.0 ± 14.4/9.1 mm Hg systolic/diastolic, P<.001 and P=.001, respectively). BP was reduced even more in nondiabetic patients (-14.0/-5.0 ± 1.9/10.0 mm Hg, P<.001). Medication adherence significantly improved from baseline to 6 months (P=.017). BPs were significantly lower at 6 months following an intensive pharmacist intervention. Patients also expressed a high level of satisfaction with and preference for co-management of their hypertension, as well as other chronic diseases.
authors.affiliation: Department of Pharmacy Practice and Science, College of Pharmacy, Iowa City, IA.
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Parker
authors.forename: Cassie L
authors.initials: CL
authors.lastname: Cunningham
authors.forename: Barry L
authors.initials: BL
authors.lastname: Carter
authors.forename: Mark W
authors.initials: MW
authors.lastname: Vander Weg
authors.forename: Kelly K
authors.initials: KK
authors.lastname: Richardson
authors.forename: Gary E
authors.initials: GE
authors.lastname: Rosenthal
mesh_terms: D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D007484:Iowa; D008297:Male; D017060:Patient Satisfaction; D010595:Pharmacists; D010607:Pharmacy Service, Hospital; D024382:Professional Role; D014728:Veterans