title: Behavioral interventions to improve hypertension control in the Veterans Affairs healthcare system.
abstract: Hypertension is a common and costly disease among US veterans. The Veterans Affairs (VA) healthcare system is the largest integrated healthcare provider in the United States and reviewing hypertension interventions developed in the VA may inform interventions delivered in other integrated healthcare systems. This review describes behavioral interventions to improve hypertension control that have been conducted in the VA since 1970. The authors identified 27 articles representing 15 behavioral interventional trials. Studies were heterogeneous across patients, providers, interventionist, and intervention components. The VA bridges services related to diagnosis, treatment, medication management, and behavioral counseling in a unified approach that supports collaboration and provides infrastructure for hypertension management.
authors.affiliation: Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC; Division of General Internal Medicine, Department of Medicine, Duke University, Durham, NC.
authors.forename: Leah L
authors.initials: LL
authors.lastname: Zullig
authors.forename: Hayden B
authors.initials: HB
authors.lastname: Bosworth
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use; D001521:Behavior Therapy; D015438:Health Behavior; D006787:Hospitals, Veterans; D006801:Humans; D006973:Hypertension / Q000517:prevention & control*; D014481:United States; D014728:Veterans
chemical_list: D000959:Antihypertensive Agents