Effectiveness of a Pharmacist-Led Drug Counseling on Enhancing Antihypertensive Adherence and Blood Pressure Control: A Randomized Controlled Trial.
In: Journal of Clinical Pharmacology, Jg. 53 (2013-07-01), Heft 7, S. 753-761
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Zugriff:
Adherence to antihypertensive medications represents a crucial success factor for optimal blood pressure (BP) control in clinical practice. This study evaluated whether an additional pharmacist-led medication counseling could achieve better optimal BP control and enhance compliance. In a designated family clinic in a region with similar resident characteristics to Hong Kong, patients taking ≥ one antihypertensive agent with suboptimal compliance were randomly allocated to a brief 3-minute drug advice (control; n = 161) or pharmacist counseling (intervention; n = 113). The two groups were compared by repeated measure ANOVA at 3-months and 6-months with BP control and medication compliance as outcome variables, respectively. The proportions of patients having optimal compliance increased from 0% to 41.1% at 3 months and 61.9% at 6 months ( P < 0.001). The proportion of patients having optimal BP control improved from 64.1% at baseline to 74.0% at 3 months and 74.5% at 6 months ( P = 0.023). There were no significant differences between the two groups in the changes of BP control and compliance levels. This study implied that even a brief 3-minute drug advice might lead to improved BP levels among patients on antihypertensive medications in general practice, but did not demonstrate additional effects by pharmacist counseling. [ABSTRACT FROM AUTHOR]
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Titel: |
Effectiveness of a Pharmacist-Led Drug Counseling on Enhancing Antihypertensive Adherence and Blood Pressure Control: A Randomized Controlled Trial.
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Autor/in / Beteiligte Person: | Wong, Martin C.S. ; Liu, Kirin Q.L. ; Wang, Harry H.X. ; Lee, Catherine L.S. ; Kwan, Mandy W.M. ; Lee, Ken W.S. ; Cheung, Yu ; Lee, Gabrielle K.Y. ; Morisky, Donald E. ; Griffiths, Sian M. |
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Zeitschrift: | Journal of Clinical Pharmacology, Jg. 53 (2013-07-01), Heft 7, S. 753-761 |
Veröffentlichung: | 2013 |
Medientyp: | academicJournal |
ISSN: | 0091-2700 (print) |
DOI: | 10.1002/jcph.101 |
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