Long-term Outcomes of the Effects of Home Blood Pressure Telemonitoring and Pharmacist Management on Blood Pressure Among Adults With Uncontrolled Hypertension | Zendy

Karen L. Margolis | Zendy; Stephen E. Asche | Zendy; Steven P. Dehmer | Zendy; Anna R. Bergdall | Zendy; Beverly B. Green | Zendy; JoAnn M. SperlHillen | Zendy; Rachel A. Nyboer | Zendy; Pamala A. Pawloski | Zendy; Michael V. Maciosek | Zendy; Nicole K. Trower | Zendy; Patrick J. O’Connor | Zendy

Open Access

Long-term Outcomes of the Effects of Home Blood Pressure Telemonitoring and Pharmacist Management on Blood Pressure Among Adults With Uncontrolled Hypertension

Author(s) -

Karen L. Margolis,

Stephen E. Asche,

Steven P. Dehmer,

Anna R. Bergdall,

Beverly B. Green,

JoAnn M. SperlHillen,

Rachel A. Nyboer,

Pamala A. Pawloski,

Michael V. Maciosek,

Nicole K. Trower,

Patrick J. O’Connor

Publication year - 2018

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2018.1617

Subject(s) - medicine , blood pressure , randomized controlled trial , psychological intervention , pharmacist , clinical trial , physical therapy , clinical pharmacy , pediatrics , emergency medicine , pharmacy , nursing

Key Points Question How long does blood pressure remain lower compared with usual care after a 12-month intensive intervention (home telemonitoring and pharmacist management)? Findings In this follow-up of a cluster randomized trial of 326 patients with uncontrolled hypertension, research clinic measurements showed that home blood pressure telemonitoring with pharmacist management lowered blood pressure more than usual care in the first 18 months, but this was not sustained through 54 months. The results from routine clinical measurements suggested significantly lower blood pressure in the intervention group for up to 24 months. Meaning Long-term maintenance strategies may be needed to sustain blood pressure intervention effects over several years.

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