Effects of a community pharmacy cardiovascular practice transformation (CPT) program on blood pressure

IF 1.8 Q3 PHARMACOLOGY & PHARMACY

Exploratory research in clinical and social pharmacy Pub Date : 2024-12-25 DOI:10.1016/j.rcsop.2024.100559

William R. Doucette , Eilan Alhersh , Lindsey Ludwig , Stevie Veach

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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.

查看原文本刊更多论文

社区药房心血管实践转化（CPT）项目对血压的影响。

目的：实施心血管实践转化（CPT）计划并评估其对血压的影响，并通过识别障碍和促进因素来评估实施CPT计划的可行性。方法：爱荷华州23家药店参与该项目，每家药店监测约10例高血压患者，为期6个月。药剂师在患者就诊期间评估血压、药物依从性并解决与药物相关的问题。药剂师使用JotForm应用程序报告患者人口统计数据和访问期间提供的护理。此外，还收集或测量并报告血压读数。六个月后，一份在线质量调查被发送到参与的药店，以评估CPT计划实施的障碍和促进因素。对患者样本进行描述性统计，配对t检验比较基线和最终血压读数。计算障碍和辅助因素的频率。结果：共有232例患者参与，其中138例患者同时具有基线和随访血压数据。收缩压从144.2降至133.6 mmHg，舒张压从84.4降至78.3 mmHg。结论：总体而言，CPT项目成功地支持了药房改善血压管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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