THE EFFECT OF THE BLOOD PRESSURE FEEDBACK INTERVENTION TO PHYSICIANS ON THE IMPROVEMENT OF THE BLOOD PRESSURE CONTROL

Rita Suhadi

Abstract


The study aimed to assess the effect of the blood pressure (BP) feedback intervention to physicians on the improvement of the blood pressure control of hypertension subjects. The study was done with controlled repeated intervention design. The adult hypertensive non-hemodialysis subjects from 4 Indonesian hospitals were included as intervention and control subjects. Outcomes were measured as the improvement of systolic BP (SBP). The subjects in intervention (n=385) vs. non-intervention (n=271) groups had similar age and proportion of males (p>0.05); proportion of cardiovascular comorbid 78.7% vs. 91.5% (p<0.01) and the baseline SBP at 144.1±15.8 vs. 139.6±13.8mmHg (p<0.01). The final SBP 138.2±17.2 vs.140.6±15.4mmHg (adjusted p<0.01); the difference between (∆) final-baseline SBP: 5.9±20.3 vs. (-)0.9±20.0mmHg (adjusted p<0.01); ∆final-target SBP: (-)6.1±17.3 vs.                     (-)9.6±15.5 (adjusted p<0.01). There were more intervention subjects with good controlled final SBP; odds ratio (OR) 1.4(CI95%:1.0-1.9, adjusted p<0.05). Based on the ∆final-baseline SBP, the ∆final-target SBP, and OR SBP reached the target; theintervention subjects had significant SBP improvement.


Full Text:

PDF (pp.111)

References


Atthobari J, Monster TBM, de Jong PE, van den Berg LTWdJ. 2004. The Effect of hypertension and hypercholesterolemia screening with subsequent intervention letter on the use of blood pressure and lipid lowering drugs. Br J Clin Pharmacol. 57(3): 328–336.

Bolen SD, Samuels TA, Yeh HC, Marinopoulos SS, McGuire Maura, Abuid M, Brancati FL. 2008. Failure to Intensify Antihypertensive Treatment by Primary Care Providers: A Cohort Study in Adults with Diabetes Mellitus and Hypertension. JGen Intern Med. 23(5):543-50.

Chobanian AV., Bakris GL, Black HR, Cushman WC., Green LA., et al. 2003. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Hypertension 42:1206-1252.

Contreras EM., Garcia OV., Claros NM., Guillen VG., De La Figuera von Wichmann M., et al. 2005. Efficacy of telephone and mail intervention in patient compliance with antihypertensive drugs in hypertension. ETECUM- HTA Study. Blood Pressure. 14: 151– 158.

Doggrell SA. 2010. Adherence to Medicines in the Older-Aged wih Chronic Conditions, Does Intervention by an Allied Health Professional Help? Drugs Aging. 27 (3):239-54.

Glynn LG., Murphy AW., Smith SM., Schroeder K., et al. 2010. Interventions used to improve control of blood pressure in patients with hypertension. Cochrane Database of Systematic Reviews, Issue 3.2010. Art. No.: CD005182. DOI:10.1002/14651858.CD005182. pub4.

Goldberg KC., Melnyk SD., Simel DL. 2007. Overcoming Inertia: Improvement in Achieving Target Low-density Lipoprotein Cholesterol. Am J Manag Care.13:530-534.

Maddox TM., Ross C., Tavel HM., Lyons EE., Tillquist M., Ho M., et al.. 2010. Blood Pressures Trajectories and Association with Treatment Intensification, Medication Adherence, and Outcomes among Newly Diagnosed Coronary Artery Disease Patients. Circ Cardiovasc Qual Outcomes.3:347-57.

McDonald HP., Garg AX., Haynes RB. 2002. Interventions to Enhance Patient

Adherence to Medication Prescriptions: Scientific Review JAMA. 288(22):2868-79.

Robertson TA., Cooke CE., Wang JS., Shaya FT., Lee HY. 2008. Effect of Medication Burden on Persistent Use of Lipid-Lowering Drugs Among Patients with Hypertension, Am J Manag Care. 14(11):710-716.

Rose AJ., Berlowitz DR., Manze M., Orner MB., Kressin NR. 2009a. Intensifying Therapy for Hypertension Despite Suboptimal Adherence. Hypertension 54;524-9.

Rose AJ., Berlowitz DR., Manze M., Orner MB., Kressin NR. 2009b. Comparing Method of Measuring Treatment Intensification in Hypertension Care. Circ Cardiovasc Qual Outcomes. 2:385-391.

Samuels TA., Bolen S., Yeh HC., Abuid M., Marinopoulos SS., et al. 2008. Missed Opportunities in Diabetes Management: A Longitudinal Assessment of Factors Associated with Sub-optimal Quality. J Gen Intern Med. 23(11):1770–7.

Setiati S., Sutrisna B. 2005. Prevalence of Hypertension without Anti-hypertensive Medications and Its Association with Social Demographic Characteristics Among 40 Years and Above Adult Population in Indonesia. Acta Med Indones. 37(1):20-5.

Vigen R., Shetterly S., Magid DJ., O’Connor PJ., Margolis KL., et al. 2012. A Comparison Between Antihypertensive Medication Adherence and Treatment Intensification as Potential Clinical Performance Measures. Circ Cardiovasc Qual Outcomes 5;276-282.

WHO. 2009. Global Health Risks, Mortality and burden of disease attributable to selected major risks, WHO Geneva. (http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_full.pdf. accessed 22 February 2010).

Wu Y., Tai ES., Heng D., Tan CE., Low LP., Lee J. 2009. Risk factors associated with hypertension awareness, treatment, and control in a multi-ethnic Asian population. J Hypertens.27:190-7.

Ziemer DC., Doyle JP., Barnes CS., Branch WT., Cook CB., et al.. 2006. An Intervention to Overcome Clinical Inertia and Improve Diabetes Mellitus Control in a Primary Care Setting, Improving Primary Care of African Americans With Diabetes (IPCAAD) 8. Arch Intern Med. 166:507-13.




DOI: http://dx.doi.org/10.14499/indonesianjpharm25iss2pp111

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 INDONESIAN JOURNAL OF PHARMACY

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Indonesian J Pharm indexed by:

                                     
 

web
analytics View My Stats