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A pharmacist-led, American Heart Association Heart360 Web-enabled home blood pressure monitoring program

David J Magid1, Kari L Olson, Sarah J Billups

  • 1Kaiser Permanente Colorado, 10065 E Harvard Ave, Denver, CO 80231, USA. david.j.magid@kp.org

Circulation. Cardiovascular Quality and Outcomes
|March 7, 2013
PubMed

Insights

A pharmacist-led home blood pressure monitoring (HBPM) intervention significantly improved blood pressure control and patient satisfaction compared to usual care. This approach offers a superior method for managing hypertension.

Area of Science:

  • Cardiovascular Medicine
  • Pharmacotherapy
  • Health Services Research

Background:

  • Hypertension management remains a critical public health challenge.
  • Optimizing blood pressure (BP) control through innovative interventions is essential.
  • Usual care (UC) often results in suboptimal BP control for many patients.

Purpose of the Study:

  • To evaluate the efficacy of a pharmacist-led, Heart360-enabled home blood pressure monitoring (HBPM) intervention.
  • To compare BP control in patients receiving the HBPM intervention versus UC.
  • To assess patient satisfaction with the HBPM intervention.

Main Methods:

  • A randomized, controlled trial involving 348 patients with elevated BP across 10 clinics.
  • Patients were randomized to either the HBPM intervention group (n=175) or the UC group (n=173).
  • BP control, medication adjustments, and patient satisfaction were assessed over a 6-month period.

Main Results:

  • The HBPM group achieved a significantly higher proportion of patients at their BP goal (54.1% vs. 35.4%, P<0.001).
  • The intervention resulted in significantly greater reductions in systolic BP (-12.4 mm Hg) and diastolic BP (-5.7 mm Hg) compared to UC.
  • Patients in the HBPM group reported higher satisfaction with their hypertension care (58% vs. 42%, P<0.001).

Conclusions:

  • Pharmacist-led HBPM, supported by Heart360 technology, effectively improves blood pressure control.
  • The intervention demonstrates superior outcomes in BP reduction and patient satisfaction compared to usual care.
  • This model shows promise for enhancing hypertension management, particularly in patient subgroups with diabetes or chronic kidney disease.
Abstract

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