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Enhancing hypertension detection and control through a hypertension certification program for pharmacists: A cluster
Kaitlyn E Watson1, Jonathan C H Chan1, Bo Pan1
1EPICORE Centre, Department of Medicine, University of Alberta, Edmonton, Alberta.
Summary
Pharmacists completing the Hypertension Canada Professional Certification Program (HC-PCP) significantly reduced patients' systolic blood pressure by 4.76 mmHg. This online education program shows potential for improving hypertension management and public health outcomes.
Area of Science:
- Cardiology
- Public Health
- Pharmacy Education
Background:
- Hypertension remains a significant public health concern, necessitating effective management strategies.
- Primary care providers play a crucial role in hypertension control.
- Educational programs for healthcare professionals can enhance patient care and outcomes.
Purpose of the Study:
- To evaluate the impact of the Hypertension Canada Professional Certification Program (HC-PCP) on systolic blood pressure (BP) in patients with poorly controlled hypertension.
- To assess the effectiveness of an online educational intervention for pharmacists in improving hypertension management.
Main Methods:
- A stepped wedge cluster randomized trial was conducted with pharmacies as the unit of randomization.
- Pharmacists completed the HC-PCP online educational program based on Hypertension Canada's 2020 guidelines.
- Patients with uncontrolled hypertension (BP >140/90 mmHg or >130/80 mmHg with diabetes) were recruited and managed by participating pharmacists.
Main Results:
- The HC-PCP intervention was associated with a significant reduction in systolic BP of 4.76 mmHg at 3 months (95% CI, 2.02-7.50; p < 0.0001).
- A total of 890 patients from 59 pharmacies were enrolled in the study.
- Patient satisfaction with the care provided by pharmacists was high, with a Consultation Satisfaction Questionnaire score of 75.9/90.
Conclusions:
- The HC-PCP, an online educational program for pharmacists, effectively reduces systolic blood pressure in patients with poorly controlled hypertension.
- This intervention has significant public health implications, potentially reducing the incidence of cardiovascular and kidney diseases.
- Evaluating educational programs at the patient care level provides valuable insights into their real-world effectiveness.
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