A cluster-randomized effectiveness trial of a physician-pharmacist collaborative model to improve blood pressure control

Circ Cardiovasc Qual Outcomes. 2010 Jul;3(4):418-23. doi: 10.1161/CIRCOUTCOMES.109.908038.

Abstract

Numerous studies have demonstrated the value of team-based care to improve blood pressure (BP) control, but there is limited information on whether these models would be adopted in diverse populations. The purpose of this study was to evaluate whether a collaborative model between physicians and pharmacists can improve BP control in multiple primary care medical offices with diverse geographic and patient characteristics and whether long-term BP control can be sustained. This study is a randomized prospective trial in 27 primary care offices first stratified by the percentage of underrepresented minorities and the level of clinical pharmacy services within the office. Each office is then randomized to either a 9- or 24-month intervention or a control group. Patients will be enrolled in this study until 2012. The results of this study should provide information on whether this model can be implemented in large numbers of diverse offices, if it is effective in diverse populations, and whether BP control can be sustained long term.

Clinical trial registration: URL: http://www.clinicaltrials.gov. Unique identifier: NCT00935077.

Publication types

  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Blood Pressure Monitoring, Ambulatory* / methods
  • Blood Pressure Monitoring, Ambulatory* / trends
  • Cluster Analysis
  • Comparative Effectiveness Research
  • Cooperative Behavior
  • Follow-Up Studies
  • Guideline Adherence
  • Humans
  • Models, Theoretical*
  • Patient Care Team
  • Pharmacists*
  • Physicians, Primary Care*
  • Population Groups*
  • Prospective Studies
  • Research Design
  • United States

Associated data

  • ClinicalTrials.gov/NCT00935077