A Brief, Multifaceted, Generic Intervention to Improve Blood Pressure Control and Reduce Disparities Had Little Effect

• DOI: 10.18865/ed.26.1.27
• Publication Date: 2016-01-21T19:58:25Z
• Authors: Nancy R. Kressin; Judith A. Long; Mark E. Glickman; Barbara G. Bokhour; Michelle B. Orner; Christine Clark; James A. Rothendler; Dan R. Berlowitz
• Keywords: Counseling; Reminder Systems; Racial Groups; Blood Pressure; Health Status Disparities; White People; Medication Adherence; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Hypertension; Ethnicity; Electronic Health Records; Humans; Antihypertensive Agents

<p><strong>Background</strong>. Poor blood pressure (BP) control and racial disparities therein may be a function of clinical inertia ineffective communication about BP care.</p><p><strong>Methods. </strong>We compared two different interventions (electronic medical record reminder for care (Reminder only [RO]), clinician training on care-related skills plus the + Training, [R+T]) with usual in three primary clinics, examining outcomes among 8,866 patients, provider-patient medication adherence subsample 793.</p><p><strong>Results. </strong>Clinician counseling improved most at R+T. overall; R+T had small but significantly greater reduction diastolic (DBP; -1.7 mm Hg). White patients RO experienced overall improvements control. Site race trends suggested that decreased R+T, either stayed same or Control; increased RO. </p><p><strong>Conclusions. </strong>More substantial racial/ethnically tailored are needed. Ethn Dis. 2016;26(1):27-36; doi: 10.18865/ed.26.1.27</p>