TREATMENT
Community-based multidisciplinary screening and intervention by pharmacists and nurses reduced BP in diabetes
| The first 150 words of the full text of this article appear below. |
Does a multidisciplinary screening and intervention programme by pharmacists and nurses reduce blood pressure (BP) in patients with diabetes and suboptimal BP control?
Design: randomised controlled trial (SCRIP-Hypertension [SCRIP-HTN]). ClinicalTrials.gov NCT00374270 [ClinicalTrials.gov] .
Allocation: concealed.
Blinding: blinded {data analysts}.*
Follow-up period: 24 weeks.
Setting: 14 community pharmacies in Alberta, Canada.
Patients: 227 patients (mean age 65 y, 60% men) with diabetes and BP >130/80 mm Hg on 2 screening visits 2 weeks apart. Exclusion criteria included current enrolment in other diabetes or hypertension trials, institutionalisation, and receipt of medication from a professional caregiver.
Intervention:
enhanced care (n = 115) or usual care (n = 112). Patients in the enhanced care group were assessed by a pharmacist–nurse team and given cardiovascular (CV) risk reduction counselling. Patients were encouraged to consult their family doctors for further BP and CV risk assessment and were given a wallet card documenting their BP. A 2-page form
Cardiff School of Nursing and Midwifery Studies, Cardiff University, Caerleon, South Wales, UK
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Screening (public health)
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Hypertension
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Diabetes
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Metabolic disorders
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General practice / family medicine
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