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Community-based multidisciplinary screening and intervention by pharmacists and nurses reduced BP in diabetes

https://doi.org/10.1136/ebn.12.3.77

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    QUESTION

    Does a multidisciplinary screening and intervention programme by pharmacists and nurses reduce blood pressure (BP) in patients with diabetes and suboptimal BP control?

    METHODS

    Design:

    randomised controlled trial (SCRIP-Hypertension [SCRIP-HTN]). ClinicalTrials.gov NCT00374270.

    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 …

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    Footnotes

    • Source of funding: Heart and Stroke Foundation of Alberta; Canadian Diabetes Association; Merck Frosst Canada Inc; Canadian Council of Cardiovascular Nurses.