Hayden B. Bosworth
Home Blood Pressure Management and Improved Blood Pressure Control
Duke University|VA Palo Alto Health Care System|Stanford University|Durham VA Medical Center|Health Services Research & Development
background determine 3 interventions effective improving blood pressure bp control performed 4arm randomized trial 18month followup primary care clinics veterans affairs medical centermethods eligible patients randomized either usual care 1 3 telephonebased intervention groups1 nurseadministered behavioral management 2 nurseand physicianadministered medication management 3 combination bothof 1551 eligible patients 593 individuals randomized 48 african americanthe intervention telephone calls triggered based home bp values transmitted via telemonitoring devicesbehavioral management involved promotion health behaviorsmedication management involved adjustment medications study physician nurse based hypertension treatment guidelines