Doucette William R, Alhersh Eilan, Ludwig Lindsey, Veach Stevie
University of Iowa, Department of Pharmacy Practice and Science, 180 S Grand Avenue 339 CPB, Iowa City, IA 52242, United States of America.
CPESN IOWA, 711 55th St, Des Moines, IA 50312, United States of America.
Explor Res Clin Soc Pharm. 2024 Dec 25;17:100559. doi: 10.1016/j.rcsop.2024.100559. eCollection 2025 Mar.
To implement the Cardiovascular Practice Transformation (CPT) program and evaluate its impact on blood pressure, and to assess the feasibility of implementing the CPT program by identifying obstacles and facilitators.
Twenty-three Iowa pharmacies participated in the program, each monitoring approximately 10 hypertensive patients for 6 months. Pharmacists assessed blood pressure, medication adherence and addressed medication-related problems during patient visits. Pharmacists used a JotForm application to report patient demographics and care provided during visits. Also, blood pressure readings were collected or measured and reported. After six months, an online Qualtrics survey was sent to participating pharmacies to assess obstacles and facilitators to CPT program implementation. Descriptive statistics were calculated for the patient sample and paired -tests compared baseline and final blood pressure readings. Frequencies were calculated for obstacles and facilitators.
A total of 232 patients participated, with 138 patients having both baseline and follow-up blood pressure data. Systolic blood pressure decreased from 144.2 to 133.6 mmHg, and diastolic blood pressure decreased from 84.4 to 78.3 mmHg, with < 0.01 for both. Peer coaching and CPT resources were the main facilitators, while obstacles included documentation and staff time constraints.
Overall, the CPT program successfully supported pharmacies in improving blood pressure management.
实施心血管实践转型（CPT）项目并评估其对血压的影响，通过识别障碍和促进因素来评估实施CPT项目的可行性。
23家爱荷华州的药房参与了该项目，每家药房对约10名高血压患者进行为期6个月的监测。药剂师在患者就诊期间评估血压、药物依从性并解决与药物相关的问题。药剂师使用JotForm应用程序报告患者人口统计学信息和就诊期间提供的护理。此外，收集或测量并报告血压读数。6个月后，向参与项目的药房发送了一份在线Qualtrics调查问卷，以评估CPT项目实施的障碍和促进因素。计算患者样本的描述性统计数据，并使用配对检验比较基线血压读数和最终血压读数。计算障碍和促进因素的频率。
共有232名患者参与，其中138名患者同时有基线和随访血压数据。收缩压从144.2 mmHg降至133.6 mmHg，舒张压从84.4 mmHg降至78.3 mmHg，两者均P < 0.01。同行指导和CPT资源是主要促进因素，而障碍包括文件记录和工作人员时间限制。
总体而言，CPT项目成功支持药房改善血压管理。
