Effects of lifestyle advice provided by pharmacists on blood pressure: The COMmunity Pharmacists ASSist for Blood Pressure (COMPASS-BP) randomized trial

Okada, Hiroshi; Onda, Mitsuko; Shoji, Masaki; Sakane, Naoki; Nakagawa, Yasushi; Sozu, Takashi; Kitajima, Yui; Tsuyuki, Ross T.; Nakayama, Takeo

doi:10.5582/bst.2017.01256

Cited by 30 publications

(22 citation statements)

References 26 publications

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“…Pharmacists provided lifestyle guidance on 1 of the following 5 areas, selected by the patient: (1) reducing sodium intake; (2) including more vegetables in meals; (3) exercise; (4) losing weight; and (5) reducing alcohol consumption. Figure , cited from our previous report, shows the flow of the COMPASS‐BP. The visit at which the patient consented to participate in the study was considered Visit 0, and the patient visited the pharmacy 4 more times after that, all within a 12‐week period, to receive guidance from the pharmacist.…”

Section: Methodssupporting

confidence: 80%

“…Figure shows that the relationship between ‘Knowledge’ and ‘Patient counselling and management’ is strengthened when pharmacists provide lifestyle support services. These three interrelationships support the findings of our previous research . In addition, the causal relationship between ‘Patient counselling and management’ and ‘Attitude’ was strengthened between baseline and 6 months, whereas the causal relationship between ‘Knowledge’ and ‘Attitude’ was weakened over this same period.…”

Section: Discussionmentioning

confidence: 99%

“…On the basis of the above findings, we concluded that methods of providing health interventions that could be implemented at pharmacies need to be developed, and that not only the effectiveness of the interventions but also the confidence, attitudes and job satisfaction of the pharmacists performing these interventions need to be verified, and therefore conducted the Community Pharmacists’ Assists Study Blood Pressure (COMPASS‐BP) …”

Section: Introductionmentioning

confidence: 99%

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The change in pharmacists’ attitude, confidence and job satisfaction following participation in a novel hypertension support service

Shoji

Onda

Okada

et al. 2019

International Journal of Pharmacy Practice

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Objectives To demonstrate how the confidence, attitude and job satisfaction of pharmacists who provide interventions and lifestyle support services to patients with hypertension are altered. Methods This study was a before‐and‐after study that used data from 50 pharmacists who participated in the Community Pharmacists Assist for Blood Pressure (COMPASS‐BP) study, which was an interventional study that was conducted in Japan to evaluate the effects of lifestyle support services provided to hypertension patients. The pharmacists received 4 h of training before the study was initiated to learn how to quickly provide patients with guidance about diet and exercise and tobacco and alcohol consumption. During the interventional period, each pharmacist provided concise lifestyle guidance to 1–3 hypertension patients. The pharmacists met with the patients a total of 5 times. The parameters that were assessed were the pharmacists’ attitudes towards and confidence in their lifestyle support services, as well as their level of job satisfaction. We verified the scores of each parameter assessed before and after the study, as well as changes in the relationships among the different parameters. Key findings Significant increases from baseline to the end of the study were observed for Confidence (P < 0.01), Job satisfaction, including ‘Knowledge’ (P < 0.01), ‘Patient counselling management’ (P = 0.04) and ‘Sense of personal growth’ (P < 0.01). Additionally, path analysis results revealed that after the study, the causal relationship between ‘Knowledge’ and ‘Attitude’ disappeared, and a new causal relationship appeared between ‘Patient counselling and management’ and ‘Attitude’. Conclusions Providing lifestyle guidance improved pharmacists’ confidence and attitude. Also, ‘Attitude’ tended to improve as the ‘Patient counselling and management’ score increased.

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Section: Methodssupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The change in pharmacists’ attitude, confidence and job satisfaction following participation in a novel hypertension support service

Shoji

Onda

Okada

et al. 2019

International Journal of Pharmacy Practice

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“…Community pharmacists and their teams make an important contribution to the prevention, detection and management of high BP via routine public health promotion, medicines optimisation services and through a wide range of targeted services and interventions specifically designed to detect, diagnose and manage hypertension as recommended by research, in national guidance from PHE and NHS England 10–13. Community pharmacy BP monitoring is readily available and recommended by Canadian hypertension guidelines 14…”

Section: Introductionmentioning

confidence: 99%

Quality evaluation of community pharmacy blood pressure (BP) screening services: an English cross-sectional survey with geospatial analysis

Barrett

Hodgkinson

2019

BMJ Open

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ObjectivesThe primary objective was to assess the accuracy (calibration and validation status) of digital blood pressure (BP) monitors used within community pharmacy in England and the secondary objectives were to assess the overall quality of the BP service by assessing service prevalence, service utilisation and other in-service considerations.DesignA cross-sectional survey.SettingPrimary-care retail-pharmacies.Participants500 pharmacies that contribute to government dispensing-data were invited by post to complete the survey. Private contractors were excluded.InterventionsWe conducted a questionnaire survey with a follow-up (September 2018 to December 2018).Results109 responses were received. 61% (n=66) of responding pharmacies provided a free BP check to their patients. 40 (61%) pharmacies used recommended validated clinical metres, 6 (9%) had failed validation and 20 (30%) provided too little information to enable us to determine their monitor’s status.ConclusionsResponding pharmacies were able to provide useful BP monitoring services to their patients, though quality enhancements need to be implemented. Majority of pharmacies use validated BP monitors, however, there was a lack of range of cuff sizes, variation in replacement and calibration of monitors and apparent absence of such practice in a minority of pharmacies alongside variation in training standards. We noted higher frequency of BP screening in the most deprived postcodes.We recommend in-service redesign and delivery improvements, and suggest professional bodies and researchers work together to create clearer frameworks for front-line practitioners, creating appropriate incentives to facilitate this service redesign.Funders and policy setters should consider the value added to the National Health Service and other healthcare agencies of such screening by pharmacy providers both nationally and internationally. It has the potential to reduce complications of undiagnosed hypertension and the medicines burden that it creates. Future work should examine the impact of pharmacist-led BP screening on patients.

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“…5,10,11 Pharmacists providing lifestyle counseling to patients with hypertension have helped them lower their BP in comparison with patients who have not received pharmacist counseling, and have improved their quality of life. 12,13 As the evidence shows improvement in BP with interventions by both ambulatory care and community pharmacists, collaboration among pharmacists across practice settings may also be beneficial to patients. 14…”

mentioning

confidence: 99%

Pharmacists interventions using Bluetooth technology and telehealth to improve blood pressure—A pilot study

Updike¹,

Pane²,

Hanna³

et al. 2020

Journal of the American Pharmacists Association

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Effects of lifestyle advice provided by pharmacists on blood pressure: The COMmunity Pharmacists ASSist for Blood Pressure (COMPASS-BP) randomized trial

Cited by 30 publications

References 26 publications

The change in pharmacists’ attitude, confidence and job satisfaction following participation in a novel hypertension support service

The change in pharmacists’ attitude, confidence and job satisfaction following participation in a novel hypertension support service

Quality evaluation of community pharmacy blood pressure (BP) screening services: an English cross-sectional survey with geospatial analysis

Pharmacists interventions using Bluetooth technology and telehealth to improve blood pressure—A pilot study

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