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

Updike, Wendy H.; Pane, Olivia; Hanna, Karim; Chevasco, Rossina M.; Kelly, William N.; Sneed, Kevin B.

doi:10.1016/j.japh.2020.01.008

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…While physicians played a role in most RPM programs, these programs were not commonly directly led by physicians. 16 , 17 , 33 , 35–43 Among the interventions reviewed, RPM implementation included clinical staff such as advanced practice providers, pharmacists, nurses, and dieticians as well as nonclinical staff such as lay navigators and social workers. Most RPM interventions used a team-based approach with a nurse and/or pharmacist who served as a coordinator between the patient and the care team.…”

Section: Resultsmentioning

confidence: 99%

Telehealth Use to Address Cardiovascular Disease and Hypertension in the United States: A Systematic Review and Meta-Analysis, 2011–2021

Jackson

Sreedhara

Bostic

et al. 2023

Telemedicine Reports

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Background: The use of telehealth for the management and treatment of hypertension and cardiovascular disease (CVD) has increased across the United States (U.S.), especially during the COVID-19 pandemic. Telehealth has the potential to reduce barriers to accessing health care and improve clinical outcomes. However, implementation, outcomes, and health equity implications related to these strategies are not well understood. The purpose of this review was to identify how telehealth is being used by U.S. health care professionals and health systems to manage hypertension and CVD and to describe the impact these telehealth strategies have on hypertension and CVD outcomes, with a special focus on social determinants of health and health disparities. Methods: This study comprised a narrative review of the literature and meta-analyses. The meta-analyses included articles with intervention and control groups to examine the impact of telehealth interventions on changes to select patient outcomes, including systolic and diastolic blood pressure. A total of 38 U.S.-based interventions were included in the narrative review, with 14 yielding data eligible for the meta-analyses. Results: The telehealth interventions reviewed were used to treat patients with hypertension, heart failure, and stroke, with most interventions employing a team-based care approach. These interventions utilized the expertise of physicians, nurses, pharmacists, and other health care professionals to collaborate on patient decisions and provide direct care. Among the 38 interventions reviewed, 26 interventions utilized remote patient monitoring (RPM) devices mostly for blood pressure monitoring. Half the interventions used a combination of strategies (e.g., videoconferencing and RPM). Patients using telehealth saw significant improvements in clinical outcomes such as blood pressure control, which were comparable to patients receiving in-person care. In contrast, the outcomes related to hospitalizations were mixed. There were also significant decreases in all-cause mortality when compared to usual care. No study explicitly focused on addressing social determinants of health or health disparities through telehealth for hypertension or CVD. Conclusions: Telehealth appears to be comparable to traditional in-person care for managing blood pressure and CVD and may be seen as a complement to existing care options for some patients. Telehealth can also support team-based care delivery and may benefit patients and health care professionals by increasing opportunities for communication, engagement, and monitoring outside a clinical setting.

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Section: Resultsmentioning

confidence: 99%

Telehealth Use to Address Cardiovascular Disease and Hypertension in the United States: A Systematic Review and Meta-Analysis, 2011–2021

Jackson

Sreedhara

Bostic

et al. 2023

Telemedicine Reports

View full text Add to dashboard Cite

show abstract

“…Also, in some MR studies, pharmacists have investigated adherence and compliance with medication use instructions and dose regimens. [38][39][40][41] Pharmacists also conducted adherence assessments to the medication regimen and interventions regarding mental health. 42,43 Towards mental health, community pharmacists' interventions were summarized in a narrative review by Rubio-Valera et al in Spain.…”

Section: E-health and Medication Adherencementioning

confidence: 99%

Outcomes of Pharmacist-Led Pharmaceutical Care Interventions Within Community Pharmacies: Narrative Review

Eldooma¹,

Maatoug²,

Yousif³

2023

IPRP

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Pharmaceutical care (PhC) services interventions led by pharmacists within community pharmacies (CPs) are essential in achieving optimal medication use outcomes. PhC is a concept related to medication use goals optimization through the reduction and prevention of drug-related problems (DRPs). This review paper summarized the literature on pharmacist-led PhC interventions within CPs. PubMed and Google Scholar publications were searched, identified, and summarized. Results showed that some studies handled community pharmacists' roles, and some talked about PhC interventions. However, some studies reviewed the use of medicines, adherence, and follow-up, while other groups were on counseling, patient education, and health promotion. Pharmacists integrated some studies concerning diagnosis and disease screening into community pharmacy services. Besides these studies, there were studies on system design and installation of PhC service models. Most of the identified research results showed pharmacist-led intervention benefits for patients. These benefits include reduced DRPs, clinical, economical, humane, education and knowledge, disease prevention and immunization, identification of practice process problems, and the need for current practice redesigning. In conclusion, pharmacists can help patients achieve optimal outcomes through pharmacist-led interventions. Despite mentioned results, We recommend researching comprehensively applied PhC services provision models within CPs for more pharmacists-led interventions and role activation.

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

Cited by 2 publications

References 13 publications

Telehealth Use to Address Cardiovascular Disease and Hypertension in the United States: A Systematic Review and Meta-Analysis, 2011–2021

Telehealth Use to Address Cardiovascular Disease and Hypertension in the United States: A Systematic Review and Meta-Analysis, 2011–2021

Outcomes of Pharmacist-Led Pharmaceutical Care Interventions Within Community Pharmacies: Narrative Review

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