Effect of Home Blood Pressure Telemonitoring and Pharmacist Management On Blood Pressure Control: The HyperLink Cluster Randomized Trial
This is a review for the research article "Effect of Home Blood Pressure Telemonitoring and Pharmacist Management On Blood Pressure Control: The HyperLink Cluster Randomized Trial" by Margolis et al.[1]
Introduction
High blood pressure(BP) is a chronic condition affecting 30% of U.S adults. Although BP control has improved over the past 2 decades, BP is controlled to recommended levels in only about half of American adults with hypertension. Home BP monitoring has been identified as a useful adjunct to team-based care for hypertension. Several recent studies suggest that a combined intervention of telemedicine with nurse- or pharmacist-led care may be effective for improving hypertension management. The objective of this HyperLink study was to determine the effect and durability of home BP telemonitoring with pharmacist case management in patients representative of the range of co-morbidity and hypertension severity in typical primary care practices.[1]
Methods
The HyperLink study is a two-group clinic-randomized controlled trial with 12 months of intervention and 6 months of post-intervention. follow-up.electronic medical records to identify adult patients who had an elevated BP. conducted at HealthPartners Medical Group, a multispecialty practice in the Minneapolis-St. Paul metropolitan area that is part of an integrated health system. 450 adults with uncontrolled BP recruited from 14,692 patients with electronic medical records across sixteen primary care clinics in an integrated health system in Minneapolis-St. Paul, MN.
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