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dc.contributor.advisorHall-Lipsy, Elizabeth
dc.contributor.authorLopez, Dania
dc.contributor.authorFlores, Randall
dc.date.accessioned2020-06-19T20:31:02Z
dc.date.available2020-06-19T20:31:02Z
dc.date.issued2019
dc.identifier.urihttp://hdl.handle.net/10150/641656
dc.descriptionClass of 2019 Abstract, Poster, and Paperen_US
dc.description.abstractPurpose: The purpose of this study is to examine and evaluate the impact of: 1) a pharmacy managed 90-day blister package refill on adherence and 2) educational intervention on medication adherence plus blood pressure outcomes. Introduction: Hypertension is one of the most common health condition amongst adults in the US. It is most often managed with the use of antihypertensive medications. Non-compliance to medication is often one of the biggest barriers in the management of hypertension and impacts health and increased health care costs. Community health centers like Mariposa Community Health Center in rural locations often have difficulty improving their patients’ medication adherence. Different strategies have been developed in order address medication adherence and improve health outcomes. Methods: A prospective, randomized controlled trial study that measured and compared adherence and blood pressure (BP) values of patients enrolled in a 90-day blister pack refill who participated in an educational workshop about hypertension. Participants completed a knowledge test survey before and after the educational workshop as well as an ASK-12 survey in order to identify potential barriers that affect medication adherence. Randomization was done utilizing a block randomization method. Adherence was calculated utilizing portion of days covered (PDC) formula. BP was analyzed utilizing a paired T-test. Knowledge and ASK-12 surveys were analyzed utilizing Wilcoxon signed-rank test. Results: In the first 90-day period, systolic blood pressure (SBP) was significantly decreased by mean of 6.84mmHg (p=0.05, 95% CI -.078-13.77). Diastolic had a similar decreasing trend but was not statistically significant (p=23 95% CI -2.42-9.04). 93.3% of the participants were adherent to their antihypertensive medications (PDC>80%). Pre and post knowledge surveys did not show any significant difference in the first 90 days. Questions 3 and 7 of the ASK-12 survey had a significant difference (p=0.021, p=0.15, 95% CI) in the first 90-day period. CONCLUSION: The number of patients vs those who consented yielded a less than desirable turnout limiting the intervention and making all those who consented assigned to the 90-day refill group limiting our data and having a comparison group. A significant decrease in SBP from their baseline BP was observed.en_US
dc.language.isoen_USen_US
dc.publisherThe University of Arizona.en_US
dc.rightsCopyright © is held by the author.en_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectHypertensionen_US
dc.subjectAdherenceen_US
dc.subjectRural Disparitiesen_US
dc.subjectPharmacy Managed Interventionen_US
dc.subject90-day Blister Packen_US
dc.subjectEducational interventionen_US
dc.subject.meshHypertensionen_US
dc.subject.meshBlood Pressureen_US
dc.subject.meshHealthcare Disparitiesen_US
dc.subject.meshMedication Adherenceen_US
dc.subject.meshPatient Education as Topicen_US
dc.titleThe impact of 90-day blister pack refill and patient education on compliance and blood pressure control in a Federally Qualified Health Centeren_US
dc.typetexten_US
dc.typeElectronic Reporten_US
dc.contributor.departmentCollege of Pharmacy, The University of Arizonaen_US
dc.description.collectioninformationThis item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.en_US
refterms.dateFOA2020-06-19T20:31:04Z


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