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Synergistic Physician and Patient Behavioral Interventions as Management Strategy for Effective Population-Based Hypertension Control

Authors
Journal
Current Hypertension Reports
1522-6417
Publisher
Springer-Verlag
Publication Date
Volume
12
Issue
3
Identifiers
DOI: 10.1007/s11906-010-0111-9
Keywords
  • Clinical Trial Report
Disciplines
  • Medicine

Abstract

CLINICAL TRIAL REPORT Synergistic Physician and Patient Behavioral Interventions as Management Strategy for Effective Population-Based Hypertension Control Pei-an Betty Shih & Daniel T. O’Connor Published online: 25 April 2010 # The Author(s) 2010. This article is published with open access at Springerlink.com Svetkey LP, Pollak KI, Yancy WS Jr., et al.: Hypertension Improvement Project: randomized trial of quality improve- ment for physicians and lifestyle modification for patients. Hypertension 2009, 54:1226–1233. Rating •Of importance. Introduction Effective hypertension management is still a clinical challenge. The prevalence of hypertension continues to rise in the western world, despite awareness of its serious cardiovascular consequences [1]. Adequate blood pressure (BP) control is of clear public health importance, but recent reports indicate that as many as two thirds of those being treated for hypertension in the United States do not have BP under proper control [2]. To address this important public health issue, a large study evaluating the efficacy of a nonconventional, two-level (patient and physician) management strategy for hypertension man- agement was timely. Aims Using a large, prospective, and randomized community- based trial, the Hypertension Improvement Project (HIP) recently reported their findings on the comparative effec- tiveness of 1) physician intervention, 2) patient interven- tion, or 3) the combination of such interventions [3]. Methods Published in the journal Hypertension in November 2009, the HIP study demonstrated differences in BP-lowering effects between patient intervention, physician intervention, and combined interventions. The patient-intervention strategy consisted of 20 weekly group sessions over 6 months, conducted by experienced behavioral personnel. The focus of the intervention was the use of motivational interviewing techniques to assist patients toward weight loss if overweight, to increase awareness of dietary approaches

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