Sustainability of blood pressure reduction in black barbershops.
Curr Opin Cardiol
; 34(6): 693-699, 2019 11.
Article
in En
| MEDLINE
| ID: mdl-31425171
ABSTRACT
PURPOSE OF REVIEW The prevalence of hypertension (HTN) among non-Hispanic blacks increased from 41 to 55% with the release of the new 2017 ACC/AHA guidelines - the highest among any racial group. Non-Hispanic black men have less physician interaction and lower blood pressure (BP) treatment and control rates when compared with their female counterparts, necessitating community outreach. Here, we review the Los Angeles Barbershop Blood Pressure Study (LABBPS) which demonstrated a community-based approach involving pharmacists, physicians, and barbers could improve BP control rates among black men. RECENT FINDINGS:
LABBPS was a cluster-randomized trial that evaluated both the efficacy and sustainability of a pharmacist-led HTN management program in which barbers promoted follow-up with pharmacists who prescribed antihypertensive therapy under collaborative practice agreements with intervention participant's primary care providers. After 6 months researchers observed a 21âmmHg greater fall in SBP among intervention group participants when compared with the control group participants who received 'usual care.' The 6-month extension phase of the study showed that the impressive BP reduction achieved was sustained with less pharmacist contact.SUMMARY:
Multidisciplinary, community-based approaches to HTN management can be effective and are necessary to tackle the current disparity seen in BP control rates. The model developed in LABBPS represents one such approach.
Full text:
1
Database:
MEDLINE
Main subject:
Barbering
/
Blood Pressure Monitoring, Ambulatory
/
Hypertension
/
Antihypertensive Agents
Type of study:
Clinical_trials
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
Curr Opin Cardiol
Journal subject:
CARDIOLOGIA
Year:
2019
Type:
Article
Affiliation country:
United States