244086 Managing Medication Adherence in Elderly Hypertension Patients through Pharmacists Home Visits

Tuesday, November 1, 2011: 4:30 PM

Ivy Poon, PhD , College of Pharmacy and Health Sciences, Texas Southern University, Houston, TX
Aisha Morris , College of Pharmacy and Health Sciences, Texas Southern University, Houston, TX
Kimberly Pounds , College of Pharmacy and Health Sciences, Texas Southern University, Houston, TX
The prevalence of uncontrolled hypertension in African Americans is a major national health problem. Hypertension affects older African Americans in alarming numbers. This project will address one of the factors contributing to uncontrolled hypertension, that of medication non-adherence. This one-group pre-and post-test study was implemented to reduce health disparities in blood pressure control among African American Medicare beneficiaries age 65 years and older by improving medication adherence. A pharmaceutical educational intervention was implemented with community-based older adults to improve blood pressure control, medication adherence, and hypertension knowledge among this population. The objectives of the program were to: 1) achieve a blood pressure control rate of 50% among participants, 2) achieve a medication adherence rate of 90%, 3) obtain a 95% self-report of using the blood pressure monitor at home, and 4) improve hypertension awareness and knowledge among participants by 10%. The six month intervention included a baseline in-home pharmacist visit, biweekly telephone follow-ups, and educational mailings followed by a final pharmacist home visit. Participants received education about self-monitoring of blood pressure, medication management and lifestyle modifications to improve blood pressure control. The study was implemented through a partnership between Texas Southern University College of Pharmacy and Health Sciences and a Community Based Health Organization (Houston Housing Authority - HHA). Preliminary findings will be discussed.

Learning Areas:
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Upon completion of this session the learner will be able to describe the impact of pharmacist education about hypertension medications on blood pressure control among African American older adults with hypertension.

Keywords: Health Disparities, Health Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a doctorally prepared pharmacist with expertise in research and practice.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.