Online Program

Effectiveness of home blood pressure monitoring in low income adults living in rural Appalachia

Tuesday, November 3, 2015

Joshua Scakacs, BA, College of Health Sciences and Professions, Ohio University, Athens, OH
Ian Ackers, OMS-II, Department of Biomedical Sciences, Ohio University Heritage College of Osteopathic Medicine, Athens, OH
Jason Rodriguez, OMS-I, Rural and Urban Underserved Scholars, Ohio University Heritage College of Osteopathic Medicine, Athens, OH
Oben Ojong-Egbe, OMS-II, Rural and Urban Underserved Scholars, Ohio University Heritage College of Osteopathic Medicine, Athens, OH
Sharon Casapulla, EdD, Office of Rural and Underserved Programs, Ohio University Heritage College of Osteopathic Medicine, Athens, OH
Hypertension is the most common chronic condition in the United States. For many individuals proper control of their blood pressure (BP) through pharmacological intervention is not effective at maintaining a healthy BP. Team based patient focused care and home based BP monitoring in addition to pharmacological interventions have been shown to be an effective method for controlling BP. The objective of this study is to determine the effectiveness of the Heritage Community Clinic’s hypertension management program. Medical records of 43 individuals who took part in the hypertension management program were retrospectively reviewed and included clinical data such as BMI, age, gender, comorbidities, and BP, as well as demographic information. In addition to standard pharmacological interventions the program involved providing equipment for home blood pressure monitoring, education on behavior and lifestyle modification, and providing regular follow-up appointments. BP was recorded at intake and five follow-up appointments. Linear mixed-effects models of BP suggest that visit factor was significantly associated with BP (p<0.001). On average patents showed a 6.8 reduction in systolic BP and a 3.8 reduction in diastolic BP after controlling for demographic variables. General stress level, marital status, and depression were all significantly associated with BP (p<0.05). In addition, 67.5% of the patients that took part in this program achieved JNC8 target treatment guidelines for hypertension management. This pilot investigation revealed significant reductions in BP post intervention. With the national average for patients achieving JNC8 target hypertension management treatment guidelines being only 56.4%, further investigation of the clinic’s success is warranted.

Learning Areas:

Basic medical science applied in public health
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs

Learning Objectives:
Analyze the relationship between home blood pressure monitoring and reductions in blood pressure. Explain the role nurses, pharmacists, and health educators can play in managing hypertension. Describe how various factors such as depression, marital status, and general stress level influence blood pressure among hypertension patients.

Keyword(s): Hypertension, Chronic Disease Management and Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a master of public health student with the Consortium of Eastern Ohio Master of Public Health program. My research interests focus on the relationship between behavioral and lifestyle modifications and chronic disease prevention and management. I received my bachelor's degree from Ohio University in psychology with a focus on health psychology. I work as a Capacity Developer at the Ohio University Heritage College of Osteopathic Medicine Community Health Programs.
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.