Author + information
- Richard V. Milani,
- Carl Lavie,
- Robert Bober,
- Alexander Milani and
- Hector Ventura
Introduction: Achieving chronic disease control is a multifactorial process that includes patient-specific factors such as health literacy and patient activation but these characteristics are not commonly assessed.
Purpose: To evaluate the impact of patient-specific factors in achieving blood pressure (BP) control.
Methods: We evaluated 119 consecutive patients with uncontrolled HTN enrolled in a digital BP monitoring program at 90 days. Patients received medication management and lifestyle recommendations via a clinical pharmacist and a health coach. Four components comprised a health capability (HC) score: social isolation, health literacy, patient activation, and medication affordability, with one point assigned to any deficiency in each domain; a higher score indicating declining HC.
Results: 66% (79/119) of patients achieved BP control (BPC) at 90 days. Patients achieving BPC had a mean HC score of 0.39 ± 0.65 compared to 0.88 ±0.94 in those not under control (p=0.01). 55% of patients not achieving BPC had ≥1 HC categorical deficiency compared to 32% of patients who achieved BPC (p=0.01). Each increase in the HC score was associated with reduced BPC (p <0.05 for HC2+ to others).
Conclusions: 1. Social isolation, health literacy, medication affordability and patient activation play an important role in an individual's health capability to attain BP control. 2. Measures directed at assessing and influencing these patient-specific factors may offer new opportunities in improving population health.
Poster Hall, Hall C
Sunday, March 19, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Novel Strategies for Assessing and Improving Adherence to Blood Pressure Lowering Therapies
Abstract Category: 33. Prevention: Hypertension
Presentation Number: 1275-034
- 2017 American College of Cardiology Foundation