Improving blood pressure control in general practice: A pilot study of the ImPress intervention

Nicholas Zwar, Oshana Hermiz, Elizabeth Halcomb, Patricia Davidson, Thomas Bodenheimer

Research output: Contribution to journalArticleResearchpeer-review

3 Citations (Scopus)

Abstract

Background and objectives Patients with hypertension and at high absolute cardiovascular disease risk are a priority group for improved blood pressure control. This study examined the impact of an intervention, primarily delivered by the general practice nurse, to identify, recall and manage patients with uncontrolled hypertension who are at high risk of cardiovascular disease. Methods A before-and-after pilot study with a six-month follow-up period was conducted in eight general practices in Sydney, Australia. Results From 507 patients identified, 82 (16.2%) attended an assessment visit, were eligible and provided baseline data. Of these, 55 (67.1%) completed the six-month follow-up. The mean decrease in blood pressure was 14.5 mmHg systolic and 7 mmHg diastolic. Significant decreases were also found in mean weight (1.3 kg), body mass index (0.5 kg/m2) and waist circumference (1.9 cm). Adherence to blood pressure treatment, as measured by the Hill-Bone scale, significantly improved (P = 0.01) Discussion The results of this study justify further investigation in a randomised trial. If effective, the approach could alter the way hypertension care is organised and delivered in Australian general practice.

Original languageEnglish
Pages (from-to)306-311
Number of pages6
JournalAustralian Family Physician
Volume46
Issue number5
Publication statusPublished - 1 May 2017
Externally publishedYes

Fingerprint

General Practice
Blood Pressure
Hypertension
Cardiovascular Diseases
Waist Circumference
Body Mass Index
Nurses
Weights and Measures
Bone and Bones
Therapeutics

Cite this

Zwar, N., Hermiz, O., Halcomb, E., Davidson, P., & Bodenheimer, T. (2017). Improving blood pressure control in general practice: A pilot study of the ImPress intervention. Australian Family Physician, 46(5), 306-311.
Zwar, Nicholas ; Hermiz, Oshana ; Halcomb, Elizabeth ; Davidson, Patricia ; Bodenheimer, Thomas. / Improving blood pressure control in general practice : A pilot study of the ImPress intervention. In: Australian Family Physician. 2017 ; Vol. 46, No. 5. pp. 306-311.
@article{db0d87f793004b2aa335629785af610c,
title = "Improving blood pressure control in general practice: A pilot study of the ImPress intervention",
abstract = "Background and objectives Patients with hypertension and at high absolute cardiovascular disease risk are a priority group for improved blood pressure control. This study examined the impact of an intervention, primarily delivered by the general practice nurse, to identify, recall and manage patients with uncontrolled hypertension who are at high risk of cardiovascular disease. Methods A before-and-after pilot study with a six-month follow-up period was conducted in eight general practices in Sydney, Australia. Results From 507 patients identified, 82 (16.2{\%}) attended an assessment visit, were eligible and provided baseline data. Of these, 55 (67.1{\%}) completed the six-month follow-up. The mean decrease in blood pressure was 14.5 mmHg systolic and 7 mmHg diastolic. Significant decreases were also found in mean weight (1.3 kg), body mass index (0.5 kg/m2) and waist circumference (1.9 cm). Adherence to blood pressure treatment, as measured by the Hill-Bone scale, significantly improved (P = 0.01) Discussion The results of this study justify further investigation in a randomised trial. If effective, the approach could alter the way hypertension care is organised and delivered in Australian general practice.",
author = "Nicholas Zwar and Oshana Hermiz and Elizabeth Halcomb and Patricia Davidson and Thomas Bodenheimer",
year = "2017",
month = "5",
day = "1",
language = "English",
volume = "46",
pages = "306--311",
journal = "Australian Family Physician",
issn = "0300-8495",
publisher = "Royal Australian College of General Practitioners",
number = "5",

}

Zwar, N, Hermiz, O, Halcomb, E, Davidson, P & Bodenheimer, T 2017, 'Improving blood pressure control in general practice: A pilot study of the ImPress intervention' Australian Family Physician, vol. 46, no. 5, pp. 306-311.

Improving blood pressure control in general practice : A pilot study of the ImPress intervention. / Zwar, Nicholas; Hermiz, Oshana; Halcomb, Elizabeth; Davidson, Patricia; Bodenheimer, Thomas.

In: Australian Family Physician, Vol. 46, No. 5, 01.05.2017, p. 306-311.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Improving blood pressure control in general practice

T2 - A pilot study of the ImPress intervention

AU - Zwar, Nicholas

AU - Hermiz, Oshana

AU - Halcomb, Elizabeth

AU - Davidson, Patricia

AU - Bodenheimer, Thomas

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Background and objectives Patients with hypertension and at high absolute cardiovascular disease risk are a priority group for improved blood pressure control. This study examined the impact of an intervention, primarily delivered by the general practice nurse, to identify, recall and manage patients with uncontrolled hypertension who are at high risk of cardiovascular disease. Methods A before-and-after pilot study with a six-month follow-up period was conducted in eight general practices in Sydney, Australia. Results From 507 patients identified, 82 (16.2%) attended an assessment visit, were eligible and provided baseline data. Of these, 55 (67.1%) completed the six-month follow-up. The mean decrease in blood pressure was 14.5 mmHg systolic and 7 mmHg diastolic. Significant decreases were also found in mean weight (1.3 kg), body mass index (0.5 kg/m2) and waist circumference (1.9 cm). Adherence to blood pressure treatment, as measured by the Hill-Bone scale, significantly improved (P = 0.01) Discussion The results of this study justify further investigation in a randomised trial. If effective, the approach could alter the way hypertension care is organised and delivered in Australian general practice.

AB - Background and objectives Patients with hypertension and at high absolute cardiovascular disease risk are a priority group for improved blood pressure control. This study examined the impact of an intervention, primarily delivered by the general practice nurse, to identify, recall and manage patients with uncontrolled hypertension who are at high risk of cardiovascular disease. Methods A before-and-after pilot study with a six-month follow-up period was conducted in eight general practices in Sydney, Australia. Results From 507 patients identified, 82 (16.2%) attended an assessment visit, were eligible and provided baseline data. Of these, 55 (67.1%) completed the six-month follow-up. The mean decrease in blood pressure was 14.5 mmHg systolic and 7 mmHg diastolic. Significant decreases were also found in mean weight (1.3 kg), body mass index (0.5 kg/m2) and waist circumference (1.9 cm). Adherence to blood pressure treatment, as measured by the Hill-Bone scale, significantly improved (P = 0.01) Discussion The results of this study justify further investigation in a randomised trial. If effective, the approach could alter the way hypertension care is organised and delivered in Australian general practice.

UR - http://www.scopus.com/inward/record.url?scp=85018306243&partnerID=8YFLogxK

M3 - Article

VL - 46

SP - 306

EP - 311

JO - Australian Family Physician

JF - Australian Family Physician

SN - 0300-8495

IS - 5

ER -