The Cardiovascular Intervention Improvement Telemedicine Study (CITIES): rationale for a tailored behavioral and educational pharmacist-administered intervention for achieving cardiovascular disease risk reduction.

Journal Article (Journal Article)

BACKGROUND: Hypertension, hyperlipidemia, and diabetes are significant, but often preventable, contributors to cardiovascular disease (CVD) risk. Medication and behavioral nonadherence are significant barriers to successful hypertension, hyperlidemia, and diabetes management. Our objective was to describe the theoretical framework underlying a tailored behavioral and educational pharmacist-administered intervention for achieving CVD risk reduction. MATERIALS AND METHODS: Adults with poorly controlled hypertension and/or hyperlipidemia were enrolled from three outpatient primary care clinics associated with the Durham Veterans Affairs Medical Center (Durham, NC). Participants were randomly assigned to receive a pharmacist-administered, tailored, 1-year telephone-based intervention or usual care. The goal of the study was to reduce the risk for CVD through a theory-driven intervention to increase medication adherence and improve health behaviors. RESULTS: Enrollment began in November 2011 and is ongoing. The target sample size is 500 patients. CONCLUSIONS: The Cardiovascular Intervention Improvement Telemedicine Study (CITIES) intervention has been designed with a strong theoretical underpinning. The theoretical foundation and intervention are designed to encourage patients with multiple comorbidities and poorly controlled CVD risk factors to engage in home-based monitoring and tailored telephone-based interventions. Evidence suggests that clinical pharmacist-administered telephone-based interventions may be efficiently integrated into primary care for patients with poorly controlled CVD risk factors.

Full Text

Duke Authors

Cited Authors

  • Zullig, LL; Melnyk, SD; Stechuchak, KM; McCant, F; Danus, S; Oddone, E; Bastian, L; Olsen, M; Edelman, D; Rakley, S; Morey, M; Bosworth, HB

Published Date

  • February 2014

Published In

Volume / Issue

  • 20 / 2

Start / End Page

  • 135 - 143

PubMed ID

  • 24303930

Pubmed Central ID

  • PMC3911768

Electronic International Standard Serial Number (EISSN)

  • 1556-3669

Digital Object Identifier (DOI)

  • 10.1089/tmj.2013.0145


  • eng

Conference Location

  • United States