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Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid.

Publication ,  Journal Article
Bosworth, HB; Dubard, CA; Ruppenkamp, J; Trygstad, T; Hewson, DL; Jackson, GL
Published in: Transl Behav Med
March 2011

Elevated blood pressure can lead to serious patient morbidity and mortality. The aim of the study was to evaluate the implementation of a tailored multifaceted program, administered by care managers in a Medicaid setting to improve hypertension medication adherence. The program enrolled 558 Medicaid patients. Patients had at least one phone call by care managers. The individually tailored program focused on improving lifestyle and medication adherence. The primary outcome was the medication possession ratio (MPR), calculated using fill history from pharmacy claims. We observed an improvement of medication possession from 55% 9-12 months prior to program enrollment to 77% 9-12 months post initiation of the program. We demonstrated 12 month sustainability and increased MPR. Personal interaction by phone allows the intervention to be tailored to participants' current concerns, health goals, and specific barriers to achieving these goals.

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Published In

Transl Behav Med

DOI

ISSN

1869-6716

Publication Date

March 2011

Volume

1

Issue

1

Start / End Page

191 / 199

Location

England

Related Subject Headings

  • 52 Psychology
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 1112 Oncology and Carcinogenesis
  • 1103 Clinical Sciences
 

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Bosworth, H. B., Dubard, C. A., Ruppenkamp, J., Trygstad, T., Hewson, D. L., & Jackson, G. L. (2011). Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid. Transl Behav Med, 1(1), 191–199. https://doi.org/10.1007/s13142-010-0007-x
Bosworth, Hayden B., C Annette Dubard, Jill Ruppenkamp, Troy Trygstad, Denis Levis Hewson, and George L. Jackson. “Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid.Transl Behav Med 1, no. 1 (March 2011): 191–99. https://doi.org/10.1007/s13142-010-0007-x.
Bosworth HB, Dubard CA, Ruppenkamp J, Trygstad T, Hewson DL, Jackson GL. Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid. Transl Behav Med. 2011 Mar;1(1):191–9.
Bosworth, Hayden B., et al. “Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid.Transl Behav Med, vol. 1, no. 1, Mar. 2011, pp. 191–99. Pubmed, doi:10.1007/s13142-010-0007-x.
Bosworth HB, Dubard CA, Ruppenkamp J, Trygstad T, Hewson DL, Jackson GL. Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid. Transl Behav Med. 2011 Mar;1(1):191–199.
Journal cover image

Published In

Transl Behav Med

DOI

ISSN

1869-6716

Publication Date

March 2011

Volume

1

Issue

1

Start / End Page

191 / 199

Location

England

Related Subject Headings

  • 52 Psychology
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 1112 Oncology and Carcinogenesis
  • 1103 Clinical Sciences