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

dc.contributor.author

Bosworth, Hayden B

dc.contributor.author

Dubard, C Annette

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Ruppenkamp, Jill

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Trygstad, Troy

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Hewson, Denis Levis

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Jackson, George L

dc.date.accessioned

2024-02-01T20:13:25Z

dc.date.available

2024-02-01T20:13:25Z

dc.date.issued

2011-03

dc.description.abstract

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.

dc.identifier

7

dc.identifier.issn

1869-6716

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1613-9860

dc.identifier.uri

https://hdl.handle.net/10161/30100

dc.language

eng

dc.publisher

Oxford University Press (OUP)

dc.relation.ispartof

Translational behavioral medicine

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10.1007/s13142-010-0007-x

dc.rights.uri

https://creativecommons.org/licenses/by-nc/4.0

dc.subject

Health care disparities

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Hypertension

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Medicaid

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Medication adherence

dc.title

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

dc.type

Journal article

duke.contributor.orcid

Bosworth, Hayden B|0000-0001-6188-9825

pubs.begin-page

191

pubs.end-page

199

pubs.issue

1

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Duke

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School of Medicine

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Basic Science Departments

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Clinical Science Departments

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Institutes and Centers

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Family Medicine and Community Health

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Medicine

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Psychiatry & Behavioral Sciences

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Medicine, General Internal Medicine

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Duke Cancer Institute

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Duke Clinical Research Institute

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Institutes and Provost's Academic Units

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Center for the Study of Aging and Human Development

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Initiatives

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Duke Science & Society

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Population Health Sciences

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Duke Innovation & Entrepreneurship

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Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences

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Duke - Margolis Center For Health Policy

pubs.publication-status

Published

pubs.volume

1

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