Team-based care increased the proportion of people with controlled BP  and reduced both systolic and diastolic BP , especially when pharmacists and nurses were part of the team .
CONTEXT Uncontrolled hypertension remains a widely prevalent cardiovascular risk factor in the U.S. team-based care , established by adding new staff or changing the roles of existing staff such as nurses and pharmacists to work with a primary care provider and the patient .
Team-based care has the potential to improve the quality of hypertension management .
The goal of this Community Guide systematic review was to examine the effectiveness of team-based care in improving blood pressure ( BP ) outcomes .
An RCT of the effect of motivational interviewing on medication adherence in hypertensive African Americans: rationale and design.
BACKGROUND Hypertension disproportionately affects African Americans compared to whites , and it is the single most common explanation for the disparity in mortality between African Americans and whites . Adherence with antihypertensive medications can help reduce risk of negative hypertension-related outcomes . Motivational interviewing is a promising patient-centered approach for improving adherence in patients with chronic diseases . In this paper we describe the rationale and design of an ongoing r and omized controlled trial testing the effectiveness of motivational interviewing versus usual care in improving medication adherence among 190 African American uncontrolled hypertensive patients , who receive care in a primary care setting . METHODS The usual care group receives st and ard medical care , while those in the intervention group receive st and ard care plus four sessions of motivational interviewing at 3-month intervals for a period of 1 year . This technique consists of brief , patient-driven counseling sessions to facilitate initiation and maintenance of behavior change . The primary outcome is adherence to prescribed antihypertensive medication , assessed with the electronic medication events monitoring system ( MEMS ) and the Morisky self-report adherence question naire . Secondary outcomes are within-patient changes in blood pressure , self-efficacy , and intrinsic motivation between baseline and 12 months . We report the baseline sociodemographic and clinical characteristics of the participants . CONCLUSIONS Despite the potential utility of motivational interviewing , little is known about its effectiveness in improving medication adherence among hypertensive patients , especially African Americans . In addition to the baseline data this study has generated , this trial should provide data with which we can assess the effectiveness of this approach as a behavioral intervention
Team-based care increased the proportion of people with controlled BP  and reduced both systolic and diastolic BP , especially when pharmacists and nurses were part of the team .
CONTEXT Uncontrolled hypertension remains a widely prevalent cardiovascular risk factor in the U.S. team-based care , established by adding new staff or changing the roles of existing staff such as nurses and pharmacists to work with a primary care provider and the patient .
Team-based care has the potential to improve the quality of hypertension management .
The goal of this Community Guide systematic review was to examine the effectiveness of team-based care in improving blood pressure ( BP ) outcomes .