The most commonly described determinants at the patient level were lack of education , lack of self-awareness , lack of self-efficacy , and forgetfulness .
Clinical inertia and an inadequate health workforce were the most commonly targeted determinants at the health care team and system level .
Taking medication , interactive patient-provider communication , self-measurement , and lifestyle management were the most cited patient behaviors at both levels .
Most of the DIs did not include support from peers or family members , despite its reported effectiveness and the rate of social media penetration .
Background Information on how behavior change strategies have been used to design digital interventions ( DIs ) to improve blood pressure ( BP ) control or medication adherence ( MA ) for patients with hypertension is currently limited .
Objective Hypertension is a major modifiable risk factor for cardiovascular diseases and can be controlled with appropriate medication .
Many interventions that target MA to improve BP are increasingly using modern digital technologies .
This systematic review was conducted to discover how DIs have been design ed to improve MA and BP control among patients with hypertension in the recent 10 years .
EHR‐Based Medication Support and Nurse‐Led Medication Therapy Management: Rationale and Design for a Three‐Arm Clinic Randomized Trial
Background Patients with chronic conditions often use complex medical regimens . A nurse‐led strategy to support medication therapy management incorporated into primary care teams may lead to improved use of medications for disease control . Electronic health record ( EHR ) tools may offer a lower‐cost , less intensive approach to improving medication management . Methods and Results The Northwestern and Access Community Health Network Medication Education Study is a health center – level cluster‐r and omized trial being conducted within a network of federally qualified community health centers . Health centers have been enrolled in groups of 3 and r and omized to ( 1 ) usual care , ( 2 ) EHR‐based medication management tools alone  , or ( 3 ) EHR tools plus nurse‐led medication therapy management . Patients with uncontrolled hypertension who are prescribed ≥3 medications of any kind are recruited from the centers .  EHR tools include a printed medication list to prompt review at each visit and automated plain‐ language medication information within the after‐visit summary to encourage proper medication use . In the nurse‐led intervention , patients receive one‐on‐one counseling about their medication regimens to clarify medication discrepancies and identify drug‐related concerns , safety issues , and nonadherence . Nurses also provide follow‐up telephone calls following new prescriptions and periodically to perform medication review . The primary study outcome is systolic blood pressure after 1 year . Secondary outcomes include measures of underst and ing of dosing instructions , discrepancies between patient‐reported medications and the medical record , adherence , and intervention costs . Conclusions The Northwestern and Access Community Health Network Medication Education Study will assess the effects of 2 approaches to support outpatient medication management among patients with uncontrolled hypertension in federally qualified health center setting s. Clinical Trial Registration URL : clinical trials.gov . Unique identifier : NCT01578577
The most commonly described determinants at the patient level were lack of education , lack of self-awareness , lack of self-efficacy , and forgetfulness .
Clinical inertia and an inadequate health workforce were the most commonly targeted determinants at the health care team and system level .
Taking medication , interactive patient-provider communication , self-measurement , and lifestyle management were the most cited patient behaviors at both levels .
Most of the DIs did not include support from peers or family members , despite its reported effectiveness and the rate of social media penetration .
Background Information on how behavior change strategies have been used to design digital interventions ( DIs ) to improve blood pressure ( BP ) control or medication adherence ( MA ) for patients with hypertension is currently limited .
Objective Hypertension is a major modifiable risk factor for cardiovascular diseases and can be controlled with appropriate medication .
Many interventions that target MA to improve BP are increasingly using modern digital technologies .
This systematic review was conducted to discover how DIs have been design ed to improve MA and BP control among patients with hypertension in the recent 10 years .