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 .
The Take Control of Your Blood pressure (TCYB) study: study design and methodology.
BACKGROUND Among the 65 million Americans with hypertension , only approximately 31 % have their blood pressure under control ( < 140/90 mm/Hg ) . Despite the damaging impact of hypertension and the availability of evidence -based target values for blood pressure , interventions to improve blood pressure control have had limited success . OBJECTIVES A r and omized controlled health services intervention trial with a two by two design is being conducted to improve blood pressure control . This five-year trial evaluates two patient-directed interventions design ed to improve blood pressure control among patients diagnosed with hypertension in a community-based primary care setting . METHODS Patients are r and omized to one of four groups :  usual care , home blood pressure monitoring , tailored behavioral self-management intervention that is administered via telephone by a nurse , or a combination of the home blood pressure monitoring and tailored behavioral intervention . Patients receiving the home blood pressure monitoring are trained in the use of an electronic blood pressure measurement device , are asked to measure their blood pressure 3 times/week , and send in two-month blood pressure recordings throughout the 24-month study duration . The behavioral intervention incorporates patients ' need assessment s and involves tailored behavioral and education modules to promote medication adherence and improve specific health behaviors . A nurse delivers all behavioral self-management modules over the telephone bi-monthly for 24 months . The primary outcome is the proportion of patients who achieve control of their blood pressure based on evidence -based guidelines ( for patients without diabetes < 140/90 mm/Hg , for patients with diabetes < 130/80 mm/Hg ) evaluated at six-month intervals over 24 months ( five measurements ) using a r and om-zero sphygmomanometer . CONCLUSION Despite the known risk of poor blood pressure control , and the wide availability of effective treatment strategies , a majority of adults still do not have their blood pressure controlled . This study will be an important step in defining two explicit interventions to improve blood pressure control . To our knowledge , this study is the first to combine both a tailored behavioral self-management intervention and self-monitoring home blood pressure intervention to improve blood pressure control among patients in a primary care setting
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 .