Multifaceted Intervention Controls BP in Low-income Hypertension Patients
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A multifaceted intervention has been shown to effectively control blood pressure in low-income patients with hypertension. The IMPACTS-BP trial found that a team-based approach, including protocol-based intensive BP management and home BP monitoring, resulted in a significant reduction in systolic blood pressure levels compared to standard care.
Researchers conducted a study in Louisiana and Mississippi, enrolling 1,272 adults with uncontrolled hypertension. The study used a team-based approach, including health coaching and home BP monitoring. After 18 months, the mean drop in systolic BP was 15.5 mm Hg in the intervention arm and 9.1 mm Hg in the control arm. The intervention resulted in a -6.4 mm Hg greater drop in systolic BP compared to standard care. The study's findings have important clinical and public health significance, as a 6-mm Hg reduction in systolic BP can translate to lower long-term risks of cardiovascular disease. The study was published in the New England Journal of Medicine.
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