Evidence map›Paper›PMID 24030130›Full record

Trial reportJournal of the American Pharmacists Association : JAPhA

Improving refill adherence and hypertension control in black patients: Wisconsin TEAM trial.

Bonnie L Svarstad, Jane Morley Kotchen, Theresa I Shireman, Roger L Brown, Stephanie Y Crawford, Jeanine K Mount, Pamela A Palmer, Eva M Vivian, Dale A Wilson

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Pharmacists Association : JAPhA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07547345 (Live Healthy Chicago - Community Pilot), which is not on this map. Cited by 28 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07547345 narecruitingnot on this map

Live Healthy Chicago - Community Pilot

TypeinterventionalSponsorRush University Medical CenterRan2026 to 2027Enrolled200ConditionsHypertensionArmsCommunity-Based Multidisciplinary Hypertension Management Program
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Impact of patient care teams on blood pressure control in patients with hypertension: a systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
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  11. Medication Routines and Adherence Among Hypertensive African Americans.Journal of clinical hypertension (Greenwich, Conn.) · 2015
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  19. Team Communication on Tasks Performed in Blood Pressure Clinics in Community Pharmacies.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Bonnie L Svarstad
Jane Morley Kotchen
Theresa I Shireman
Roger L Brown
Stephanie Y Crawford
Jeanine K Mount
Pamela A Palmer
Eva M Vivian
Dale A Wilson

Funding

A Team Model of Hypertension Care in African AmericansR01HL078580 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI SVARSTAD, BONNIE L · 2004 to 2008
$2.5M
NHLBI NIH HHS HL78580NHLBI NIH HHS R01 HL078580
6 · The paper itself

Abstract

objectiveTo assess the effectiveness and sustainability of a 6-month Team Education and Adherence Monitoring (TEAM) intervention for black patients with hypertension in community chain pharmacies.

designCluster randomized trial.

setting28 chain pharmacies (14 TEAM and 14 control) in five Wisconsin cities from December 2006 to February 2009.

participants576 black patients with hypertension.

interventionTrained pharmacist-technician teams implemented a 6-month intervention using scheduled visits, Brief Medication Questionnaires (BMQs), and novel toolkits for facilitating medication adherence and pharmacist feedback to patients and physicians. Control participants received patient information only.

main outcome measuresRefill adherence (≥80% days covered) and changes in systolic blood pressure (SBP), diastolic blood pressure, and blood pressure control using blinded assessments at 6 and 12 months.

resultsAt baseline, all patients had blood pressure of 140/90 mm Hg or more. Of those eligible, 79% activated the intervention (mean 4.25 visits). Compared with control participants at 6 months, TEAM participants achieved greater improvements in refill adherence (60% vs. 34%, P < 0.001), SBP (-12.62 vs. -5.31 mm Hg, P < 0.001), and blood pressure control (50% vs. 36%, P = 0.01). Six months after intervention discontinuation, TEAM participants showed sustained improvements in refill adherence ( P < 0.001) and SBP ( P = 0.004), though the difference in blood pressure control was not significant ( P < 0.05) compared with control participants. Analysis of intervention fidelity showed that patients who received the full intervention during months 1 through 6 achieved significantly greater 6- and 12-month improvements in refill adherence and blood pressure control compared with control participants.

conclusionA team-based intervention involving community chain pharmacists, pharmacy technicians, and novel toolkits led to significant and sustained improvements in refill adherence and SBP in black patients with hypertension.

Indexed as

AdultAntihypertensive AgentsBlack or African AmericanBlood PressureCluster AnalysisCommunity Pharmacy ServicesFemaleFollow-Up StudiesHumansHypertensionMaleMedication AdherenceMiddle AgedPatient Care TeamPatient Education as TopicPharmacistsAntihypertensive Agents

Identifiers

PMID24030130
PMCPMC4930551

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.