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Highlights of NHLBI-supported research presented at American Heart Association's Scientific Sessions
Date:11/17/2009

) tested physician and patient intervention methods in community-based primary care clinics. A total of 32 physicians and 574 patients participated in the study. Physician intervention techniques included Internet-based training (before patient intervention began), followed by self-monitoring and quarterly feedback reports for 18 months. Patient intervention practices included 20 weekly group counseling sessions focused on weight loss, a hypertension-controlling diet, exercise, and reduced sodium intake, followed by 12 brief monthly phone contacts. After six months, those who received both physician and patient intervention methods experienced the largest impact with a decrease in systolic blood pressure of 9.7 mmHg. The systolic blood pressure of those patients who received only physician intervention decreased 5.3 mmHg; the systolic blood pressure of those who had only patient intervention decreased 7.1 mmHg. However, the added benefit of the combined intervention did not persist 12 months after the period of intense patient intervention. Notably, at 18 months more than 70 percent of patients were at goal blood pressure in all study groups (compared with approximately 60 percent at baseline). Future research should focus on increasing the magnitude of the effect in each individual component and sustainability of the interaction between an informed patient and a proactive practice team. NHLBI spokesperson: Paula T. Einhorn, M.D., M.S. HIP Investigator: Laura P. Svetkey, M.D., Duke University. Contact Dr. Svetkey at svetk001@mc.duke.edu.


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Contact: NHLBI Office of Communications
nhlbi_news@nhlbi.nih.gov
301-496-4236
NIH/National Heart, Lung and Blood Institute
Source:Eurekalert

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