Abstract 006: Role of Providers in Implementation of Blood Pressure Control Strategies in Patients with Hypertension

Introduction: Globally, only 13.8% of hypertensive patients have their blood pressure (BP) controlled. Trials testing implementation strategies to overcome barriers to BP control have produced mixed results. Providers who deliver the intervention may play an important role in implementation strategy success. This meta-analysis aimed to determine which provider-led interventions are most effective for BP reduction. Methods: We searched Medline and Embase (through September 2017) for randomized controlled trials of various provider-led implementation strategies targeting barriers to hypertension control in hypertensive patients. Seventy-four trials with 22,180 hypertensive participants met our eligibility criteria and were included in this analysis. These trials were grouped by intervention provider, and the effects of the intervention on BP change were combined using random effects models. Results: Pharmacist-led health coaching and team-based care had the greatest reduction in systolic and diastolic BP. N...