{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:19:55Z","timestamp":1787498395872,"version":"build-2736575974"},"reference-count":27,"publisher":"University of Toronto Press Inc. (UTPress)","issue":"4","license":[{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can Pharm J"],"published-print":{"date-parts":[[2024,7]]},"abstract":"\n Importance:<\/jats:title>\n We designed an online educational program for primary care health care providers, the Hypertension Canada Professional Certification Program (HC-PCP), based upon its 2020 guidelines.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n The objective was to determine the effect of the HC-PCP, taken by pharmacists, on systolic blood pressure (BP) in patients with poorly controlled hypertension.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Stepped wedge cluster randomized trial (unit of randomization was the pharmacy).<\/jats:p>\n <\/jats:sec>\n \n Participants:<\/jats:title>\n Patients with poorly controlled hypertension (BP >140\/90 mmHg or >130\/80 mmHg [diabetes]) in community pharmacies in Alberta, Canada, were recruited by their pharmacist.<\/jats:p>\n <\/jats:sec>\n \n Intervention:<\/jats:title>\n Pharmacists completed the HC-PCP program, then provided care to their patients with poorly controlled hypertension according to what they learned in the course.<\/jats:p>\n <\/jats:sec>\n \n Control:<\/jats:title>\n Pharmacists were given a copy of the Hypertension Canada guidelines and provided their usual care to their patients prior to undertaking the HC-PCP later.<\/jats:p>\n <\/jats:sec>\n \n Main outcome and measure:<\/jats:title>\n The primary outcome was a difference in change in systolic BP at 3 months between groups, while the secondary outcome was patient satisfaction with using the Consultation Satisfaction Questionnaire.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n We enrolled 890 patients from 59 pharmacies (including 104 pharmacists). Using a linear mixed-effect model with BP reduction as the dependent variable and independent variables of treatment allocation, baseline BP, site effect and patient effect, the intervention was associated with a 4.76 mmHg (95% confidence interval, 2.02\u20137.50, p < 0.0001) systolic BP reduction at 3 months. Patient satisfaction with using the Consultation Satisfaction Questionnaire was high at 75.9 (\/90).<\/jats:p>\n <\/jats:sec>\n \n Conclusion and relevance:<\/jats:title>\n Most educational programs are not evaluated at the patient care level. The HC-PCP taken by pharmacists resulted in a 4.76 mmHg systolic BP reduction in their patients over 3 months. This would have major implications for public health, reducing heart disease, stroke and kidney failure.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/17151635241254089","type":"journal-article","created":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T07:23:46Z","timestamp":1717140226000},"page":"190-199","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Enhancing hypertension detection and control through a hypertension certification program for pharmacists: A cluster randomized trial (The R\n x<\/sub>\n PATH Study)"],"prefix":"10.3138","volume":"157","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6617-9398","authenticated-orcid":false,"given":"Kaitlyn E.","family":"Watson","sequence":"first","affiliation":[{"name":"EPICORE Centre, Department of Medicine, University of Alberta, Edmonton, Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4232-4372","authenticated-orcid":false,"given":"Jonathan C.H.","family":"Chan","sequence":"additional","affiliation":[{"name":"EPICORE Centre, Department of Medicine, University of Alberta, Edmonton, Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Pan","sequence":"additional","affiliation":[{"name":"EPICORE Centre, Department of Medicine, University of Alberta, Edmonton, Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3984-3542","authenticated-orcid":false,"given":"Yazid N.","family":"Al Hamarneh","sequence":"additional","affiliation":[{"name":"EPICORE Centre, Department of Medicine, University of Alberta, Edmonton, Alberta"},{"name":"Department of Pharmacology, University of Alberta, Edmonton, Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross T.","family":"Tsuyuki","sequence":"additional","affiliation":[{"name":"EPICORE Centre, Department of Medicine, University of Alberta, Edmonton, Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1696","published-online":{"date-parts":[[2024,5,31]]},"reference":[{"key":"bibr1-17151635241254089","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2020.02.092"},{"key":"bibr2-17151635241254089","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2020.02.086"},{"key":"bibr3-17151635241254089","doi-asserted-by":"publisher","DOI":"10.1016\/j.jash.2011.03.002"},{"key":"bibr4-17151635241254089","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare4030036"},{"key":"bibr5-17151635241254089","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-018-2196-2"},{"key":"bibr6-17151635241254089","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000001088"},{"issue":"4","key":"bibr7-17151635241254089","volume":"154","author":"Watson KE","year":"2021","journal-title":"Can Pharm J (Ott)"},{"issue":"3","key":"bibr8-17151635241254089","first-page":"37","volume":"139","author":"Shiu JR","year":"2006","journal-title":"Can Pharm J (Ott)"},{"key":"bibr9-17151635241254089","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20160135"},{"key":"bibr10-17151635241254089","unstructured":"Canadian Pharmacists Association. 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