Barbershop Intervention Leads to Reduced BP in Black Men
Barbers promoted follow-up with pharmacists, who prescribed blood pressure medication
MONDAY, Dec. 17, 2018 (HealthDay News) -- A barbershop-based intervention can lead to significantly reduced blood pressure and sustained improvements over one year in black men, according to a study published online Dec. 17 in Circulation.
Ronald G. Victor, M.D., from the Cedars-Sinai Medical Center in Los Angeles, and colleagues enrolled 319 black male barbershop patrons with systolic BP ≥140 mm Hg at baseline. Fifty-two Los Angeles-area barbershops were assigned to either a pharmacist-led intervention (barbers promoted follow-up with pharmacists who prescribed BP medication under a collaborative practice agreement with patrons' primary care providers [PCPs]) or an active control group (barbers promoted follow-up with PCPs and lifestyle modification).
The researchers found that during 12 months of follow-up, mean systolic BP dropped by 28.6 mm Hg in the intervention group and by 7.2 mm Hg in the control group. In the intervention group, 68 percent of men achieved a BP <130/80 versus 11 percent of the control group. Twelve-month efficacy data are statistically indistinguishable from six-month pilot data. There were no treatment-related serious adverse events in either group, and participant retention was 90 percent in both groups for the full study duration.
"Broad-scale implementation research is both justified and warranted," the authors write.
One author disclosed financial ties to Recor Medical.