Abstract
We designed a survey to assess four domains: (1) Provider beliefs/knowledge of DASH benefits, (2) Patient characteristics influencing likelihood of recommendation, (3) Practice barriers to provision of DASH diet advice, and (4) Resources of perceived value. The survey was sent to University of Colorado School of medicine primary care providers practicing in the Denver metro area.
Highlights
Hypertension contributes to 25% of cardiovascular-related morbidity and mortality, affects 29% of the US population [1], and is an area of focus for many healthcare systems, especially given it’s prominence in many value-based programs
Interventions to increase provision of Dietary Approach to Stopping Hypertension (DASH) dietary advice should focus on identifying eligible patients, accessible and well-disseminated educational materials, and expanded access to evidence-based interventions involving dieticians
This study aimed to identify provider-identified barriers to provision of DASH diet to patients who may benefit for lowering of blood pressure
Summary
Hypertension contributes to 25% of cardiovascular-related morbidity and mortality, affects 29% of the US population [1], and is an area of focus for many healthcare systems, especially given it’s prominence in many value-based programs. The Dietary Approach to Stopping Hypertension (DASH), first published in 1997, is proven to lower systolic and diastolic blood pressures by 4.5 to 7.8 mmHg and 2.6 to 3.7 mmHg, respectively, compared to usual diet controls in treated and untreated hypertensive patients [2]. This is comparable to the lowering of 6-9/4-5 mmHg with blood pressure medications such as lisinopril, amlodipine, or chlorthalidone [3]. The Dietary Approach to Stopping Hypertension (DASH) is considered first-line therapy for hypertension, yet clinical practice implementation remains suboptimal
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