Older adults taking multiple chronic medications experience an increased risk of adverse drug events and other medication-related problems (MRP). Most current literature on medication management involves researcher-driven intervention, yet few studies investigate patients’ understanding of MRP in a diverse community setting. This report investigates patients’ perception of MRP and patient-centered strategies among a cohort of the older adult group in a historically Black urban community. The study design is qualitative using structured open-ended questions in a multidisciplinary patient-centered focus group. Patients (age 65 years or older) taking seven or more medications were recruited. The group comprises patients, caregivers, pharmacists, health educators, a physician, and a nurse. Recordings of the group discussion are transcribed verbatim and analyzed using thematic content analysis and categorized by codes developed from the social-ecological model. The group reports patient-provider relationships, previous experience, fear of side effects played important roles in medication adherence. There is an unmet need for medication management education and tools to organize complex medication lists from multiple providers. This study provides important insights into MRP experienced by minority older adults and provided researchers with potential strategies for future interventions.

Hypertension remains a major cause of cardiovascular morbidity and mortality among older adults, yet achieving adequate blood pressure control remains a significant challenge. Pharmacists and community health workers (CHWs) may provide complementary clinical and community-based support for medication management and hypertension self-management. This review aimed to characterize pharmacist-led and CHW-supported interventions relevant to hypertension and blood pressure outcomes. EMBASE, CINAHL, OVID, PubMed, Scopus, Web of Science, and grey literature were searched for peer-reviewed studies published from 2015 to 2026. Twenty-two (22) were included, comprising fourteen (14) original primary studies and eight (8) study protocols. Across the included studies, pharmacists provided medication therapy management, medication optimization, clinical monitoring, and support for home blood pressure monitoring, while CHWs provided health education, self-management support, healthcare navigation, and connections to community resources. Collaborative models demonstrated improvements in selected blood pressure, medication-related, and self-management outcomes; however, intervention components and outcomes varied considerably. Few studies specifically focused on older adults, highlighting an important evidence gap. Pharmacist-CHW collaborative interventions varied in design and outcomes, and did not consistently result in improved clinical outcomes. These findings highlight the need for further research to determine the added benefits of CHW support in pharmacist-led hypertension management, particularly among older adults.

Hypertension remains a major cause of cardiovascular morbidity and mortality among older adults, yet achieving adequate blood pressure control remains a significant chal-lenge. Pharmacists and community health workers (CHWs) may provide complementary clinical and community-based support for medication management and hypertension self-management. This review aimed to characterize pharmacist-led and CHW-supported interventions relevant to hypertension and blood pressure outcomes. PubMed, Scopus, and CINAHL were searched for peer-reviewed studies published from 2015 to 2026. Nine publications were included, comprising seven original primary studies and two study protocols. Across the included studies, pharmacists contributed medication therapy management, medication optimization, clinical monitoring, and home blood pressure monitoring support, while CHWs provided health education, self-management support, healthcare navigation, and connections to community resources. Collaborative models demonstrated improvements in selected blood pressure, medication-related, and self-management outcomes; however, intervention components and outcomes varied con-siderably. Few studies specifically focused on older adults, highlighting an important ev-idence gap. Pharmacist-CHW collaborative interventions varied in design and outcomes, and did not consistently result in improved clinical outcomes . Based on the findings of the review, this article describes a framework that provides a structured approach to coor-dinated hypertension management.