Evidence map›Paper›PMID 18164894›Full record

Trial reportPatient education and counseling2008

Take Control of Your Blood Pressure (TCYB) study: a multifactorial tailored behavioral and educational intervention for achieving blood pressure control.

Hayden B Bosworth, Maren K Olsen, Alice Neary, Melinda Orr, Janet Grubber, Laura Svetkey, Martha Adams, Eugene Z Oddone

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00123058 (Take Control of Your Blood Pressure), which is not on this map. Cited by 68 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 15 pooled it
8.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00123058 nacompletednot on this map

Take Control of Your Blood Pressure (TCYB)

TypeinterventionalSponsorDuke UniversityRan2003 to 2007Enrolled777ConditionsCardiovascular Diseases, Heart Diseases, HypertensionArmsNurse administered, BP Monitor
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 15 syntheses or guidelines pooled it, 164 citations in OpenAlex.

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  5. Strategies to improve smoking cessation rates in primary care.The Cochrane database of systematic reviews · 2021
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Hayden B BosworthCenter for Health Services Research in Primary Care, Durham VAMC, United States. hboswort@acpub.duke.edu
Maren K Olsen
Alice Neary
Melinda Orr
Janet Grubber
Laura Svetkey
Martha Adams
Eugene Z Oddone
Durham VA Health Care System · USDuke University · US

Funding

Take Control of Your Blood Pressure (TCYB) StudyR01HL070713 · NHLBI · DUKE UNIVERSITY · PI BOSWORTH, HAYDEN B. · 2003 to 2007
$3.7M
HSRD VA IK6 HX003161NHLBI NIH HHS R01 HL070713
6 · The paper itself

Abstract

objectiveEvaluating a randomized controlled trial involving a tailored behavioral intervention conducted to improve blood pressure control.

methodsAdults with hypertension from two outpatient primary care clinics were randomly allocated to receive a nurse-administered behavioral intervention or usual care. In this ongoing study, patients receive the tailored behavioral intervention bi-monthly for 2 years via telephone; the goal of the intervention is to promote medication adherence and improve hypertension-related health behaviors. Patient factors targeted in the tailored behavioral intervention include perceived risk of hypertension and knowledge, memory, medical and social support, patients' relationship with their health care provider, adverse effects of medication therapy, weight management, exercise, diet, stress, smoking, and alcohol use.

resultsThe sample randomized to the behavioral intervention consisted of 319 adults with hypertension (average age=60.5 years; 47% African-American). A comparable sample of adults was assigned to usual care (n=317). We had a 96% retention rate for the overall sample for the first 6 months of the study (93% at 12 months). The average phone call has lasted 18min (range 2-51min). From baseline to 6 months, self-reported medication adherence increased by 9% in the behavioral group vs. 1% in the non-behavioral group.

conclusionThe intervention is easily implemented and is designed to enhance adherence with prescribed hypertension regimen. The study includes both general and patient-tailored information based upon need assessment. The study design ensures internal validity as well as the ability to generalize study findings to the clinic settings. PRACTICE IMPLICATIONS: Despite knowledge of the risks and acceptable evidence, a large number of hypertensive adults still do not have their blood pressure under effective control. This study will be an important step in evaluating a tailored multibehavioral intervention focusing on improving blood pressure control.

Indexed as

TelephoneAgedBlood Pressure Monitoring, AmbulatoryCurriculumFemaleHealth BehaviorHumansHypertensionMaleMiddle AgedModels, PsychologicalNeeds AssessmentNorth CarolinaNursing Evaluation ResearchPatient Care PlanningPatient Compliance

Identifiers

PMID18164894
PMCPMC2276731
OpenAlexW1978120313

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.