ArticleJournal of clinical hypertension (Greenwich, Conn.)2009
Is a shared decision-making approach effective in improving hypertension management?
Article in Journal of clinical hypertension (Greenwich, Conn.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 8 of them syntheses that pooled it.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021Pooled it
- Pooled it
- Interventions to support shared decision making for hypertension: A systematic review of controlled studies.Health expectations : an international journal of public participation in health care and health policy · 2018Pooled it
- Interventions for increasing the use of shared decision making by healthcare professionals.The Cochrane database of systematic reviews · 2018Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Where is the evidence? A systematic review of shared decision making and patient outcomes.Medical decision making : an international journal of the Society for Medical Decision Making · 2015Pooled it
- Does improving patient-practitioner communication improve clinical outcomes in patients with cardiovascular diseases? A systematic review of the evidence.Patient education and counseling · 2014Pooled it
- Shared decision-making in antihypertensive therapy: a cluster randomised controlled trial.BMC family practice · 2013Trial
- Implementation of shared decision making by physician training to optimise hypertension treatment. Study protocol of a cluster-RCT.BMC cardiovascular disorders · 2012Trial
- Racial and Ethnic Differences in Shared Decision Making Among Patients With Hypertension: Results From the RICH LIFE Project.Journal of the American Heart Association · 2025Article
- Comprehensive Implementation of Shared Decision Making in a Neuromedical Center Using the SHARE TO CARE Program.Patient preference and adherence · 2023Article
- Effectiveness of Shared Decision-making Training Programs for Health Care Professionals Using Reflexivity Strategies: Secondary Analysis of a Systematic Review.JMIR medical education · 2022Review
- Are shared decision making studies well enough described to be replicated? Secondary analysis of a Cochrane systematic review.PloS one · 2022Article
- Shared Decision-Making for Nursing Practice: An Integrative Review.The open nursing journal · 2018Review
- DECADE-pilot: decision aid, action planning, and follow-up support for patients to reduce the 10-year risk of cardiovascular diseases-a protocol of a randomized controlled pilot trial.Pilot and feasibility studies · 2017Article
- Perceptions of Shared Decision Making Among Patients with Spinal Cord Injuries/Disorders.Topics in spinal cord injury rehabilitation · 2016Article
- Association between Internet use and decision-making preference in older adults.Gerontechnology : international journal on the fundamental aspects of technology to serve the ageing society · 2016Article
- Patient-centered interventions to improve medication management and adherence: a qualitative review of research findings.Patient education and counseling · 2014Review
- Shared decision-making and comparative effectiveness research for patients with chronic conditions: an urgent synergy for better health.Journal of comparative effectiveness research · 2013Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The authors assessed whether patient empowerment in the management of hypertension improved more with the practice of shared decision making (SDM) than by education programs. In a prospective controlled clinical study, 15 general practitioners in Nuremberg, Germany who were specially trained to conduct SDM consultations participated in a 12-month study. Hypertensive patients (N=86) were included; N=40 were in the SDM group and N=46 were in the control group, if blood pressures were > or = 135 / 85 mm Hg (self measurement) and patients had no signs of cardiovascular complications or severe hypertension. All participants in the SDM group and the control group were enrolled in an education program on hypertension in small groups. The SDM group participants also had 4 special consultations to share medical decisions. The main outcome measures were the effect of SDM on blood pressure control. After 1 year blood pressure had decreased in all participants: Delta-9.26 +/- 10.2 mm Hg/Delta-5.33 +/- 9.5 mm Hg in the SDM group (P<0.001) compared to Delta-6.0 +/- 11.8 mm Hg/Delta-3.0 +/- 8.3 mm Hg in the control group. There was no significant difference between the 2 groups. The study group practiced more SDM than controls, but blood pressure control was not significantly better. Patient empowerment by means of an education program in small groups and creating awareness of hypertensive disease helps to improve the outcome of hypertension treatment. SDM, however, did not improve management when compared to an education program, which is much easier to implement in general practice.
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Registered trials
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