Trial reportThe American journal of medicine2009
The effect of a hypertension self-management intervention on diabetes and cholesterol control.
Trial report in The American journal of medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00105716 (Study to Lower Veterans Blood Pressure), which is not on this map. Cited by 14 papers, 3 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.
Study to Lower Veterans Blood Pressure: Patient/Physician Intervention
Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Assessing the Effectiveness of Digital Health Behavior Strategies on Type 2 Diabetes Management: Systematic Review and Network Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes.The Cochrane database of systematic reviews · 2023Pooled it
- Team-based care and improved blood pressure control: a community guide systematic review.American journal of preventive medicine · 2014Pooled it
- Long-Term Mobile-Based Glycemic Intervention for Secondary Prevention in Patients With Diabetes Undergoing Surgical Revascularization: Multicenter Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Effect of home telemonitoring on glycemic and blood pressure control in primary care clinic patients with diabetes.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2014Trial
- Trends in quality of care among children with sickle cell anemia.Pediatric blood & cancer · 2022Article
- "I am getting something out of this, so I am going to stick with it": supporting participants' home practice in Mindfulness-Based Programmes.BMC psychology · 2020Review
- Managing Diabetes in Hard to Reach Populations: A Review of Telehealth Interventions.Current diabetes reports · 2020Review
- Are formal self-care interventions for healthy people effective? A systematic review of the evidence.BMJ global health · 2019Article
- The empirical evidence for the telemedicine intervention in diabetes management.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2015Review
- Behavior matters: the relevance, impact, and reach of behavioral medicine.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2015Review
- Optimal therapy in hypertensive subjects with diabetes mellitus.Current atherosclerosis reports · 2011Review
- Implementing evidence-based patient self-management programs in the Veterans Health Administration: perspectives on delivery system design considerations.Journal of general internal medicine · 2010Review
- Prevalence and sociodemographic correlates of cardiovascular risk factors among patients with hypertension in South African primary care.Cardiovascular journal of AfricaArticle
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 at 3 institutions in 1 country.
Funding
Abstract
backgroundMost patient chronic disease self-management interventions target single-disease outcomes. We evaluated the effect of a tailored hypertension self-management intervention on the unintended targets of glycosylated hemoglobin (HbA1c) and low-density lipoprotein cholesterol (LDL-C).
methodsWe evaluated patients from the Veterans Study to Improve the Control of Hypertension, a 2-year randomized controlled trial. Patients received either a hypertension self-management intervention delivered by a nurse over the telephone or usual care. Although the study focused on hypertension self-management, we compared changes in HbA1c among a subgroup of 216 patients with diabetes and LDL-C among 528 patients with measurements during the study period. Changes in these laboratory values over time were compared between the 2 treatment groups using linear mixed-effects models.
resultsFor the patients with diabetes, the hypertension self-management intervention resulted in a 0.46% reduction in HbA1c over 2 years compared with usual care (95% confidence interval, 0.04%-0.89%; P = .03). For LDL-C, there was a minimal 0.9 mg/dL between-group difference that was not statistically significant (95% confidence interval, -7.3-5.6 mg/dL; P = .79).
conclusionsThere was a significant effect of the self-management intervention on the unintended target of HbA1c, but not LDL-C. Chronic disease self-management interventions might have "spill-over" effects on patients' comorbid chronic conditions.
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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.