Evidence map›Paper›PMID 20837163›Full record

Trial reportContemporary clinical trials2010

A web-based patient activation intervention to improve hypertension care: study design and baseline characteristics in the web hypertension study.

Jeffrey Thiboutot, Heather Stuckey, Aja Binette, Donna Kephart, William Curry, Bonita Falkner, Christopher Sciamanna

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
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

7 authors.

Jeffrey ThiboutotPennsylvania State University College of Medicine, M.S. Hershey Medical Center, Hershey, PA 17033, United States.
Heather Stuckey
Aja Binette
Donna Kephart
William Curry
Bonita Falkner
Christopher Sciamanna

Funding

Efficacy of Web-based Feedback to Improve Blood Pressure ControlR01HL083432 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI SCIAMANNA, CHRISTOPHER N. · 2006 to 2009
$1.9M
Improving the Quality of Asthma Care Using the InternetR01HL088590 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SCIAMANNA, CHRISTOPHER N. · 2008 to 2011
$1.5M
NHLBI NIH HHS R01 HL083432NHLBI NIH HHS R01 HL088590
6 · The paper itself

Abstract

backgroundDespite the known health risks of hypertension, many hypertensive patients still have uncontrolled blood pressure. Clinical inertia, the tendency of physicians not to intensify treatment, is a common barrier in controlling chronic diseases. This trial is aimed at determining the impact of activating patients to ask providers to make changes to their care through tailored feedback.

methodsDiagnosed hypertensive patients were enrolled in this RCT and randomized to one of two study groups: (1) the intervention condition--Web-based hypertension feedback, based on the individual patient's self-report of health variables and previous BP measurements, to prompt them to ask questions during their next physician's visit about hypertension care (2) the control condition--Web-based preventive health feedback, based on the individual's self-report of receiving preventive care (e.g., pap testing), to prompt them to ask questions during their next physician's visit about preventive care. The primary outcome of the study is change in blood pressure and change in the percentage of patients in each group with controlled blood pressure.

conclusionFive hundred participants were enrolled and baseline characteristics include a mean age of 60.0 years; 57.6% female; and 77.6% white. Overall 37.7% participants had uncontrolled blood pressure; the mean body mass index (BMI) was in the obese range (32.4) and 21.8% had diabetes. By activating patients to become involved in their own care, we believe the addition of the web-based intervention will improve blood pressure control compared to a control group who receive web-based preventive messages unrelated to hypertension.

Indexed as

FeedbackInternetPatient ParticipationResearch DesignFemaleHumansHypertensionLife StyleMaleMiddle AgedPatient Education as TopicPhysician-Patient Relations

Identifiers

PMID20837163
PMCPMC2969841

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.