Evidence map›Paper›PMID 20868531›Full record

Trial reportBMC cardiovascular disorders2010

Efficacy of a brief multifactorial adherence-based intervention on reducing the blood pressure of patients with poor adherence: protocol for a randomized clinical trial.

Alfonso Leiva, Marta Fajó, Luís Escriche, Francisco J Audera, Sara López, Ma Carmén Martín, Rosa González, Gaspar Tamborero, Elena M García, Rosa Duro and 13 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cardiovascular disorders, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 34% 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.

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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 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

23 authors at 3 institutions in 1 country.

Alfonso LeivaPrimary Care Research Unit of Mallorca, Baleares Health services-IbSalut, CAIBER, Mallorca, Spain. aleiva@ibsalut.caib.es
Marta Fajó
Luís Escriche
Francisco J Audera
Sara López
Ma Carmén Martín
Rosa González
Gaspar Tamborero
Elena M García
Rosa Duro
Ramón Orueta
Francisca Serra
Pilar D'agosto P
Jerónima Miralles
Patricia Lorente
Joan Llobera
Ana Aurelia Iglesias
Ruth Fernández
María M Colom
Aina M Buades
Lucía Moreno
Clara Vidal
ADHERENCE group
Servei de Salut de les Illes Balears · ESServicio Aragonés de Salud · ESUniversidad de Zaragoza · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLowering of blood pressure by antihypertensive drugs reduces the risks of cardiovascular events, stroke, and total mortality. However, poor adherence to antihypertensive medications reduces their effectiveness and increases the risk of adverse events. In terms of relative risk reduction, an improvement in medication adherence could be as effective as the development of a new drug. METHODS/

designThe proposed randomized controlled trial will include patients with a low adherence to medication and uncontrolled blood pressure. The intervention group will receive a multifactorial intervention during the first, third, and ninth months, to improve adherence. This intervention will include motivational interviews, pill reminders, family support, blood pressure self-recording, and simplification of the dosing regimen. MEASUREMENT: The primary outcome is systolic blood pressure. The secondary outcomes are diastolic blood pressure, proportion of patients with adequately controlled blood pressure, and total cost. DISCUSSION: The trial will evaluate the impact of a multifactorial adherence intervention in routine clinical practice. Ethical approval was given by the Ethical Committee on Human Research of Balearic islands, Spain (approval number IB 969/08 PI).

Indexed as

Drug MonitoringMedication AdherenceMotivationAdolescentAdultAgedAntihypertensive AgentsBlood Pressure DeterminationCosts and Cost AnalysisFemaleHumansHypertensionInterview, PsychologicalMaleMiddle AgedResearch DesignAntihypertensive Agents

Identifiers

PMID20868531
PMCPMC2955598
OpenAlexW1972110883

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.