Trial reportThe American journal of medicine2011
Racial differences in two self-management hypertension interventions.
Trial report in The American journal of medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled 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.
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
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Managing cardiovascular risk factors with telemedicine in primary care: A systematic review and meta-analysis of patients with arterial hypertension and type 2 diabetes.Chronic illness · 2025Pooled it
- Consumer Devices for Patient-Generated Health Data Using Blood Pressure Monitors for Managing Hypertension: Systematic Review.JMIR mHealth and uHealth · 2022Pooled it
- Racial Differences in the Effectiveness of a Multifactorial Telehealth Intervention to Slow Diabetic Kidney Disease.Medical care · 2020Trial
- Ethnicity and health outcomes among people with epilepsy participating in an epilepsy self-management RCT.Epilepsy & behavior : E&B · 2019Trial
- The Effectiveness of Home Blood Pressure on 24-Hour Blood Pressure Control: A Randomized Controlled Trial.American journal of hypertension · 2019Trial
- Physician-Pharmacist Collaborative Management: Narrowing the Socioeconomic Blood Pressure Gap.Hypertension (Dallas, Tex. : 1979) · 2016Trial
- Cluster-randomized trial of a physician/pharmacist collaborative model to improve blood pressure control.Circulation. Cardiovascular quality and outcomes · 2015Trial
- Trial
- Racial differences in the effect of a telephone-delivered hypertension disease management program.Journal of general internal medicine · 2012Trial
- Hypertensive Pregnancy Disorders: From Mechanisms to Management.American journal of hypertension · 2026Review
- Study protocol: Collaboration Oriented Approach to Controlling High blood pressure (COACH) in adults - a randomised controlled trial.BMJ open · 2024Article
- Effects of Behaviorally Supported Exercise and Exercise-Induced Mood Changes on Elevated Blood Pressure and Hypertension in African American Adults with Severe Obesity.Journal of immigrant and minority health · 2022Article
- Rationale and study design of the MyHEART study: A young adult hypertension self-management randomized controlled trial.Contemporary clinical trials · 2019Article
- Impact of a Population Health Management Intervention on Disparities in Cardiovascular Disease Control.Journal of general internal medicine · 2018Article
- Racial differences in nocturnal dipping status in diabetic kidney disease: Results from the STOP-DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) study.Journal of clinical hypertension (Greenwich, Conn.) · 2017Article
- A multicomponent quality improvement intervention to improve blood pressure and reduce racial disparities in rural primary care practices.Journal of clinical hypertension (Greenwich, Conn.) · 2017Article
- The Role of Care Management as a Population Health Intervention to Address Disparities and Control Hypertension: A Quasi-Experimental Observational Study.Ethnicity & disease · 2016Observational
- Reducing racial and ethnic disparities in hypertension prevention and control: what will it take to translate research into practice and policy?American journal of hypertension · 2015Article
- Article
- Characterizing depression and comorbid medical conditions in African American women in a primary care setting.Journal of the National Medical Association · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundOnly one half of Americans have their blood pressure controlled, and there are significant racial differences in blood pressure control. The goal of this study was to examine the effectiveness of 2 patient-directed interventions designed to improve blood pressure control within white and non-white subgroups (African Americans, 49%).
methodsPost hoc analysis of a 2 by 2 randomized trial with 2-year follow-up in 2 university-affiliated primary care clinics was performed. Within white and non-white patients (n=634), 4 groups were examined: 1) usual care; 2) home blood pressure monitoring (3 times per week); 3) tailored behavioral self-management intervention administered via telephone by a nurse every other month; and 4) a combination of the 2 interventions.
resultsThe overall race by time by treatment group effect suggested differential intervention effects on blood pressure over time for whites and non-whites (systolic blood pressure, P=. 08; diastolic blood pressure, P=.01). Estimated trajectories indicated that among the 308 whites, there was no significant effect on blood pressure at 12 or 24 months for any intervention compared with the control group. At 12 months, the non-whites (n=328) in all 3 intervention groups had systolic blood pressure decreases of 5.3 to 5.7 mm Hg compared with usual care (P <.05). At 24 months, in the combined intervention, non-whites had sustained lower systolic blood pressure compared with usual care (7.5 mm Hg; P <.02). A similar pattern was observed for diastolic blood pressure.
conclusionCombined home blood pressure monitoring and a tailored behavioral phone intervention seem to be particularly effective for improving blood pressure in non-white patients.
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Identifiers
What OpenQuestion holds
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.