Evidence map›Paper›PMID 22152750›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2011

Stroke patients' perceptions of home blood pressure monitoring: a qualitative study.

Shazia Ovaisi, Judith Ibison, Miranda Leontowitsch, Geoff Cloud, Pippa Oakeshott, Sally Kerry

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

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  11. Sharing patient-generated data with healthcare providers: findings from a 2019 national survey.Journal of the American Medical Informatics Association : JAMIA · 2021
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  14. Patients' and clinicians' views on the optimum schedules for self-monitoring of blood pressure: a qualitative focus group and interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
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  16. Improving management and effectiveness of home blood pressure monitoring: a qualitative UK primary care study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
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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

6 authors.

Shazia OvaisiST4 Academic Primary Care, St Georges', University of London, Community Health Sciences, London. sovaisi@sgul.ac.uk
Judith Ibison
Miranda Leontowitsch
Geoff Cloud
Pippa Oakeshott
Sally Kerry

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke is the leading cause of adult disability in the UK. Hypertension is the leading modifiable risk factor for stroke. There is increasing interest n home blood pressure monitors for self-monitoring, but no published research on the experiences of stroke patients who do self-monitor.

aimTo explore stroke patients' experiences of self-monitoring with nurse-led support. DESIGN AND

settingA qualitative study of 26 (66%) patients from the first 39 participants to complete the intervention arm of a community-based randomised controlled trial (RCT) of home blood pressure monitoring in 381 patients recruited from hospital stroke clinics in south London.

methodSemi-structured face-to-face interviews were conducted with 26 patients. Interviews were digitally recorded and transcribed, and a thematic analysis of the data was undertaken.

resultsParticipants were highly motivated to avoid a further stroke and developed a strong focus on blood pressure control and attaining a 'good result'. Only a minority reported anxiety about their blood pressure. Participants gained a welcome sense of empowerment and control over managing their health; some felt confident and 'experimented' with their medication doses. Eight patients required physical help to self-monitor and there was uncertainty about where responsibility lay for such help. Patients who lived alone and were functionally impaired had the least positive experience. Active engagement with the home blood pressure monitoring process by GPs was variable.

conclusionPatients in this study generally reported increased knowledge and empowerment about blood pressure control and avoiding further strokes. The technique is overall welcome, acceptable, and successful, even in patients with disabilities. Since home blood pressure monitoring can also lead to improved blood pressure control, this simple, pragmatic intervention might be more widely used.

Indexed as

Health Knowledge, Attitudes, PracticeAgedAged, 80 and overBlood Pressure Monitoring, AmbulatoryFamily PracticeFemaleHumansHypertensionLondonMaleMiddle AgedMotivationPatient ParticipationPatient SatisfactionPerceptionPhysician-Patient Relations

Identifiers

PMID22152750
PMCPMC3162184

What OpenQuestion holds

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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.