Evidence map›Paper›PMID 22520791›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2012

Patients' experiences of self-monitoring blood pressure and self-titration of medication: the TASMINH2 trial qualitative study.

Miren I Jones, Sheila M Greenfield, Emma P Bray, Sabrina Baral-Grant, F D Richard Hobbs, Roger Holder, Paul Little, Jonathan Mant, Satnam K Virdee, Bryan Williams and 1 more

Open access · bronzeAbstract 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, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 4 pooled it
4.7field-weighted citation impact, top 4% 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

61 citing papers in PubMed, 4 syntheses or guidelines pooled it, 91 citations in OpenAlex.

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  10. Experiences of front-line health professionals in the delivery of telehealth: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014
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  11. Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2014
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1 more citing papers are in PubMed but not listed here.

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

11 authors at 1 institution in 2 countries.

Miren I JonesPrimary Care Clinical Sciences, University of Birmingham, Birmingham.
Sheila M Greenfield
Emma P Bray
Sabrina Baral-Grant
F D Richard Hobbs
Roger Holder
Paul Little
Jonathan Mant
Satnam K Virdee
Bryan Williams
Richard J McManus
Primary Health Care · QA

Funding

Department of Health CDF/01/017Department of Health RP-PG-0606-1153
6 · The paper itself

Abstract

backgroundSelf-management of hypertension, comprising self-monitoring of blood pressure with self-titration of medication, improves blood pressure control, but little is known regarding the views of patients undertaking it.

aimTo explore patients' views of self-monitoring blood pressure and self-titration of antihypertensive medication. DESIGN AND

settingQualitative study embedded within the randomised controlled trial TASMINH2 (Telemonitoirng and Self Management in the Control of Hypertension) trial of patient self-management of hypertension from 24 general practices in the West Midlands.

methodTaped and transcribed semi-structured interviews with 23 intervention patients were used. Six family members were also interviewed. Analysis was by a constant comparative method.

resultsPatients were confident about self-monitoring and many felt their multiple home readings were more valid than single office readings taken by their GP. Although many patients self-titrated medication when required, others lacked the confidence to increase medication without reconsulting with their GP. Patients were more comfortable with titrating medication if their blood pressure readings were substantially above target, but were reluctant to implement such a change if readings were borderline. Many planned to continue self-monitoring after the study finished and report home readings to their GP, but few wished to continue with a self-management plan.

conclusionParticipants valued the additional information and many felt confident in both self-monitoring blood pressure and self-titrating medication. The reluctance to change medication for borderline readings suggests behaviour similar to the clinical inertia seen for physicians in analogous circumstances. Additional support for those lacking in confidence to implement prearranged medication changes may allow more patients to undertake self-management.

Indexed as

AdultAgedAged, 80 and overAntihypertensive AgentsAttitude to HealthBlood Pressure Monitoring, AmbulatoryDrug MonitoringFemaleHumansHypertensionMaleMiddle AgedPerceptionRisk FactorsSelf AdministrationSelf CareAntihypertensive Agents

Identifiers

PMID22520791
PMCPMC3268493
OpenAlexW2167145056

What OpenQuestion holds

Textmetadata
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.