Evidence map›Paper›PMID 22585883›Full record

Trial reportAnnals of family medicine

Health coaching to improve hypertension treatment in a low-income, minority population.

David Margolius, Thomas Bodenheimer, Heather Bennett, Jennifer Wong, Victoria Ngo, Guillermo Padilla, David H Thom

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03515005 (Using Lay Health Advisors to Help African Americans Address the Social Context of Hypertension Management), which is not on this map. Cited by 63 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 9 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.

NCT03515005 naterminatednot on this map

Using Lay Health Advisors to Help African Americans Address the Social Context of Hypertension Management

TypeinterventionalSponsorMetroHealth Medical CenterRan2018 to 2019Enrolled69ConditionsHypertensionArmsLay Health Advisor
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Interventions for enhancing medication adherence.The Cochrane database of systematic reviews · 2014
    Pooled it
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

3 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

7 authors.

David MargoliusDepartment of Family and Community Medicine, University of California-San Francisco, CA 94110, USA.
Thomas Bodenheimer
Heather Bennett
Jennifer Wong
Victoria Ngo
Guillermo Padilla
David H Thom

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePoor blood pressure control is common in the United States. We conducted a study to determine whether health coaching with home titration of antihypertensive medications can improve blood pressure control compared with health coaching alone in a low-income, predominantly minority population.

methodsWe randomized 237 patients with poorly controlled hypertension at a primary care clinic to receive either home blood pressure monitoring, weekly health coaching, and home titration of blood pressure medications if blood pressures were elevated (n = 129) vs home blood pressure monitoring and health coaching but no home titration (n = 108). The primary outcome was change in systolic blood pressure from baseline to 6 months.

resultsBoth the home-titration arm and the no-home-titration arm had a reduction in systolic blood pressure, with no significant difference between them. When both arms were combined and analyzed as a before-after study, there was a mean decrease in systolic blood pressure of 21.8 mm Hg (P <.001) as well as a decrease in the number of primary care visits from 3.5 in the 6 months before the study to 2.6 during the 6-month study period (P <.001) and 2.4 in the 6 months after the study (P <.001). The more coaching encounters patients had, the greater their reduction in blood pressure.

conclusionsBlood pressure control in a low-income, minority population can be improved by teaching patients to monitor their blood pressure at home and having nonprofessional health coaches assist patients, in particular, by counseling them on medication adherence. The improved blood pressure control can be achieved while reducing the time spent by physicians.

Indexed as

Community Health WorkersMedication AdherencePovertyAdultAgedBlood Pressure Monitoring, AmbulatoryFemaleHumansHypertensionMaleMiddle AgedMinority GroupsPrimary Health CareSelf CareUnited States

Identifiers

PMID22585883
PMCPMC3354968

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.