Evidence map›Paper›PMID 24650839›Full record

Trial reportAmerican journal of preventive medicine2014

e-Care for heart wellness: a feasibility trial to decrease blood pressure and cardiovascular risk.

Beverly B Green, Melissa L Anderson, Andrea J Cook, Sheryl Catz, Paul A Fishman, Jennifer B McClure, Robert J Reid

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01077388 (Collaborative Behavioral e-Care to Decrease Cardiovascular Risk), which is not on this map. Cited by 23 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 16 pooled it
10.9field-weighted citation impact, top 2% 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.

NCT01077388 phase3completednot on this map

Collaborative Behavioral e-Care to Decrease Cardiovascular Risk (e-Compare)

TypeinterventionalSponsorKaiser PermanenteRan2010 to 2012Enrolled100ConditionsCVDArmsDietician electronic support
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 16 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Impact of patient care teams on blood pressure control in patients with hypertension: a systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
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  10. An Updated Meta-Analysis of Remote Blood Pressure Monitoring in Urban-Dwelling Patients with Hypertension.International journal of environmental research and public health · 2021
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  15. Risk scoring for the primary prevention of cardiovascular disease.The Cochrane database of systematic reviews · 2017
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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

7 authors at 1 institution in 1 country.

Beverly B GreenGroup Health Research Institute, Seattle, Washington. Electronic address: green.b@ghc.org.
Melissa L AndersonGroup Health Research Institute, Seattle, Washington.
Andrea J CookGroup Health Research Institute, Seattle, Washington.
Sheryl CatzGroup Health Research Institute, Seattle, Washington.
Paul A FishmanGroup Health Research Institute, Seattle, Washington.
Jennifer B McClureGroup Health Research Institute, Seattle, Washington.
Robert J ReidGroup Health Research Institute, Seattle, Washington.
Kaiser Permanente Washington Health Research Institute · US

Funding

Collaborative Behavioral e-Care to Decrease Cardiovascular Risk (e-Compare)RC1HL100590 · NHLBI · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI GREEN, BEVERLY BETH · 2009 to 2010
$989k
NHLBI NIH HHS RC1 HL100590NHLBI NIH HHS RC1HL100590
6 · The paper itself

Abstract

backgroundPharmacist- or nurse-led team care decreases patient blood pressure (BP) and cardiovascular disease (CVD) risk. PURPOSE: To evaluate whether a Web-based dietitian-led (WD) team care intervention was feasible and resulted in decreased BP, CVD risk, and weight compared to usual care (UC).

methodsElectronic health record (EHR) data identified patients aged 30-69 years with BMI >26, elevated BP, and 10%-25% 10-year Framingham CVD risk who were registered patient website users. Patients with uncontrolled BP at screening were randomized to UC or WD, which included a home BP monitor, scale, and dietitian team care. WD participants had a single in-person dietitian visit to obtain baseline information and create a plan to reduce CVD risk. Planned follow-up occurred via secure messaging to report BP, weight, and fruit and vegetable intake and receive ongoing feedback. If needed, dietitians encouraged patients and their physicians to intensify antihypertensive and lipid-lowering medications. Primary outcomes were change in systolic BP and weight loss ≥4 kg at 6 months. Feasibility outcomes included intervention utilization and satisfaction.

resultsBetween 2010 and 2011, a total of 90 of 101 participants completed 6-month follow-ups. The WD group had higher rates of secure messaging utilization and patient satisfaction. The WD group lost significantly more weight than the UC group (adjusted net difference=-3.2 kg, 95% CI=-5.0, -1.5, p<0.001) and was more likely to lose ≥4 kg (adjusted relative risk [RRadj]=2.96, 95% CI=1.16, 7.53). BP control and CVD risk reduction were greater in WD than UC, but differences were not statistically significant.

conclusionsWD intervention was feasible and resulted in decreased weight, BP, and CVD risk. A larger trial is justified. TRIAL REGISTRATION NUMBER: Trial Registration Number: NCT01077388.

Indexed as

AdultAgedAntihypertensive AgentsBlood PressureBlood Pressure Monitoring, AmbulatoryCardiovascular DiseasesDietFemaleHealth PersonnelHumansHypertensionHypolipidemic AgentsInternetMaleMiddle AgedPatient Care TeamAntihypertensive AgentsHypolipidemic Agents

Identifiers

PMID24650839
PMCPMC3978093
OpenAlexW2213228081

What OpenQuestion holds

Textmetadata
LicenceTDM
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.