Evidence map›Paper›PMID 24755206›Full record

Trial reportAmerican journal of hypertension2014

A randomized trial of peer-delivered self-management support for hypertension.

Jeff Whittle, Marilyn M Schapira, Kathlyn E Fletcher, Avery Hayes, Jeffrey Morzinski, Purushottam Laud, Dan Eastwood, Kristyn Ertl, Leslie Patterson, Katie E Mosack

Registry-linked trialOpen access · bronzeAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of hypertension, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00571038 (Working With Veterans Organizations to Improve Blood Pressure), which is not on this map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 12% 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.

NCT00571038 nacompletednot on this map

Working With Veterans Organizations to Improve Blood Pressure

TypeinterventionalSponsorUS Department of Veterans AffairsRan2008 to 2010Enrolled404ConditionsHypertensionArmsPeer Led, Seminar
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  8. Peer Support Activities for Veterans, Serving Members, and Their Families: Results of a Scoping Review.International journal of environmental research and public health · 2023
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  9. Review
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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

10 authors at 4 institutions in 1 country.

Jeff Whittlejeffrey.whittle@va.gov.
Marilyn M SchapiraDivision of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Center for Health Equity Research and Promotion, Philadelphia VA, Philadelphia, PA;
Kathlyn E Fletcher
Avery HayesPrimary Care Division, Clement J. Zablocki VA Medical Center, Milwaukee, WI;
Jeffrey MorzinskiDepartment of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, WI;
Purushottam LaudCenter for Patient Care Outcomes Research, Medical College of Wisconsin, Milwaukee, WI; Division of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI;
Dan EastwoodDivision of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI;
Kristyn ErtlCenter for Patient Care Outcomes Research, Medical College of Wisconsin, Milwaukee, WI;
Leslie PattersonDepartment of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, WI;
Katie E MosackDepartment of Psychology, University of Wisconsin-Milwaukee, Milwaukee, WI.
Medical College of Wisconsin · USMilwaukee VA Medical Center · USUniversity of Pennsylvania · USUniversity of Wisconsin–Milwaukee · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeer-led interventions to improve chronic disease self-management can improve health outcomes but are not widely used. Therefore, we tested a peer-led hypertension self-management intervention delivered at regular meetings of community veterans' organizations.

methodsWe randomized 58 organizational units ("posts") of veterans' organizations in southeast Wisconsin to peer-led vs. professionally delivered self-management education. Volunteer peer leaders at peer-led posts delivered monthly presentations regarding hypertension self-management during regular post meetings. Volunteer post representatives at seminar posts encouraged post members to attend 3 didactic seminars delivered by health professionals at a time separate from the post meeting. Volunteers in both groups encouraged members to self-monitor using blood pressure cuffs, weight scales, and pedometers. Our primary outcome was change in systolic blood pressure (SBP) at 12 months.

resultsWe measured SBP in 404 participants at baseline and in 379 participants at 12 months. SBP decreased significantly (4.4mm Hg; P < 0.0001) overall; the decrease was similar in peer-led and seminar posts (3.5mm Hg vs. 5.4mm Hg; P = 0.24). Among participants with uncontrolled BP at baseline, SBP decreased by 10.1mm Hg from baseline to 12 months but was again similar in the 2 groups. This pattern was also seen at 6 months and with diastolic blood pressure.

conclusionsOur peer-led educational intervention was not more effective than didactic seminars for SBP control. Although peer-led educational programs have had important impacts in a number of studies, we did not find our intervention superior to a similar intervention delivered by healthcare professionals. CLINICAL

trial registrationClinicalTrials.gov NCT00571038.

Indexed as

Delivery of Health CarePeer GroupSelf-Help GroupsAgedBlood PressureFemaleHealth Knowledge, Attitudes, PracticeHumansHypertensionMaleMiddle AgedPatient CompliancePatient Education as TopicSelf CareSocial SupportTime Factorsblood pressurehypertensionpatient participationrandomized clinical trialself-help groups.

Identifiers

PMID24755206
PMCPMC4263938
OpenAlexW2134777664

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.