Evidence map›Paper›PMID 25737487›Full record

Trial reportCirculation. Cardiovascular quality and outcomes2015

Self-blood pressure monitoring in an urban, ethnically diverse population: a randomized clinical trial utilizing the electronic health record.

Stella S Yi, Bahman P Tabaei, Sonia Y Angell, Anne Rapin, Michael D Buck, William G Pagano, Frank J Maselli, Alvaro Simmons, Shadi Chamany

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Circulation. Cardiovascular quality and outcomes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01123577 (Evaluation of Integrating Self Blood Pressure Monitoring Into Urban Primary Care Practices to Improve Ethnic/ Racial Disparities in Hypertension), which is not on this map. Cited by 34 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 8 pooled it
3.4field-weighted citation impact, top 7% 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.

NCT01123577 nacompletednot on this map

Evaluation of Integrating Self Blood Pressure Monitoring Into Urban Primary Care Practices to Improve Ethnic/ Racial Disparities in Hypertension

TypeinterventionalSponsorNew York City Department of Health and Mental HygieneRan2010 to 2012Enrolled899ConditionsHypertension, Cardiovascular DiseaseArmsHome Blood Pressure Monitor Group
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 8 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  3. An Updated Meta-Analysis of Remote Blood Pressure Monitoring in Urban-Dwelling Patients with Hypertension.International journal of environmental research and public health · 2021
    Pooled it
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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

9 authors at 2 institutions in 1 country.

Stella S YiFrom the Bureau of Chronic Disease Prevention and Tobacco Control (S.S.Y., S.C.), Primary Care Information Project (B.P.T., A.R., M.D.B., S.C.), and Division of Prevention and Primary Care (S.Y.A.), New York City Department of Health and Mental Hygiene, Queens; Lutheran Family Health Centers, Clinical Affairs Brooklyn; Riverdale Family Practice PC, Bronx; (F.J.M.); and Heritage HealthCare Center (A.S.); New York, NY. stella.yi@nyumc.org.
Bahman P TabaeiFrom the Bureau of Chronic Disease Prevention and Tobacco Control (S.S.Y., S.C.), Primary Care Information Project (B.P.T., A.R., M.D.B., S.C.), and Division of Prevention and Primary Care (S.Y.A.), New York City Department of Health and Mental Hygiene, Queens; Lutheran Family Health Centers, Clinical Affairs Brooklyn; Riverdale Family Practice PC, Bronx; (F.J.M.); and Heritage HealthCare Center (A.S.); New York, NY.
Sonia Y AngellFrom the Bureau of Chronic Disease Prevention and Tobacco Control (S.S.Y., S.C.), Primary Care Information Project (B.P.T., A.R., M.D.B., S.C.), and Division of Prevention and Primary Care (S.Y.A.), New York City Department of Health and Mental Hygiene, Queens; Lutheran Family Health Centers, Clinical Affairs Brooklyn; Riverdale Family Practice PC, Bronx; (F.J.M.); and Heritage HealthCare Center (A.S.); New York, NY.
Anne RapinFrom the Bureau of Chronic Disease Prevention and Tobacco Control (S.S.Y., S.C.), Primary Care Information Project (B.P.T., A.R., M.D.B., S.C.), and Division of Prevention and Primary Care (S.Y.A.), New York City Department of Health and Mental Hygiene, Queens; Lutheran Family Health Centers, Clinical Affairs Brooklyn; Riverdale Family Practice PC, Bronx; (F.J.M.); and Heritage HealthCare Center (A.S.); New York, NY.
Michael D BuckFrom the Bureau of Chronic Disease Prevention and Tobacco Control (S.S.Y., S.C.), Primary Care Information Project (B.P.T., A.R., M.D.B., S.C.), and Division of Prevention and Primary Care (S.Y.A.), New York City Department of Health and Mental Hygiene, Queens; Lutheran Family Health Centers, Clinical Affairs Brooklyn; Riverdale Family Practice PC, Bronx; (F.J.M.); and Heritage HealthCare Center (A.S.); New York, NY.
William G PaganoFrom the Bureau of Chronic Disease Prevention and Tobacco Control (S.S.Y., S.C.), Primary Care Information Project (B.P.T., A.R., M.D.B., S.C.), and Division of Prevention and Primary Care (S.Y.A.), New York City Department of Health and Mental Hygiene, Queens; Lutheran Family Health Centers, Clinical Affairs Brooklyn; Riverdale Family Practice PC, Bronx; (F.J.M.); and Heritage HealthCare Center (A.S.); New York, NY.
Frank J MaselliFrom the Bureau of Chronic Disease Prevention and Tobacco Control (S.S.Y., S.C.), Primary Care Information Project (B.P.T., A.R., M.D.B., S.C.), and Division of Prevention and Primary Care (S.Y.A.), New York City Department of Health and Mental Hygiene, Queens; Lutheran Family Health Centers, Clinical Affairs Brooklyn; Riverdale Family Practice PC, Bronx; (F.J.M.); and Heritage HealthCare Center (A.S.); New York, NY.
Alvaro SimmonsFrom the Bureau of Chronic Disease Prevention and Tobacco Control (S.S.Y., S.C.), Primary Care Information Project (B.P.T., A.R., M.D.B., S.C.), and Division of Prevention and Primary Care (S.Y.A.), New York City Department of Health and Mental Hygiene, Queens; Lutheran Family Health Centers, Clinical Affairs Brooklyn; Riverdale Family Practice PC, Bronx; (F.J.M.); and Heritage HealthCare Center (A.S.); New York, NY.
Shadi ChamanyFrom the Bureau of Chronic Disease Prevention and Tobacco Control (S.S.Y., S.C.), Primary Care Information Project (B.P.T., A.R., M.D.B., S.C.), and Division of Prevention and Primary Care (S.Y.A.), New York City Department of Health and Mental Hygiene, Queens; Lutheran Family Health Centers, Clinical Affairs Brooklyn; Riverdale Family Practice PC, Bronx; (F.J.M.); and Heritage HealthCare Center (A.S.); New York, NY.
New York Proton Center · USLutheran Family Health Centers · US

Funding

Research Training and Education CoreP60MD000538 · NIMHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI TRINH-SHEVRIN, CHAU · 2003 to 2017
$21.2M
Scaling Community-Clinical Linkage Models to Address Diabetes and Hypertension Disparities in the Southeastern U.S.U54MD000538 · NIMHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI KWON, SIMONA, TRINH-SHEVRIN, CHAU · 2017 to 2022
$11.3M
New York University, City University of New York Health Promotion & Prevention ReU48DP005008 · DP · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI THORPE, LORNA, TRINH-SHEVRIN, CHAU · 2014 to 2018
$6.9M
NCCDPHP CDC HHS U48 DP005008NIMHD NIH HHS 2P60MD000538-10NIMHD NIH HHS P60 MD000538NIMHD NIH HHS U54 MD000538
6 · The paper itself

Abstract

backgroundHypertension is a leading risk factor for cardiovascular disease. Although control rates have improved over time, racial/ethnic disparities in hypertension control persist. Self-blood pressure monitoring, by itself, has been shown to be an effective tool in predominantly white populations, but less studied in minority, urban communities. These types of minimally intensive approaches are important to test in all populations, especially those experiencing related health disparities, for broad implementation with limited resources. METHODS AND

resultsThe New York City Health Department in partnership with community clinic networks implemented a randomized clinical trial (n=900, 450 per arm) to investigate the effectiveness of self-blood pressure monitoring in medically underserved and largely black and Hispanic participants. Intervention participants received a home blood pressure monitor and training on use, whereas control participants received usual care. After 9 months, systolic blood pressure decreased (intervention, 14.7 mm Hg; control, 14.1 mm Hg; P=0.70). Similar results were observed when incorporating longitudinal data and calculating a mean slope over time. Control was achieved in 38.9% of intervention and 39.1% of control participants at the end of follow-up; the time-to-event experience of achieving blood pressure control in the intervention versus control groups were not different from each other (logrank P value =0.91).

conclusionsSelf-blood pressure monitoring was not shown to improve control over usual care in this largely minority, urban population. The patient population in this study, which included a high proportion of Hispanics and uninsured persons, is understudied. Results indicate these groups may have additional meaningful barriers to achieving blood pressure control beyond access to the monitor itself. CLINICAL

trial registrationhttp://clinicaltrials.gov. Unique Identifier: NCT01123577.

Indexed as

Black or African AmericanBlood PressureBlood Pressure Monitoring, AmbulatoryElectronic Health RecordsHispanic or LatinoAgedAntihypertensive AgentsFemaleHealth Knowledge, Attitudes, PracticeHumansHypertensionMaleMedically UninsuredMiddle AgedNew York CityPatient Education as TopicAntihypertensive Agentsblood pressure monitoringclinical trialhypertensionlifestylepopulation

Identifiers

PMID25737487
PMCPMC4366280
OpenAlexW2109555708

What OpenQuestion holds

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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.