Evidence map›Paper›PMID 25873155›Full record

Trial reportTrials2015

Mixed methods feasibility study for a trial of blood pressure telemonitoring for people who have had stroke/transient ischaemic attack (TIA).

Janet Hanley, Peter Fairbrother, Ashma Krishan, Lucy McCloughan, Paul Padfield, Mary Paterson, Hilary Pinnock, Aziz Sheikh, Cathie Sudlow, Allison Todd and 1 more

Open access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 9 pooled it
1.5field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 9 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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  6. The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019).Hypertension research : official journal of the Japanese Society of Hypertension · 2019
    Guideline
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  12. The Japanese Society of Hypertension Guidelines for the management of elevated blood pressure and hypertension 2025 (JSH2025).Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
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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

11 authors at 3 institutions in 1 country.

Janet HanleyEdinburgh Napier University, Sighthill Campus, Sighthill Court, Edinburgh, EH11 4BN, UK. j.hanley@napier.ac.uk.
Peter FairbrotherNHS Lothian, C/O Telescot Programme, Centre for Population Health Sciences, The University of Edinburgh, Teviot Place, Edinburgh, EH8 9DX, UK. Peter.Fairbrother@nhslothian.scot.nhs.uk.
Ashma KrishanEdinburgh Health Services Research Unit/Edinburgh Clinical Trials Unit, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, UK. A.Krishan@liverpool.ac.uk.
Lucy McCloughanTelescot Programme, Centre for Population Health Sciences, The University of Edinburgh, Teviot Place, Edinburgh, EH8 9DX, UK. Lucy.McCloughan@ed.ac.uk.
Paul PadfieldTelescot Programme, Centre for Population Health Sciences, The University of Edinburgh, Teviot Place, Edinburgh, EH8 9DX, UK. Paul.Padfield@blueyonder.co.uk.
Mary PatersonTelescot Programme, Centre for Population Health Sciences, The University of Edinburgh, Teviot Place, Edinburgh, EH8 9DX, UK. Mary.Paterson@ed.ac.uk.
Hilary PinnockTelescot Programme, Centre for Population Health Sciences, The University of Edinburgh, Teviot Place, Edinburgh, EH8 9DX, UK. Hilary.pinnock@ed.ac.uk.
Aziz SheikhTelescot Programme, Centre for Population Health Sciences, The University of Edinburgh, Teviot Place, Edinburgh, EH8 9DX, UK. Aziz.sheikh@ed.ac.uk.
Cathie SudlowTelescot Programme, Centre for Population Health Sciences, The University of Edinburgh, Teviot Place, Edinburgh, EH8 9DX, UK. Cathie.sudlow@ed.ac.uk.
Allison ToddNHS Lothian, C/O Telescot Programme, Centre for Population Health Sciences, The University of Edinburgh, Teviot Place, Edinburgh, EH8 9DX, UK. Allison.todd@nhslothian.scot.nhs.uk.
Brian McKinstryEdinburgh Health Services Research Unit/Edinburgh Clinical Trials Unit, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, UK. Brian.Mckinstry@ed.ac.uk.
University of Edinburgh · GBEdinburgh Napier University · GBWestern General Hospital · GB

Funding

Chief Scientist Office ARPG/07/03Wellcome Trust
6 · The paper itself

Abstract

backgroundGood blood pressure (BP) control reduces the risk of recurrence of stroke/transient ischaemic attack (TIA). Although there is strong evidence that BP telemonitoring helps achieve good control, none of the major trials have considered the effectiveness in stroke/TIA survivors. We therefore conducted a feasibility study for a trial of BP telemonitoring for stroke/TIA survivors with uncontrolled BP in primary care.

methodPhase 1 was a pilot trial involving 55 patients stratified by stroke/TIA randomised 3:1 to BP telemonitoring for 6 months or usual care. Phase 2 was a qualitative evaluation and comprised semi-structured interviews with 16 trial participants who received telemonitoring and 3 focus groups with 23 members of stroke support groups and 7 carers.

resultsOverall, 125 patients (60 stroke patients, 65 TIA patients) were approached and 55 (44%) patients were randomised including 27 stroke patients and 28 TIA patients. Fifty-two participants (95%) attended the 6-month follow-up appointment, but one declined the second daytime ambulatory blood pressure monitoring (ABPM) measurement resulting in a 93% completion rate for ABPM - the proposed primary outcome measure for a full trial. Adherence to telemonitoring was good; of the 40 participants who were telemonitoring, 38 continued to provide readings throughout the 6 months. There was a mean reduction of 10.1 mmHg in systolic ABPM in the telemonitoring group compared with 3.8 mmHg in the control group, which suggested the potential for a substantial effect from telemonitoring. Our qualitative analysis found that many stroke patients were concerned about their BP and telemonitoring increased their engagement, was easy, convenient and reassuring.

conclusionsA full-scale trial is feasible, likely to recruit well and have good rates of compliance and follow-up.

trial registrationISRCTN61528726 15/12/2011.

Indexed as

Blood Pressure Monitoring, AmbulatoryTelemedicineFeasibility StudiesHumansIschemic Attack, TransientPilot ProjectsQualitative ResearchStroke

Identifiers

PMID25873155
PMCPMC4404620
OpenAlexW2120919882

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.