Evidence map›Paper›PMID 26424102›Full record

ArticleJournal of human hypertension2016

A HEALth Promotion and STRESS Management Program (HEAL-STRESS study) for prehypertensive and hypertensive patients: a quasi-experimental study in Greece.

C Darviri, A K Artemiadis, A Protogerou, P Soldatos, C Kranioutou, S Vasdekis, L Varvogli, E Nasothimiou, E Vasilopoulou, E Karantzi and 3 more

Abstract readControlled Clinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of human hypertension, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

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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

13 authors at 2 institutions in 1 country.

C DarviriSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
A K ArtemiadisSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
A ProtogerouHypertension Center and Cardiovascular Research Laboratory, First Department of Propaedeutic Medicine, 'Laiko' Hospital, Medical School, Athens, Greece.
P SoldatosSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
C KranioutouSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
S VasdekisSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
L VarvogliSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
E NasothimiouHypertension Center and Cardiovascular Research Laboratory, First Department of Propaedeutic Medicine, 'Laiko' Hospital, Medical School, Athens, Greece.
E VasilopoulouSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
E KarantziSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
A LinardatouSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
M MichouSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
G P ChrousosSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
National and Kapodistrian University of Athens · GRLaiko General Hospital of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current hypertension guidelines advocate strategies encouraging healthy lifestyle behaviours. So far, there is a paucity of studies for the efficacy of such multifaceted programmes. The aim of this study is to investigate the efficacy of an 8-week health-promotion programme for lowering blood pressure (BP) in prehypertensive and hypertensive patients in the community. This was a quasi-experimental study using wait-list controls of 548 patients. The intervention group was administered with an 8-week health-promotion intervention. Measurements included home BP, smoking, body mass index (BMI), perceived stress, depression, anxiety and Health Locus of Control. After adjusting for confounders, the intervention group had a significant reduction in both systolic BP (SBP; mean -2.62 mm Hg, 95% confidence interval (CI): -1.29 to -3.96) and diastolic BP (DBP; mean -1.0, 95% CI: -0.93 to -1.9) compared with controls. In all, 14.9% of patients in the intervention group had >10 mm Hg reduction in SBP vs 4.4% in the control group (P<0.001, numbers needed to treat (NNT)=10). With regards to DBP, 21.7% of patients in the intervention group had >5 mm Hg reduction vs 12.5% in the control group (P=0.01, NNT=11). In terms of effect size, moderate-to-large improvements of BMI, perceived stress, anxiety, depression, external and chance Health Locus of Control were recorded. Changes in SBP and DBP were attributed to BMI and depressive symptom reductions, respectively. Comprehensive non-pharmaceutical programmes for BP management are strongly encouraged. Their long-term benefits on cardiovascular morbidity and mortality remain to be established by future research.

Indexed as

Health BehaviorHealthy LifestyleRisk Reduction BehaviorAdolescentAdultAgedFemaleGreeceHealth PromotionHumansHypertensionMaleMiddle AgedPrehypertensionRisk FactorsSelf Care

Identifiers

PMID26424102
OpenAlexW2346403958

What OpenQuestion holds

Textmetadata
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.