Evidence map›Paper›PMID 26593951›Full record

ArticleJournal of personalized medicine2015

Evaluation of an mHealth Medication Regimen Self-Management Program for African American and Hispanic Uncontrolled Hypertensives.

Tatiana M Davidson, John McGillicuddy, Martina Mueller, Brenda Brunner-Jackson, April Favella, Ashley Anderson, Magaly Torres, Kenneth J Ruggiero, Frank A Treiber

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of personalized medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 7 pooled it
12.2field-weighted citation impact, top 1% 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

46 citing papers in PubMed, 7 syntheses or guidelines pooled it, 89 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

9 authors at 1 institution in 1 country.

Tatiana M DavidsonCollege of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA. davidst@musc.edu.
John McGillicuddyCollege of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA. mcgillij@musc.edu.
Martina MuellerCollege of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA. muellerm@musc.edu.
Brenda Brunner-JacksonCollege of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA.
April FavellaCollege of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA. favela@musc.edu.
Ashley AndersonCollege of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA. anderan@musc.edu.
Magaly TorresCollege of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA. torresma@musc.edu.
Kenneth J RuggieroCollege of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA. ruggierk@musc.edu.
Frank A TreiberCollege of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA. treiberf@musc.edu.
Medical University of South Carolina · US

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
Smartphone Medication Adherence Stops Hypertension (SMASH) Among HispanicsR21HL118447 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI TREIBER, FRANK A · 2014 to 2015
$408k
NCATS NIH HHS UL1 TR000062NHLBI NIH HHS R21 HL118447
6 · The paper itself

Abstract

African Americans and Hispanics have disproportionate rates of uncontrolled essential hypertension (EH) compared to Non-Hispanic Whites. Medication non-adherence (MNA) is the leading modifiable behavior to improved blood pressure (BP) control. The Smartphone Medication Adherence Stops Hypertension (SMASH) program was developed using a patient-centered, theory-guided, iterative design process. Electronic medication trays provided reminder signals, and Short Message Service [SMS] messaging reminded subjects to monitor BP with Bluetooth-enabled monitors. Motivational and reinforcement text messages were sent to participants based upon levels of adherence. Thirty-eight African-American (18) and Hispanic (20) uncontrolled hypertensives completed clinic-based anthropometric and resting BP evaluations prior to randomization, and again at months 1, 3 and 6. Generalized linear mixed modeling (GLMM) revealed statistically significant time-by-treatment interactions (p < 0.0001) indicating significant reductions in resting systolic blood pressure (SBP) and diastolic blood pressure (DBP) for the SMASH group vs. the standard care (SC) control group across all time points. 70.6% of SMASH subjects vs. 15.8% of the SC group reached BP control (< 140/90 mmH) at month 1 (p < 0.001). At month 6, 94.4% of the SMASH vs. 41.2% of the SC group exhibited controlled BP (p < 0.003). Our findings provide encouraging evidence that efficacious mHealth, chronic disease, medical regimen, self-management programs can be developed following principles of patient-centered, theory-guided design.

Indexed as

essential hypertensioniterative designmHealthpatient centered

Identifiers

PMID26593951
PMCPMC4695862
OpenAlexW2173505337

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.