Evidence map›Paper›PMID 26843793›Full record

Trial reportEthnicity & disease2016

A Brief, Multifaceted, Generic Intervention to Improve Blood Pressure Control and Reduce Disparities Had Little Effect.

Nancy R Kressin, Judith A Long, Mark E Glickman, Barbara G Bokhour, Michelle B Orner, Christine Clark, James A Rothendler, Dan R Berlowitz

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Ethnicity & disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
1.3field-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

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

  1. 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

8 authors at 6 institutions in 1 country.

Nancy R KressinBoston VA Healthcare System; Center for Healthcare Organization and Implementation Research, Boston/Bedford VA Medical Centers; Section of General Internal Medicine, Boston University School of Medicine; Health/care Disparities Research Program.
Judith A LongCenter for Health Equity Research and Promotion, Philadelphia VAMC; Department of Internal Medicine, University of Pennsylvania School of Medicine.
Mark E GlickmanCenter for Healthcare Organization and Implementation Research, Boston/Bedford VA Medical Centers; Health Policy and Management Department, Boston University School of Public Health.
Barbara G BokhourCenter for Healthcare Organization and Implementation Research, Boston/Bedford VA Medical Centers; Health Policy and Management Department, Boston University School of Public Health.
Michelle B OrnerCenter for Healthcare Organization and Implementation Research, Boston/Bedford VA Medical Centers.
Christine ClarkJesse Brown VAMC; University of Illinois at Chicago.
James A RothendlerCenter for Healthcare Organization and Implementation Research, Boston/Bedford VA Medical Centers; Health Policy and Management Department, Boston University School of Public Health.
Dan R BerlowitzCenter for Healthcare Organization and Implementation Research, Boston/Bedford VA Medical Centers; Health Policy and Management Department, Boston University School of Public Health.
Bedford VA Research Corporation · USEdith Nourse Rogers Memorial Veterans Hospital · USBoston University · USJesse Brown VA Medical Center · USPhiladelphia VA Medical Center · USVA Boston Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoor blood pressure (BP) control and racial disparities therein may be a function of clinical inertia and ineffective communication about BP care.

methodsWe compared two different interventions (electronic medical record reminder for BP care (Reminder only, [RO]), and clinician training on BP care-related communication skills plus the reminder (Reminder + Training, [R+T]) with usual care in three primary care clinics, examining BP outcomes among 8,866 patients, and provider-patient communication and medication adherence among a subsample of 793.

resultsClinician counseling improved most at R+T. BP improved overall; R+T had a small but significantly greater reduction in diastolic BP (DBP; -1.7 mm Hg). White patients at RO experienced greater overall improvements in BP control. Site and race disparities trends suggested that disparities decreased at R+T, either stayed the same or decreased at Control; and stayed the same or increased at RO.

conclusionsMore substantial or racial/ethnically tailored interventions are needed.

Indexed as

Electronic Health RecordsMedication AdherenceRacial GroupsReminder SystemsAntihypertensive AgentsBlood PressureCounselingEthnicityHealth Status DisparitiesHumansHypertensionWhite PeopleAntihypertensive AgentsHypertensionPatient CompliancePhysician-Patient Relations

Identifiers

PMID26843793
PMCPMC4738852
OpenAlexW2291807069

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.