Evidence map›Paper›PMID 26845284›Full record

SynthesisJournal of hypertension2016

Digital interventions to promote self-management in adults with hypertension systematic review and meta-analysis.

Gary McLean, Rebecca Band, Kathryn Saunderson, Peter Hanlon, Elizabeth Murray, Paul Little, Richard J McManus, Lucy Yardley, Frances S Mair, DIPSS co-investigators

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of hypertension, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 15 pooled it
–field-weighted citation impact
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

86 citing papers in PubMed, 15 syntheses or guidelines pooled it.

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  3. Smartphone application-based intervention to lower blood pressure: a systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
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  4. Digital Patient Experience: Umbrella Systematic Review.Journal of medical Internet research · 2022
    Pooled it
  5. Theory-Based Self-Management Interventions for Community-Dwelling Stroke Survivors: A Systematic Review and Meta-Analysis.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2022
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26 more citing papers are in PubMed but not listed here.

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

10 authors.

Gary McLeanaInstitute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland bAcademic Unit of Psychology, Faculty of Social and Human Sciences, University of Southampton, Southampton cResearch Department of Primary Care and Population Health, University College London, Rowland Hill Street, London dPrimary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton eNuffield Department of Primary Care Health Sciences, National School of Primary Care Research, University of Oxford, Oxford.
Rebecca Band
Kathryn Saunderson
Peter Hanlon
Elizabeth Murray
Paul Little
Richard J McManus
Lucy Yardley
Frances S Mair
DIPSS co-investigators

Funding

Department of Health CDF/01/017Department of Health RP-PG-1211-20001
6 · The paper itself

Abstract

objectiveTo synthesize the evidence for using interactive digital interventions (IDIs) to support patient self-management of hypertension, and to determine their impact on control and reduction of blood pressure.

methodSystematic review with meta-analysis was undertaken with a search performed in MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Library, DoPHER, TROPHI, Social Science Citation Index and Science Citation Index. The population was adults (>18 years) with hypertension, intervention was an IDI and the comparator was usual care. Primary outcomes were change in SBP and DBP. Only randomized controlled trials and studies published in journals and in English were eligible. Eligible IDIs included interventions accessed through a computer, smartphone or other hand-held device.

resultsFour out of seven studies showed a significantly greater reduction for intervention compared to usual care for SBP, with no difference found for three. Overall, IDIs significantly reduced SBP, with the weighted mean difference being -3.74 mmHg [95% confidence interval (CI) -2.19 to -2.58] with no heterogeneity observed (I-squared = 0.0%, P = 0.990). For DBP, four out of six studies indicated a greater reduction for intervention compared to controls, with no difference found for two. For DBP, a significant reduction of -2.37 mmHg (95% CI -0.40 to -4.35) was found, but considerable heterogeneity was noted (I-squared = 80.1%, P = <0.001).

conclusionIDIs lower both SBP and DBP compared to usual care. Results suggest these findings can be applied to a wide range of healthcare systems and populations. However, sustainability and long-term clinical effectiveness of these interventions remain uncertain.

Indexed as

InternetSelf CareAgedFemaleHealth PromotionHumansHypertensionMaleMiddle Aged

Identifiers

PMID26845284
PMCPMC4947544

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.