Evidence map›Paper›PMID 26946952›Full record

Trial reportJournal of comparative effectiveness research2016

Home-based interventions for black patients with uncontrolled hypertension: a cluster randomized controlled trial.

Penny H Feldman, Margaret V McDonald, Yolanda Barrón, Linda M Gerber, Timothy R Peng

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of comparative effectiveness research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00139490 (Home-Based Blood Pressure Interventions for African Americans), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 23% 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.

NCT00139490 nacompletednot on this map

Home-Based Blood Pressure Interventions for African Americans

TypeinterventionalSponsorVisiting Nurse Service of New YorkRan2006 to 2009Enrolled846ConditionsCardiovascular Diseases, Heart Diseases, HypertensionArmsHealth Education Program, Basic Group, Control Group
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Trajectories of Outpatient Service Utilisation of Hypertensive Patients in Tertiary Hospitals in China.International journal of environmental research and public health · 2020
    Article
  9. Article
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

5 authors at 2 institutions in 1 country.

Penny H FeldmanCenter for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY 10021, USA.
Margaret V McDonaldCenter for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY 10021, USA.
Yolanda BarrónCenter for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY 10021, USA.
Linda M GerberDepartment Healthcare Policy & Research, Weill Cornell Medical College, New York, NY 10065, USA.
Timothy R PengCenter for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY 10021, USA.
Visiting Nurse Service of New York · USCornell University · US

Funding

Home-Based BP Interventions for African AmericansR01HL078585 · NHLBI · VISITING NURSE SERVICE OF NEW YORK · PI FELDMAN, PENNY H. · 2004 to 2011
$3.8M
NHLBI NIH HHS R01 HL078585
6 · The paper itself

Abstract

aimAssess the comparative effectiveness of two blood pressure (BP) control interventions for black patients with uncontrolled hypertension. PATIENTS &

methodsA total of 845 patients were enrolled in a three-arm cluster randomized trial. On admission of an eligible patient, field nurses were randomized to usual care, a basic or augmented intervention.

resultsAcross study arms there were no significant 12 months differences in BP control rates (primary outcome) (25% usual care, 26% basic intervention, 22% augmented intervention); systolic BP (143.8 millimeters of mercury [mmHg], 146.9 mmHG, 143.9 mmHG, respectively); medication intensification (47, 43, 54%, respectively); or self-management score (18.7, 18.7, 17.9, respectively). Adjusted systolic BP dropped more than 10 mmHg from baseline to 12 months (155.5-145.4 mmHg) among all study participants.

conclusionNeither the augmented nor basic intervention was more effective than usual care in improving BP control, systolic BP, medication intensification or patient self-management. Usual home care yielded substantial improvements, creating a high comparative effectiveness threshold. CLINICAL

trial registrationNCT00139490.

Indexed as

AgedAntihypertensive AgentsBlack or African AmericanCluster AnalysisComparative Effectiveness ResearchFemaleFollow-Up StudiesHome Care ServicesHumansHypertensionMaleMiddle AgedNew YorkProspective StudiesSelf CareAntihypertensive Agentsblood pressurecomparative effectivenesshome carehypertensionnurse-led interventions

Identifiers

PMID26946952
PMCPMC5543816
OpenAlexW2296455874

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.