Evidence map›Paper›PMID 27821598›Full record

Trial reportBMJ open2016

Home and Online Management and Evaluation of Blood Pressure (HOME BP) digital intervention for self-management of uncontrolled, essential hypertension: a protocol for the randomised controlled HOME BP trial.

Rebecca Band, Katherine Morton, Beth Stuart, James Raftery, Katherine Bradbury, Guiqing Lily Yao, Shihua Zhu, Paul Little, Lucy Yardley, Richard J McManus

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
2.0field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Withdrawal of antihypertensive drugs in older people.The Cochrane database of systematic reviews · 2025
    Pooled it
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  4. Pooled it
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  8. Article
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  13. Opportunity for Pharmacists in Telehealth, Team-Based Care: Clinical Inertia.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2020
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  14. Review
  15. Article
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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

10 authors at 2 institutions in 1 country.

Rebecca BandAcademic Unit of Psychology, University of Southampton, Southampton, UK.ORCID 0000-0001-5403-1708
Katherine MortonAcademic Unit of Psychology, University of Southampton, Southampton, UK.
Beth StuartPrimary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
James RafteryFaculty of Medicine, University of Southampton, Southampton, UK.
Katherine BradburyAcademic Unit of Psychology, University of Southampton, Southampton, UK.
Guiqing Lily YaoFaculty of Medicine, University of Southampton, Southampton, UK.
Shihua ZhuFaculty of Medicine, University of Southampton, Southampton, UK.
Paul LittlePrimary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Lucy YardleyAcademic Unit of Psychology, University of Southampton, Southampton, UK.
Richard J McManusNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0003-3638-028X
University of Southampton · GBUniversity of Oxford · GB

Funding

Department of Health CDF/01/017Department of Health NIHR-RP-02-12-015Department of Health RP-PG-1211-20001
6 · The paper itself

Abstract

introductionSelf-management of hypertension, including self-monitoring and antihypertensive medication titration, lowers blood pressure (BP) at 1 year compared to usual care. The aim of the current trial is to assess the effectiveness of the Home and Online Management and Evaluation of Blood Pressure (HOME BP) intervention for the self-management of hypertension in primary care. METHODS AND ANALYSIS: The HOME BP trial will be a randomised controlled trial comparing BP self-management-consisting of the HOME BP online digital intervention with self-monitoring, lifestyle advice and antihypertensive drug titration-with usual care for people with uncontrolled essential hypertension. Eligible patients will be recruited from primary care and randomised to usual care or to self-management using HOME BP. The primary outcome will be the difference in mean systolic BP (mm Hg) at 12-month follow-up between the intervention and control groups adjusting for baseline BP and covariates. Secondary outcomes (also adjusted for baseline and covariates where appropriate) will be differences in mean BP at 6 months and diastolic BP at 12 months; patient enablement; quality of life, and economic analyses including all key resources associated with the intervention and related services, adopting a broad societal perspective to include NHS, social care and patient costs, considered within trial and modelled with a lifetime horizon. Medication beliefs, adherence and changes; self-efficacy; perceived side effects and lifestyle changes will be measured for process analyses. Qualitative analyses will explore patient and healthcare professional experiences of HOME BP to gain insights into the factors affecting acceptability, feasibility and adherence. ETHICS AND DISSEMINATION: This study has received NHS ethical approval (REC reference 15/SC/0082). The findings from HOME BP will be disseminated widely through peer-reviewed publications, scientific conferences and workshops. If successful, HOME BP will be directly applicable to UK primary care management of hypertension. TRIAL REGISTRATION NUMBER: ISRCTN13790648; pre-results.

Indexed as

AgedAged, 80 and overAntihypertensive AgentsBlood PressureBlood Pressure Monitoring, AmbulatoryEssential HypertensionFemaleHumansInternetMaleMiddle AgedPrimary Health CareQuality of LifeSelf CareTelemedicineAntihypertensive AgentsPRIMARY CARE

Identifiers

PMID27821598
PMCPMC5129001
OpenAlexW2549776197

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.