Evidence map›Paper›PMID 30202927›Full record

Trial reportTranslational behavioral medicine2018

Stress management in the workplace for employees with hypertension: a randomized controlled trial.

Lynn P Clemow, Thomas G Pickering, Karina W Davidson, Joseph E Schwartz, Virginia P Williams, Jonathan A Shaffer, Redford B Williams, William Gerin

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Translational behavioral medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 5 pooled it
3.8field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 5 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Group-delivered interventions for lowering blood pressure in hypertension: a systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
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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 5 institutions in 1 country.

Lynn P ClemowDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Thomas G PickeringDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Karina W DavidsonDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Joseph E SchwartzDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Virginia P WilliamsWilliams LifeSkills, Inc., Durham, NC, USA.
Jonathan A ShafferDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Redford B WilliamsPsychiatry and Behavioral Science, Duke University Medical Center, Durham, NC, USA.
William GerinDepartment of Biobehavioral Health, Pennsylvania State University, State College, PA, USA.
Columbia University Irving Medical Center · USDuke University Hospital · USPennsylvania State University · USRutgers, The State University of New Jersey · USWilliams LifeSkills · US

Funding

CONTROLLED TRIAL OF LIFESKILL WORKSHOP ON BLOOD PRESSURER44HL067584 · NHLBI · WILLIAMS LIFESKILLS, INC. · PI CLEMOW, LYNN · 2001 to 2004
$1.1M
NHLBI NIH HHS R44 HL067584
6 · The paper itself

Abstract

While behavioral interventions can improve blood pressure (BP) in individuals with hypertension, getting such services to people who could benefit remains difficult. Workplace programs have potential as dissemination vehicles. The objective is to evaluate the effectiveness of a standardized stress management program delivered in groups at the workplace for reducing BP compared with enhanced usual care. This randomized controlled trial studied 92 urban medical center employees with hypertension randomized into two groups. The intervention was a 10-week group workshop on cognitive-behavioral coping skills. Enhanced usual care included self-help materials for BP reduction and physician referral. Intervention group participants' systolic BP (SBP) decreased 7.5 mm Hg over controls between baseline and follow-up, from 149.1 (95% CI: 146.0-152.1) to 140.0 (95% CI: 134.7-145.2), p < .001. The differential change between intervention and enhanced usual care groups (Group × Time interaction) was 7.5 mm Hg (t = -2.05; p = .04). Diastolic BP reductions were not significantly different. Scores on measures of emotional exhaustion and depressive rumination showed significant improvements and correlated with reductions in SBP. There was no significant change in the usual care group. A standardized worksite group intervention produced clinically meaningful reductions in SBP in participants with hypertension.

Indexed as

Outcome Assessment, Health CareWorkplaceAdaptation, PsychologicalAdultBlood PressureCognitive Behavioral TherapyFemaleFollow-Up StudiesHumansHypertensionMaleMiddle AgedOccupational Stress

Identifiers

PMID30202927
PMCPMC6128963
OpenAlexW2789329141

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.