Evidence map›Paper›PMID 30221454›Full record

SynthesisHealth expectations : an international journal of public participation in health care and health policy2018

Interventions to support shared decision making for hypertension: A systematic review of controlled studies.

Rachel A Johnson, Alyson Huntley, Rachael A Hughes, Helen Cramer, Katrina M Turner, Ben Perkins, Gene Feder

Abstract readSystematic Review
In one paragraph

Synthesis in Health expectations : an international journal of public participation in health care and health policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 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

28 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. A systematic review of patient decision aids for hypertension.BMC medical informatics and decision making · 2026
    Pooled it
  2. Guideline
  3. Pooled it
  4. Canadian Stroke Best Practice Recommendations, seventh edition: acetylsalicylic acid for prevention of vascular events.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
    Guideline
  5. Interventions to support shared decision making for hypertension: A systematic review of controlled studies.Health expectations : an international journal of public participation in health care and health policy · 2018
    Pooled it
  6. Trial
  7. Trial
  8. Review
  9. Review
  10. Article
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  18. Observational
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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

7 authors.

Rachel A JohnsonCentre for Academic Primary Care, Bristol Medical School, Bristol, UK.ORCID 0000-0003-0266-3433
Alyson HuntleyCentre for Academic Primary Care, Bristol Medical School, Bristol, UK.
Rachael A HughesPopulation Health Sciences, Bristol Medical School, Bristol, UK.
Helen CramerCentre for Academic Primary Care, Bristol Medical School, Bristol, UK.
Katrina M TurnerCentre for Academic Primary Care, Bristol Medical School, Bristol, UK.
Ben PerkinsCentre for Academic Primary Care, Bristol Medical School, Bristol, UK.
Gene FederCentre for Academic Primary Care, Bristol Medical School, Bristol, UK.

Funding

Department of Health DRF-2013-06-034Wellcome Trust
6 · The paper itself

Abstract

backgroundHypertension (high blood pressure) is a common long-term health condition. Patient involvement in treating and monitoring hypertension is essential. Control of hypertension improves population cardiovascular outcomes. However, for an individual, potential benefits and harms of treatment are finely balanced. Shared decision making has the potential to align decisions with the preferences and values of patients.

objectiveDetermine the effectiveness of interventions to support shared decision making in hypertension. SEARCH STRATEGY: Searches in MEDLINE, EMBASE, CINAHL, Web of Science and PsycINFO up to 30 September 2017. ELIGIBILITY CRITERIA: Controlled studies evaluating the effects of shared decision-making interventions for adults with hypertension compared with any comparator in any setting and reporting any outcome measures.

resultsSix studies (five randomized controlled trials) in European primary care were included. Main intervention components were as follows: training for health-care professionals, decision aids, patient coaching and a patient leaflet. Four studies, none at low risk of bias, reported a measure of shared decision making; the intervention increased shared decision making in one study. Four studies reported blood pressure between 6 months and 3 years after the intervention; there was no difference in blood pressure between intervention and control groups in any study. Lack of comparability between studies prevented meta-analysis.

conclusionsDespite widespread calls for shared decision making to be embedded in health care, there is little evidence to inform shared decision making for hypertension, one of the most common conditions managed in primary care.

Indexed as

Decision MakingDecision Support TechniquesPatient ParticipationBlood PressureHealth PersonnelHumansHypertensionOutcome Assessment, Health CarePrimary Health Carehypertensionpatient participationprimary health careshared decision makingsystematic review

Identifiers

PMID30221454
PMCPMC6250885

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.