Evidence map›Paper›PMID 31262847›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019

Using mHealth for the management of hypertension in UK primary care: an embedded qualitative study of the TASMINH4 randomised controlled trial.

Sabrina Grant, James Hodgkinson, Claire Schwartz, Peter Bradburn, Marloes Franssen, Fd Richard Hobbs, Sue Jowett, Richard J McManus, Sheila Greenfield

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PubMed Full text at PMC Publisher
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 5 pooled it
3.2field-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

29 citing papers in PubMed, 5 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  20. Medical Telemonitoring for the Management of Hypertension in Older Patients in Japan.International journal of environmental research and public health · 2023
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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

9 authors at 1 institution in 1 country.

Sabrina GrantMusculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol.
James HodgkinsonInstitute of Applied Health Research, Murray Learning Centre, University of Birmingham, Birmingham.
Claire SchwartzNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Peter BradburnInstitute of Applied Health Research, Murray Learning Centre, University of Birmingham, Birmingham.
Marloes FranssenNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Fd Richard HobbsNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Sue JowettInstitute of Applied Health Research, Murray Learning Centre, University of Birmingham, Birmingham.
Richard J McManusNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Sheila GreenfieldInstitute of Applied Health Research, Murray Learning Centre, University of Birmingham, Birmingham.
University of Oxford · GB

Funding

Department of Health IS-SPC-0514-10043
6 · The paper itself

Abstract

backgroundSelf-monitoring of blood pressure is common but how telemonitoring with a mobile healthcare (mHealth) solution in the management of hypertension can be implemented by patients and healthcare professionals (HCPs) is currently unclear.

aimEvaluation of facilitators and barriers to self- and telemonitoring interventions for hypertension within the Telemonitoring and Self-monitoring in Hypertension (TASMINH4) trial. DESIGN AND

settingAn embedded process evaluation of the TASMINH4 randomised controlled trial (RCT), in the West Midlands, in UK primary care, conducted between March 2015 and September 2016.

methodA total of 40 participants comprising 23 patients were randomised to one of two arms: mHealth (self-monitoring by free text/short message service [SMS]) and self-monitoring without mHealth (self-monitoring using paper diaries). There were also15 healthcare professionals (HCPs) and two patient caregivers.

resultsFour key implementation priority areas concerned: acceptability of self- and telemonitoring to patients and HCPs; managing data; communication; and integrating self-monitoring into hypertension management (structured care). Structured home monitoring engaged and empowered patients to self-monitor regardless of the use of mHealth, whereas telemonitoring potentially facilitated more rapid communication between HCPs and patients. Paper-based recording integrated better into current workflows but required additional staff input.

conclusionAlthough telemonitoring by mHealth facilitates easier communication and convenience, the realities of current UK general practice meant that a paper-based approach to self-monitoring could be integrated into existing workflows with greater ease. Self-monitoring should be offered to all patients with hypertension. Telemonitoring appears to give additional benefits to practices over and above self-monitoring but both need to be offered to ensure generalisability.

Indexed as

Blood Pressure DeterminationPatient Acceptance of Health CarePrimary Health CareSelf CareTelemedicineText MessagingAntihypertensive AgentsAttitude of Health PersonnelFemaleHumansHypertensionMaleQualitative ResearchRandomized Controlled Trials as TopicUnited KingdomAntihypertensive Agentsblood pressurehypertensionqualitative research

Identifiers

PMID31262847
PMCPMC6607844
OpenAlexW2944864139

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.