Evidence map›Paper›PMID 31610382›Full record

ArticleJournal of the neurological sciences2019

Post-intervention qualitative assessment of mobile health technology to manage hypertension among Ghanaian stroke survivors.

Michelle Nichols, Arti Singh, Fred Stephen Sarfo, Frank Treiber, Raelle Tagge, Carolyn Jenkins, Bruce Ovbiagele

Open access · greenAbstract read
In one paragraph

Article in Journal of the neurological sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
1.1field-weighted citation impact, top 20% 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, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
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 at 3 institutions in 2 countries.

Michelle NicholsCollege of Nursing, Medical University of South Carolina, Charleston, SC, United States of America. Electronic address: nicholmg@musc.edu.
Arti SinghKNUST Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Fred Stephen SarfoDepartment of Medicine, Neurology Unit, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Frank TreiberCollege of Nursing, Medical University of South Carolina, Charleston, SC, United States of America. Electronic address: treiberf@musc.edu.
Raelle TaggeDepartment of Neurology, College of Medicine, Medical University of South Carolina, Charleston, SC, United States of America. Electronic address: saulson@musc.edu.
Carolyn JenkinsCollege of Nursing, Medical University of South Carolina, Charleston, SC, United States of America. Electronic address: jenkinsc@musc.edu.
Bruce OvbiageleSchool of Medicine, University of California San Francisco, San Francisco, CA, United States of America. Electronic address: bruce.ovbiagele@va.gov.
Medical University of South Carolina · USKwame Nkrumah University of Science and Technology · GHUniversity of California, San Francisco · US

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
Phone-based Intervention Under Nurse Guidance after Stroke (PINGS)R21NS094033 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI OVBIAGELE, BRUCE · 2015 to 2016
$337k
NCATS NIH HHS UL1 TR001450NINDS NIH HHS R21 NS094033
6 · The paper itself

Abstract

Stroke is a leading cause of death in Africa and a key modifiable risk factor for the index and recurrent stroke is through the adequate management of blood pressure. Recent guidelines encourage management beyond clinic settings, yet implementation of these guidelines can be challenging, especially in resource constrained regions, such as in Sub-Saharan Africa. Mobile health technology may offer an innovative and cost-effective approach to improve BP monitoring and facilitate adherence to antihypertensive medications. Stroke survivors (n = 16) and their caregivers (n = 8) who participated in a 3-month feasibility study were invited to share post-intervention insights via focus groups (n = 3). Clinician (n = 7) input on intervention delivery and clinical impressions was also obtained via a separate focus group (n = 1). Four major themes emerged highlighting the ability to self-monitor, the use of technology as an interventional tool, training and support, and post-intervention adherence. Overwhelming receptivity toward home blood pressure monitoring and the use of mobile health (mHealth) was noted. Feedback indicated benefits in having access to equipment and that message prompts facilitated adherence. Post-intervention adherence declined following study intervention, indicating a need for increased exposure to facilitate long-term behavioral change, although participants conveyed a heightened awareness of the importance of BP monitoring and lifestyle changes needed.

Indexed as

AdultAgedAged, 80 and overAntihypertensive AgentsBlood PressureBlood Pressure Monitoring, AmbulatoryFemaleGhanaHumansHypertensionMaleMiddle AgedMobile ApplicationsQuality of Health CareStrokeTelemedicineAntihypertensive AgentsHypertensionMedication adherenceMobile healthSelf-monitoringStrokeSub-Saharan Africa

Identifiers

PMID31610382
PMCPMC7653548
OpenAlexW2972986726

What OpenQuestion holds

Textmetadata
LicenceTDM
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.