Evidence map›Paper›PMID 34081021›Full record

Trial reportJournal of medical Internet research2021

Patients and Professionals as Partners in Hypertension Care: Qualitative Substudy of a Randomized Controlled Trial Using an Interactive Web-Based System Via Mobile Phone.

Ulrika Andersson, Ulrika Bengtsson, Agneta Ranerup, Patrik Midlöv, Karin Kjellgren

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03554382 (PERson-centredness in Hypertension Management Using Information Technology), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 9% 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.

NCT03554382 nacompletednot on this map

PERson-centredness in Hypertension Management Using Information Technology (PERHIT) Study

TypeinterventionalSponsorRegion SkaneRan2018 to 2021Enrolled971ConditionsHypertension, High Blood PressureArmssystem to support self-management of hypertension
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  5. Hypertensive patient's journey in Poland.BMC health services research · 2025
    Article
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  8. Review
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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

5 authors at 3 institutions in 1 country.

Ulrika AnderssonDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID 0000-0002-5331-3348
Ulrika BengtssonInstitute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0003-4648-8438
Agneta RanerupDepartment of Applied Information Technology, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0001-5085-9129
Patrik MidlövDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID 0000-0002-5871-8731
Karin KjellgrenUniversity of Gothenburg Centre for Person-Centred Care, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-2764-3095
Lund University · SEUniversity of Gothenburg · SELinköping University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of technology has the potential to support the patient´s active participation regarding treatment of hypertension. This might lead to changes in the roles of the patient and health care professional and affect the partnership between them.

objectiveThe aim of this qualitative study was to explore the partnership between patients and health care professionals and the roles of patients and professionals in hypertension management when using an interactive web-based system for self-management of hypertension via the patient's own mobile phone.

methodsFocus group interviews were conducted with 22 patients and 15 professionals participating in a randomized controlled trial in Sweden aimed at lowering blood pressure (BP) using an interactive web-based system via mobile phones. The interviews were audiorecorded and transcribed and analyzed using thematic analysis.

resultsThree themes were identified: the technology, the patient, and the professional. The technology enabled documentation of BP treatment, mainly for sharing knowledge between the patient and the professional. The patients gained increased knowledge of BP values and their relation to daily activities and treatment. They were able to narrate about their BP treatment and take a greater responsibility, inspired by new insights and motivation for lifestyle changes. Based on the patient's understanding of hypertension, professionals could use the system as an educational tool and some found new ways of communicating BP treatment with patients. Some reservations were raised about using the system, that it might be too time-consuming to function in clinical practice and that too much measuring could result in stress for the patient and an increased workload for the professionals. In addition, not all professionals and patients had adopted the instructions regarding the use of the system, resulting in less realization of its potential.

conclusionsThe use of the system led to the patients taking on a more active role in their BP treatment, becoming more of an expert of their BP. When using the system as intended, the professionals experienced it as a useful resource for communication regarding BP and lifestyle. Patients and professionals described a consultation on more equal grounds. The use of technology in hypertension management can promote a constructive and person-centered partnership between patient and professional. However, implementation of a new way of working should bring benefits and not be considered a burden for the professionals. To establish a successful partnership, both the patient and the professional need to be motivated toward a new way of working.

trial registrationClinicalTrials.gov NCT03554382; https://clinicaltrials.gov/ct2/show/NCT03554382.

Indexed as

Cell PhoneHypertensionSelf-ManagementCommunicationHumansInternetdigital healtheHealthhypertensionmobile phonespatient-professional partnershipperson-centered careself-management

Identifiers

PMID34081021
PMCPMC8212623
OpenAlexW3164344514

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.