Evidence map›Paper›PMID 34238363›Full record

ArticleTrials2021

Lowering blood pressure by changing lifestyle through a motivational education program: a cluster randomized controlled trial study protocol.

Fakir M Amirul Islam, Elisabeth A Lambert, Sheikh Mohammed Shariful Islam, M Ariful Islam, Dip Biswas, Rachael McDonald, Ralph Maddison, Bruce Thompson, Gavin W Lambert

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04505150 (Lowering Blood Pressure by Changing Lifestyle Through a Motivational Education Program), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
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.

NCT04505150 naunknown statusnot on this map

Lowering Blood Pressure by Changing Lifestyle Through a Motivational Education Program: a Cluster RCT Study Protocol

TypeinterventionalSponsorOrganisation for Rural Community Development, BangladeshRan2020 to 2022Enrolled300ConditionsHigh Blood PressureArmsLifestyle changes, e.g., take part in regular exercise, quitting smoking, and reduce salt consumption
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 17 citations in OpenAlex.

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  6. Temporal trends in adherence to lifestyle recommendations of patients with hypertension in Korea, 2007-2021.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  7. Table olive elicits antihypertensive activity in spontaneously hypertensive rats.Journal of the science of food and agriculture · 2023
    Article
  8. Article
  9. Sodium Intake and Related Diseases 2.0.International journal of molecular sciences · 2021
    Article
  10. Factors Associated with Chronic Kidney Disease in Patients with Type 2 Diabetes in Bangladesh.International journal of environmental research and public health · 2021
    Article
  11. Article
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 2 institutions in 2 countries.

Fakir M Amirul IslamSchool of Health Sciences, Swinburne University of Technology, Hawthorn, VIC, 3122, Australia. fislam@swin.edu.au.
Elisabeth A LambertSchool of Health Sciences, Swinburne University of Technology, Hawthorn, VIC, 3122, Australia.
Sheikh Mohammed Shariful IslamInstitute for Physical Activity and Nutrition (IPAN), School of Exercise & Nut. Sci., Deakin University, Burwood, VIC, 3125, Australia.
M Ariful IslamOrganisation for Rural Community Development (ORCD), Dariapur, Narail, Bangladesh.
Dip BiswasOrganisation for Rural Community Development (ORCD), Dariapur, Narail, Bangladesh.
Rachael McDonaldSchool of Health Sciences, Swinburne University of Technology, Hawthorn, VIC, 3122, Australia.
Ralph MaddisonInstitute for Physical Activity and Nutrition (IPAN), School of Exercise & Nut. Sci., Deakin University, Burwood, VIC, 3125, Australia.
Bruce ThompsonSchool of Health Sciences, Swinburne University of Technology, Hawthorn, VIC, 3122, Australia.
Gavin W LambertSchool of Health Sciences, Swinburne University of Technology, Hawthorn, VIC, 3122, Australia.
Swinburne University of Technology · AUDeakin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh blood pressure is an independent risk factor of cardiovascular disease (CVD) and is a major cause of disability and death. Managing a healthy lifestyle has been shown to reduce blood pressure and improve health outcomes. We aim to investigate the effectiveness of a lifestyle modification intervention program for lowering blood pressure in a rural area of Bangladesh.

methodsA single-center cluster randomized controlled trial (RCT). The study will be conducted for 6 months, a total of 300 participants of age 30 to 75 years with 150 adults in each of the intervention and the control arms. The intervention arm will involve the delivery of a blended learning education program on lifestyle changes for the management of high blood pressure. The education program comprises evidence-based information with pictures, fact sheets, and published literature about the effects of high blood pressure on CVD development, increased physical activity, and the role of a healthy diet in blood pressure management. The control group involves providing information booklets and general advice at the baseline data collection point. The primary outcome will be the absolute difference in clinic SBP and DBP. Secondary outcomes include the difference in the percentage of people adopting regular exercise habits, cessation of smoking and reducing sodium chloride intake, health literacy of all participants, and the perceived barriers and enablers to adopt behavior changes by collecting qualitative data. Analyses will include analysis of covariance to report the mean difference in blood pressure between the control and the intervention group and the difference in change in blood pressure due to the intervention. DISCUSSION: The study will assess the effects of physical activity and lifestyle modification in controlling high blood pressure. This study will develop new evidence as to whether a simple lifestyle program implemented in a rural region of a low- and middle-income country will improve blood pressure parameters for people with different chronic diseases by engaging community people.

trial registrationClinicalTrials.gov NCT04505150 . Registered on 7 August 2020.

Indexed as

Cardiovascular DiseasesHypertensionAdultAgedBangladeshBlood PressureHumansLife StyleMiddle AgedRandomized Controlled Trials as Topic

Identifiers

PMID34238363
PMCPMC8264477
OpenAlexW3180690275

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.