Evidence map›Paper›PMID 38253457›Full record

ArticleBMJ open2024

Non-pharmacological interventions for the reduction and maintenance of blood pressure in people with prehypertension: a systematic review protocol.

Emma P Bray, Rachel F Georgiou, Lucy Hives, Nafisa Iqbal, Valerio Benedetto, Joseph Spencer, Cath Harris, Andrew Clegg, Nefyn Williams, Paul Rutter and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Willingness to Pay for Blood Pressure Self-Monitoring in People With Prehypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2026
    Article
  3. 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

11 authors at 3 institutions in 1 country.

Emma P BrayStroke Research Team, University of Central Lancashire, Preston, UK EBray@uclan.ac.uk.ORCID 0000-0001-9882-3539
Rachel F GeorgiouStroke Research Team, University of Central Lancashire, Preston, UK.
Lucy HivesSchool of Community Health and Midwifery, University of Central Lancashire, Preston, UK.ORCID 0000-0003-4125-4034
Nafisa IqbalStroke Research Team, University of Central Lancashire, Preston, UK.
Valerio BenedettoSynthesis, Economic Evaluation and Decision Science Group, University of Central Lancashire, Preston, UK.
Joseph SpencerResearch Facilitation and Delivery Unit, University of Central Lancashire, Preston, UK.ORCID 0000-0003-3723-7629
Cath HarrisSynthesis, Economic Evaluation and Decision Science Group, University of Central Lancashire, Preston, UK.
Andrew CleggSynthesis, Economic Evaluation and Decision Science Group, University of Central Lancashire, Preston, UK.
Nefyn WilliamsPrimary Care, Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.ORCID 0000-0002-8078-409X
Paul RutterPharmacy Practice, School of Biomedical Sciences, University of Portsmouth, Portsmouth, UK.
Caroline WatkinsStroke Research Team, University of Central Lancashire, Preston, UK.
University of Lancashire · GBUniversity of Liverpool · GBUniversity of Portsmouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrehypertension is defined as blood pressure that is above the normal range but not high enough to be classed as hypertension. Prehypertension is a warning of development of hypertension as well as a risk for cardiovascular disease, heart attack and stroke. In the UK, non-pharmacological interventions are recommended for prehypertension management but no reviews have focused on the effectiveness of these types of interventions solely in people with prehypertension. Therefore, the proposed systematic review will assess the clinical effectiveness and cost-effectiveness of non-pharmacological interventions in reducing or maintaining blood pressure in prehypertensive people. METHODS AND ANALYSIS: This systematic review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The databases/trial registries that will be searched to identify relevant randomised controlled trials (RCTs) and economic evaluations include Medline, EMBASE, CINAHL, PsycINFO, CENTRAL, the WHO International Clinical Trials Registry Platform, ClinicalTrials.gov, Cochrane Library, Scopus and the International HTA Database. Search terms have been identified by the team including an information specialist. Three reviewers will be involved in the study selection process. Risk of bias will be evaluated using the Cochrane risk-of-bias tool for RCTs and the Consensus Health Economic Criteria list for economic evaluations. Findings from the included studies will be tabulated and synthesised narratively. Heterogeneity will be assessed through visual inspection of forest plots and the calculation of the χ ETHICS AND DISSEMINATION: Ethical approval is not needed. Results will be published in a peer-reviewed journal, disseminated via the wider study website and shared with the study sites and participants. REGISTRATION DETAILS: The review is registered with PROSPERO (CRD420232433047).

Indexed as

HypertensionPrehypertensionBlood PressureHumansPhysical ExaminationSystematic Reviews as TopicBlood PressurePrehypertensionPrimary PreventionSystematic Review

Identifiers

PMID38253457
PMCPMC10806604
OpenAlexW4391113263

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.