Evidence map›Paper›PMID 39835832›Full record

Trial reportJournal of clinical hypertension (Greenwich, Conn.)2025

Self-Efficacy in Hypertension Management Using e-Health Technology: A Randomized Controlled Trial in Primary Care.

Rasmus Hermansson-Borrebaeck, Andreas Fors, Ulrika Bengtsson, Karin Kjellgren, Susanna Calling, Patrik Midlöv

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of clinical hypertension (Greenwich, Conn.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

6 authors.

Rasmus Hermansson-BorrebaeckCenter for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID 0009-0009-0963-0299
Andreas ForsInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Ulrika BengtssonInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Karin KjellgrenCentre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Susanna CallingCenter for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Patrik MidlövCenter for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.

Funding

Heart and Lung Foundation 20170251Heart and Lung Foundation 20200507Kamprad Foundation 20170102Swedish Research Council 2018-02648
6 · The paper itself

Abstract

Self-efficacy is tightly intertwined with person-centered care and correlates with engaging in self-care behaviors, an important part of hypertension treatment. Evidence indicates that e-Health-based self-management interventions could increase self-efficacy. The objectives of this study were to investigate whether an intervention with a person-centered approach supported by e-Health technology can impact self-efficacy. Furthermore, to examine the impact of self-efficacy on hypertension management, and assess if self-efficacy can indicate which patients might see the greatest improvement on blood pressure from an e-Health-based self-management intervention for hypertension. This multicenter randomized controlled trial included 949 primary healthcare patients with hypertension. After exclusions, data was analyzed for 862 patients. The intervention group used an e-Health-based self-management system for 8 weeks. Self-efficacy was measured with the general self-efficacy (GSE) scale at inclusion, 8-week follow-up and 1-year follow-up. A significant increase in the mean GSE score in the intervention group was identified (p 0.042). No significant association between self-efficacy and blood pressure control was found. GSE scores did not significantly differ between the patients that had the best effect on blood pressure and those that had none. This study showed a significant increase in self-efficacy after the intervention. Self-management-based e-Health interventions might have a role in clinical practice to increase self-efficacy and improve general health. We found no association between self-efficacy and achieving a blood pressure below 140/90. Furthermore, no support was found to claim that self-efficacy would be an indicator of which patients might have the greatest effect from a self-management-based e-Health intervention for hypertension.

Indexed as

HypertensionSelf CareSelf EfficacySelf-ManagementAdultAgedBlood PressureFemaleHumansMaleMiddle AgedPrimary Health CareTelemedicinee‐Healthhypertensionperson‐centered careprimary healthcareself‐efficacy

Identifiers

PMID39835832
PMCPMC11771779

What OpenQuestion holds

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Registered trials

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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.