Evidence map›Paper›PMID 39937817›Full record

Trial reportPloS one2025

Health-promoting text messages to patients with hypertension-A randomized controlled trial in Swedish primary healthcare.

Beata Borgström Bolmsjö, Jenny Bredfelt, Susanna Calling, Hanna Glock, Veronica Milos Nymberg, Kristina Bengtsson Boström, Ulf Jakobsson, Peter Nymberg, Jon Pallon, Mattias Rööst and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04407962 (PUSHME), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT04407962 nacompletednot on this map

PUSHME (Primary Care USage of Health Promoting Messages): A Text Message-based Intervention in Primary Care Patients With Hypertension: a Randomized Controlled Trial

TypeinterventionalSponsorLund UniversityRan2020 to 2023Enrolled400ConditionsHypertension, Cardiovascular Risk FactorArmsSMS group
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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.

Beata Borgström BolmsjöCenter for Primary Health Care Research, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.ORCID https://orcid.org/0000-0001-7655-0613
Jenny BredfeltCenter for Primary Health Care Research, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.
Susanna CallingCenter for Primary Health Care Research, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.
Hanna GlockCenter for Primary Health Care Research, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.
Veronica Milos NymbergCenter for Primary Health Care Research, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.
Kristina Bengtsson BoströmSchool of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Ulf JakobssonCenter for Primary Health Care Research, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.
Peter NymbergCenter for Primary Health Care Research, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.ORCID https://orcid.org/0000-0001-9901-0580
Jon PallonCenter for Primary Health Care Research, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.
Mattias RööstCenter for Primary Health Care Research, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.
Moa WolffCenter for Primary Health Care Research, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to the high prevalence and great cardiovascular risks of hypertension, we need effective and evidence-based treatment strategies. Health-promoting one-way text messages could be a beneficial complement to antihypertensive drugs. However, this has yet to be proven in a primary healthcare setting. The purpose of this study was to investigate if health-promoting text messages could improve patients' blood pressure in primary care. The PUSHME (Primary care Usage of Health promoting Messages) randomized controlled trial included 401 patients from 10 primary health care centers in southern Sweden. Patients in the intervention group received four text messages weekly for six months along with treatment as usual. The PUSHME study was registered on clinicaltrials.gov (NCT04407962). Patients in both the control group and the intervention group lowered their blood pressure during the study, but there was no significant difference in change between the groups. However, subgroup analyses showed that there was a significantly larger reduction in diastolic blood pressure favoring the intervention for patients with poor self-rated health: -4.5 mmHg vs -1.4 mmHg (p = 0.019), and patients with a sedentary lifestyle: -5.2 mmHg vs -2.4 mmHg (p = 0.034). Our findings indicate that text messages with lifestyle advice to a general hypertensive population do not have any significant effect on blood pressure. However, it could be an effective complement to conventional antihypertensive drug treatment for specific patient groups.

Indexed as

Health PromotionHypertensionText MessagingAdultAgedAntihypertensive AgentsBlood PressureFemaleHumansMaleMiddle AgedPrimary Health CareSwedenAntihypertensive Agents

Identifiers

PMID39937817
PMCPMC11819501

What OpenQuestion holds

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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.