Evidence map›Paper›PMID 40276917›Full record

Trial reportInternational health2025

Impact of home-based follow-up care on hypertension control among patients attending Thika Level Five Hospital, Kiambu County, Kenya: A randomized control study.

Veronica Njaramba, Peter Mwaura, Samuel Mungai, Bernard N Kanoi, David Kamau, Jesse Gitaka

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International health, 2025. 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
–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

3 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Veronica NjarambaDirectorate of Research and Innovation, Mount Kenya University, PO Box 342-01000, Thika, Kenya.ORCID 0000-0001-6935-6900
Peter MwauraDirectorate of Research and Innovation, Mount Kenya University, PO Box 342-01000, Thika, Kenya.
Samuel MungaiDirectorate of Research and Innovation, Mount Kenya University, PO Box 342-01000, Thika, Kenya.
Bernard N KanoiDirectorate of Research and Innovation, Mount Kenya University, PO Box 342-01000, Thika, Kenya.
David KamauDirectorate of Research and Innovation, Mount Kenya University, PO Box 342-01000, Thika, Kenya.
Jesse GitakaDirectorate of Research and Innovation, Mount Kenya University, PO Box 342-01000, Thika, Kenya.

Funding

NIHRRSTMH
6 · The paper itself

Abstract

backgroundHypertension contributes to a large burden of cardiovascular diseases, with a higher prevalence in low- and middle-income countries. Hypertension management is mainly hospital-based, but it faces low retention rates in facilities, non-adherence and subsequent suboptimal blood pressure (BP) control. This study aimed to implement home-based follow-up care and assess its impact on controlling BP.

methodsAn open-label randomized controlled study was conducted on 200 participants with uncontrolled BP selected using a systematic random sampling technique and randomly assigned into home-based follow-up care (intervention group) and hospital-based follow-up care (control group). Data were collected using a structured questionnaire containing the 8-item Morisky Medication Adherence Scale and Hypertension Self-Care Activity Level Effect (H-SCALE). Data were analysed using SPSS version 29.0.

resultsHypertension control was 52.0% and 92.2% in the control and intervention groups, respectively. In the interventional group, drug adherence increased from 38.2% to 94.1% compared with a reduction in the control group from 45.9% to 33.7%. Dietary Approaches to Stop Hypertension diet adherence rose from 2.9% to 76.5% compared with a control group from 1% to 2%.

conclusionsHome-based care follow-up has a significant impact on the control of hypertension.

Indexed as

Antihypertensive AgentsHome Care ServicesHypertensionSelf CareAdultAgedBlood PressureFemaleHumansKenyaMaleMedication AdherenceMiddle AgedSurveys and QuestionnairesAntihypertensive Agentsadherencecontrolhome-based carehypertension

Identifiers

PMID40276917
PMCPMC12585547

What OpenQuestion holds

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LicenceCC BY-NC
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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.