Evidence map›Paper›PMID 40305376›Full record

Trial reportDeutsches Arzteblatt international2025

A Smartphone-Guided Digital Health Application for Hypertension: The Randomized Controlled HELP Trial.

Andreas Zietzer, Philip Düsing, Felix Brokamp, Sebastian Schäfer, Fabian Stieber, Karl Wilhelm, Dimitrios Zgouras, Stephan H Schirmer

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Deutsches Arzteblatt international, 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. Review
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

8 authors.

Andreas ZietzerHeart Center, Department of Medicine II, University Hospital Bonn; Brokamp and Colleagues, Primary Care Physicians, Otterberg; Primary Care Office Rheingalerie Rodenkirchen, Cologne; Cardiology Office Rote Straße, Duisburg; Medical Center Dachau; Strietwald Primary Care Office, Aschaffenburg; Cardiology Office Schirmer, Kaiserslautern.
Philip Düsing
Felix Brokamp
Sebastian Schäfer
Fabian Stieber
Karl Wilhelm
Dimitrios Zgouras
Stephan H Schirmer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension is a significant risk factor for cardiovascular disease development. Current guidelines recommend a combination of medication and lifestyle modifications, particularly with regard to diet, exercise, blood pressure monitoring, and therapy adherence. To support this, the digital health application "Vantis Bluthochdruck" (Vantis app) was developed.

methodsA prospective trial in 98 patients with uncontrolled hypertension at seven German centers tested whether the Vantis app lowers systolic blood pressure. Patients were randomized 1:1 to the app or standard care, with investigators blinded to group allocation at baseline. The primary endpoint was systolic blood pressure after 13 weeks, and the secondary endpoints were therapy adherence, diastolic blood pressure, resting heart rate, body mass index, and unplanned medical visits. The study is registered under DRKS00031923.

resultsThe intervention group showed a significantly greater reduction in the primary endpoint, systolic blood pressure, than the control group (difference 5.5 mmHg, 95% confidence interval [1.3; 9.8]; p = 0.011). Systolic blood pressure fell from 151.4 mmHg [149.1; 153.8] to 144.3 mmHg [141.2; 147.3] in the control group and from 152.5 mmHg [149.8; 155.2] to 140.1 mmHg [136.7; 143.5] in the intervention group. Patients in the intervention group exhibited higher therapy adherence with no differences in other secondary endpoints. No app-related adverse events were reported.

conclusionThe study indicates that the tested digital health application lowers systolic blood pressure in hypertensive patients and increases guideline adherence.

Indexed as

HypertensionMobile ApplicationsSmartphoneAgedAntihypertensive AgentsDigital HealthFemaleGermanyHumansMaleMiddle AgedProspective StudiesTelemedicineTreatment OutcomeAntihypertensive Agents

Identifiers

PMID40305376
PMCPMC12539682

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.