Evidence map›Paper›PMID 41762200›Full record

SynthesisJournal of primary care & community health

Community-Based Interventions for Hypertension Control in Latin America and the Caribbean: A Systematic Review of Randomized Controlled Trials.

Danladi C Husaini, Sophia Barillas, Laci Dyck, Rangeli Camal, Chukwuemeka Nwokocha, Orish E Orisakwe

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of primary care & community health. 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

6 authors.

Danladi C HusainiUniversity of Belize, Central America.ORCID 0000-0003-1655-2873
Sophia BarillasUniversity of Belize, Central America.
Laci DyckUniversity of Belize, Central America.
Rangeli CamalUniversity of Belize, Central America.
Chukwuemeka NwokochaUniversity of the West Indies Mona, Jamaica.
Orish E OrisakweEuropean University of Lefke, Northern Cyprus, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension remains a leading cause of cardiovascular disease in Latin America and the Caribbean (LAC), where control rates are persistently low. Community-based strategies are promising approaches to overcome barriers to care.

objectiveTo evaluate the effectiveness of community-based interventions for hypertension prevention and control among adults in LAC.

methodsA systematic review was conducted according to the PRISMA 2020 guidelines. PubMed, LILACS, Scopus, and SciELO were searched for randomized controlled trials (RCTs) published between January 2010 and October 2025.

resultsEighteen RCTs (n = 12 134 participants) were included. Interventions comprised community health worker (CHW) programs, lifestyle counseling, mobile health messaging, and salt substitution. Multicomponent CHW-led interventions demonstrated the greatest impact, with systolic blood pressure (SBP) reductions of 5 to 13 mmHg and significantly improved control rates. Digital messaging interventions consistently enhanced medication adherence. Educational and lifestyle programs showed variable but often positive effects on SBP.

conclusionsCommunity-based interventions, particularly integrated CHW-led models supported by digital tools, are effective for improving hypertension control in LAC. Scaling these evidence-based strategies within primary healthcare systems can help reduce the regional cardiovascular disease burden.

Indexed as

Community Health ServicesHypertensionAdherence InterventionsCaribbean RegionCommunity Health WorkersDigital HealthHumansLatin AmericaRandomized Controlled Trials as TopicTelemedicinecommunity health workershypertensionLatin Americamobile healthrandomized controlled trialssystematic review

Identifiers

PMID41762200
PMCPMC12953956

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.