Evidence map›Paper›PMID 34167566›Full record

Trial reportTrials2021

The effect of the mobile "blood pressure management application" on hypertension self-management enhancement: a randomized controlled trial.

Ali Bozorgi, Hamed Hosseini, Hassan Eftekhar, Reza Majdzadeh, Ali Yoonessi, Ali Ramezankhani, Mehdi Mansouri, Mahnaz Ashoorkhani

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 6 pooled it
–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

40 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  6. Digital behaviour change interventions to increase vegetable intake in adults: a systematic review.The international journal of behavioral nutrition and physical activity · 2023
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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.

Ali BozorgiTehran Heart Center, Tehran University of Medical Sciences, Shahrivar St., North Kargar St., Tehran, Iran.ORCID https://orcid.org/0000-0003-0740-6399
Hamed HosseiniCenter for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0003-1317-8468
Hassan EftekharDepartment of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-2623-3959
Reza MajdzadehKnowledge Utilization Research Center (KURC), Epidemiology and Biostatistics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0001-8429-5261
Ali YoonessiDepartment of Neuroscience, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-0634-4926
Ali RamezankhaniDepartment of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-0850-7258
Mehdi MansouriDepartment of Computer Engineering and Information Technology, School of Engineering, Payam Noor University, Tehran, Iran.ORCID https://orcid.org/0000-0001-5437-4604
Mahnaz AshoorkhaniDepartment of Health Education and Promotion, School of Public Health, Knowledge Utilization Research Center (KURC), Tehran University of Medical Sciences, Poursina St., Ghods St., Keshavarz Blvd., Tehran, Iran. ashoorkhani@tums.ac.ir.ORCID http://orcid.org/0000-0002-4594-5513

Funding

The Global Oper Reserch Support Team 00990476
6 · The paper itself

Abstract

backgroundSelf-management of hypertension is of great significance given its increasing incidence and its associated disabilities. In view of the increased use of mobile health in medicine, the present study evaluated the effect of a self-management application on patient adherence to hypertension treatment.

methodsThis clinical trial was performed on 120 hypertensive patients who were provided with a mobile intervention for 8 weeks and followed up until the 24th week. Data on the primary outcome (adherence to treatment) and secondary outcomes (adherence to the DASH diet, regular monitoring of blood pressure, and physical activity) were collected using a questionnaire and a mobile application, respectively. The inter-group change difference over time was analyzed using repeated measures ANOVA (general linear model).

resultsThe treatment adherence score increased by an average of 5.9 (95% CI 5.0-6.7) in the intervention group compared to the control group. The scores of "adherence to the low-fat and low-salt diet plans" were 1.7 (95% CI 1.3-2.1) and 1.5 (95% CI 1.2-1.9), respectively. Moreover, moderate physical activity increased to 100.0 min (95% CI 61.7-138.3) per week in the intervention group.

conclusionThe treatment and control of blood pressure require a multifaceted approach given its complexity and multifactorial nature. Considering the widespread use of smartphones, mHealth interventions can be effective in self-management and better patient adherence to treatments. Our results showed that this application can be used as a successful tool for hypertension self-management in patients attending public hospitals in developing countries.

trial registrationIran Randomized Clinical Trial Center IRCT2015111712211N2 . Registered on 1 January 2016.

Indexed as

HypertensionMobile ApplicationsSelf-ManagementBlood PressureHumansIranMedication AdherenceHypertensionMedication adherencemHealthMobile healthSelf-management

Identifiers

PMID34167566
PMCPMC8223338

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.