Key result
Blood pressure self-monitoring and peer mentoring did not significantly improve blood pressure control compared to usual care, but peer mentoring improved medication adherence (p=0.031).
Why the study?
To evaluate the effectiveness of blood pressure self-monitoring and peer mentoring to improve hypertension control in primary care centers in low-resource settings in Argentina.
Does blood pressure self-monitoring or peer mentoring improve blood pressure control in hypertensive adults in low-resource settings?
RCT (n=442)
Open-label
individual
Yes
Does blood pressure self-monitoring or peer mentoring improve blood pressure control in hypertensive adults in low-resource settings?
In a vulnerable population in Argentina, blood pressure self-monitoring and peer mentoring did not significantly improve blood pressure control over 3 months compared to usual care, despite peer mentoring improving medication adherence.
Does not support self-monitoring or peer mentoring for BP control in low-resource settings; challenges their efficacy for hypertension outcomes.
Objective To evaluate the effectiveness of blood pressure (BP) self-monitoring and peer mentoring to improve the control of hypertension in clinical practice in primary care centers (PCCs) located in low-resource settings in Argentina. Methods An individual randomized controlled trial was carried out to test two different approaches based on behavioral interventions in PCCs in Argentina. Hypertensive adults were randomly assigned to one of three arms: BP self-monitoring, peer mentoring, and usual care. The primary outcome was the change in BP values from baseline to the end of follow-up at 3 months. A qualitative approach of participants’ experiences of the peer mentoring arm was also conducted. Results A total of 442 participants with hypertension were included in the study. Self-monitoring and peer mentoring interventions did not show a significant difference in BP control compared to usual care. However, this trial showed an improvement regarding antihypertensive medication adherence among those assigned to the peer mentoring intervention compared to the control at the end of follow-up ( p = 0.031). Discussion Self-monitoring and peer mentoring interventions did not demonstrate to be effective in BP control compared to usual care. Implementing a peer support strategy was demonstrated to be feasible and effective in improving medication adherence in this population.
No takes yet. Share an insight, caveat, or question.
Nejamis et al. (2023) conducted an RCT in Hypertension (n=442). Blood pressure self-monitoring and peer mentoring vs. Usual care was evaluated on Change in blood pressure values from baseline to the end of follow-up at 3 months. Blood pressure self-monitoring and peer mentoring did not significantly improve blood pressure control compared to usual care, but peer mentoring improved medication adherence (p=0.031).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: