Key result
Personalized text message support combined with a checklist did not significantly improve the proportion of patients achieving the office systolic blood pressure target at 12 months compared to usual care (28% vs 31%, p=0.51).
Why the study?
To assess whether using a checklist combined with text message support improves systolic blood pressure control during the initiation of antihypertensive medication.
Does personalized text message and checklist support improve systolic blood pressure control in newly diagnosed hypertensive patients?
RCT (n=111)
Open-label
Cluster randomized
Yes
Does personalized text message and checklist support improve systolic blood pressure control in newly diagnosed hypertensive patients?
The addition of personalized text message support and a checklist to usual care did not significantly improve systolic blood pressure control at 12 months in newly diagnosed hypertensive patients.
Answers are grounded in this paper and cite their sources.
Does not support adding text messages or checklists to usual care; confirms lack of benefit for this digital approach in new hypertension.
Objective: To assess whether the use of a checklist combined with text message support improves systolic blood pressure (SBP) control.Design and setting: A cluster randomized controlled trial in Finnish primary care.Interventions: Personalized text message support and a checklist for initiation of antihypertensive medication.Patients: 111 newly diagnosed hypertensive patients aged 30–75 years.Main outcome measures: The proportion of patients achieving 1) the office SBP target <140 mmHg or 2) the home SBP target <135 mmHg at 12 months.Results: 28% (n = 16) and 31% (n = 17) of patients in the intervention and control groups met the office SBP target, respectively (p = 0.51). The corresponding proportions were 36% (n = 18) and 42% (n = 21) for the home SBP target (p = 0.21). Office SBP decreased 23 mmHg (95% CI: 29–17) in the intervention group and 21 mmHg (95% CI: 27–15) in the control group (p = 0.61). Medication changes, number of antihypertensives at 12 months and health care utilization were similar in both study groups. Patients considered checklist and text message support useful and important.Conclusion: Only a small proportion of patients in the intervention and control groups reached their treatment target despite multiple health care contacts and medication changes. The study interventions did not improve SBP control. However, this study demonstrates new information about hypertension control, antihypertensive medication and health service utilization during the first treatment year.
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Tahkola et al. (2020) conducted an RCT in Hypertension (n=111). Personalized text message support and checklist vs. Usual care was evaluated on Achievement of office systolic blood pressure target <140 mmHg at 12 months (p=0.51). Personalized text message support combined with a checklist did not significantly improve the proportion of patients achieving the office systolic blood pressure target at 12 months compared to usual care (28% vs 31%, p=0.51).
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