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April 1, 2018Integrated Blood Pressure ControlOpen Access

An integrated program with home blood-pressure monitoring and village health volunteers for treating poorly controlled hypertension at the primary care level in an urban community of Thailand

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Key result

An integrated program with home blood pressure monitoring and village health volunteers significantly reduced systolic blood pressure by 4.61 mmHg (95% CI -8.32 to -0.90; P=0.015) at 3 months.

Why the study?

Does an integrated program with home blood pressure monitoring and village health volunteers reduce blood pressure in urban patients with poorly controlled hypertension?

Population

128 patients with poorly controlled hypertension from two primary care units in an urban community of Nakhon…

Comparison

Integrated program based on the 20-item Health… vs Control group (presumably standard care).

Design

Other, Patients were randomly selected from each of the two primary care units.

Follow-up

3 months

Authors

SVSawitree VisanuyothinSPSamlee PlianbangchangRSRatana Somrongthong

Discussion

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Member takes

Overview

May support community hypertension programs; hypothesis-generating pending randomized urban trials.

Structured PICO

Does an integrated program with home blood pressure monitoring and village health volunteers reduce blood pressure in urban patients with poorly controlled hypertension?

P
Population
128 patients with poorly controlled hypertension from two primary care units in Thailand, followed for 3 months.
I
Intervention
Integrated program based on the 20-item Health Literate Care Model, utilizing home blood pressure monitoring (HBPM) and village health volunteers (VHVs).
C
Comparator
Control group (presumably standard care).
O
Outcome
Change in systolic and diastolic home blood pressure at 3 months.surrogate

Main Result

Mean Difference: -4.61 (95% CI -8.32–-0.9)

p-value: p=0.015

A community-based integrated program utilizing home blood pressure monitoring and village health volunteers effectively lowers blood pressure and improves self-management in patients with poorly controlled hypertension.

Cite This Study

Visanuyothin et al. (2018) studied Poorly controlled hypertension (n=128). Integrated program with home blood pressure monitoring (HBPM) and village health volunteers (VHVs) vs. Control group was evaluated on Systolic home blood pressure (MD -4.61 mmHg, 95% CI -8.32 to -0.90, p=0.015). An integrated program with home blood pressure monitoring and village health volunteers significantly reduced systolic blood pressure by 4.61 mmHg (95% CI -8.32 to -0.90; P=0.015) at 3 months.

synapsesocial.com/papers/6a86d86348ef9afcd2a244ffhttps://doi.org/10.2147/ibpc.s160548
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Effectiveness of a Nurse-led Team-Based Hypertension Management among People with Uncontrolled Hypertension in a Community Hospital, Thailand2021 · 3 citations
  2. 2The Effectiveness of a Self-Management and Multifactorial Program for Blood Pressure Control Among Older Home-Based Workers in Urban Bangkok, Thailand2024
  3. 3The Effects of a Health Literacy Promotion Program on Health Behaviors and Blood Pressure Levels Among Uncontrolled Hypertensive Patients: A Quasi-Experimental Study2026 · 1 citations
  4. 4Home Blood Pressure Control and Drug Prescription Patterns among Thai Hypertensives: A 1‐Year Analysis of Telehealth Assisted Instrument in Home Blood Pressure Monitoring Nationwide Pilot Project2021 · 5 citations
  5. 5Feasibility and Acceptability of a Community-Based Health Literacy Program for Individuals With Prehypertension2026