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November 1, 2008IEEE Transactions on Information Technology in Biomedicine

Impact of Patient–General Practitioner Short-Messages-Based Interaction on the Control of Hypertension in a Follow-up Service for Low-to-Medium Risk Hypertensive Patients: A Randomized Controlled Trial

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Key result

Patient-GP short-messages-based interaction did not significantly reduce the percentage of uncontrolled hypertensives at 6 months compared to routine paper recording (31.7% vs 35.6%; p=0.47).

Why the study?

Does patient-general practitioner short-messages-based interaction improve hypertension control in low-to-medium risk hypertensive patients?

Population

285 low-to-medium risk hypertensive patients in primary care

Comparison

Telemedicine-based system enabling… vs Recording data on paper and delivering it to the…

Design

RCT, randomized

Follow-up

six months

Authors

MCMario CarrascoCSCarlos H. SalvadorPSPablo Sagredo

Discussion

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Overview

SMS interaction does not improve hypertension control; challenges efficacy of basic digital tools and supports routine care in low-risk patients.

Study Design

Type

RCT (n=285)

Multicenter

Yes

Structured PICO

Does patient-general practitioner short-messages-based interaction improve hypertension control in low-to-medium risk hypertensive patients?

P
Population
285 medium-to-low-risk hypertensive patients in primary care followed for six months.
I
Intervention
Telemedicine-based system enabling patient-general practitioner short-messages-based interaction for reporting self-blood-pressure monitoring, heart rate, and body weight over a six-month period
C
Comparator
Recording data on paper and delivering it to the general practitioner personally during routine visits
O
Outcome
Degree of hypertension control (percentage of uncontrolled hypertensives at the final visit)surrogate

Main Result

Absolute Event Rate: 31.7% vs 35.6%

p-value: p=0.47

A short-messages-based interaction between patients and general practitioners did not significantly improve hypertension control compared to routine care in low-to-medium risk patients.

Cite This Study

Carrasco et al. (2008) conducted an RCT in Hypertension (n=285). Patient-GP short-messages-based interaction vs. Paper recording delivered personally in routine visits was evaluated on Percentage of uncontrolled hypertensives at the final visit (p=0.47). Patient-GP short-messages-based interaction did not significantly reduce the percentage of uncontrolled hypertensives at 6 months compared to routine paper recording (31.7% vs 35.6%; p=0.47).

synapsesocial.com/papers/6a9b59d3bf09d7dcb67f275chttps://doi.org/10.1109/titb.2008.926429
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Also Consider

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  1. 1Targets and self monitoring in hypertension: randomised controlled trial and cost effectiveness analysis2005 · 140 citations
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  5. 5Reliability of Self-reported Blood Pressure Measurements1999 · 127 citations