Effectiveness of medication self-management, self-monitoring and a lifestyle intervention on hypertension in poorly controlled patients: The MEDICHY randomized trial
In: Frontiers in Cardiovascular Medicine, Jg. 11 (2024-05-01)
Online
academicJournal
Zugriff:
BackgroundUncontrolled hypertension is a common problem worldwide, despite the availability of many effective antihypertensive drugs and lifestyle interventions. We assessed the efficacy of a multi-component intervention in individuals with uncontrolled hypertension in a primary care setting.MethodsThis study was a randomized, multicenter, parallel, two-arm, single-blind controlled trial performed in primary healthcare centers in Mallorca (Spain). All participants were 35 to 75-years-old and had poorly controlled hypertension. Patients were randomly assigned in a 1:1 ratio to a control group (usual care) or an intervention group (self-monitoring of blood pressure, self-titration of hypertensive medications, dietary interventions, and physical activity interventions). The primary outcome was decrease in the mean SBP at 6 months relative to baseline.ResultsA total of 153 participants were randomized to an intervention group (77) or a control group (76). After 6 months, the intervention group had a significantly lower systolic blood pressure (135.1 mmHg [±14.8] vs. 142.7 mmHg [±15.0], adjusted mean difference: 8.7 mmHg [95% CI: 3.4, 13.9], p
Titel: |
Effectiveness of medication self-management, self-monitoring and a lifestyle intervention on hypertension in poorly controlled patients: The MEDICHY randomized trial
|
---|---|
Autor/in / Beteiligte Person: | Fabián Unda Villafuerte ; Joan Llobera Cànaves ; Andreu Estela Mantolan ; Patricia Bassante Flores ; Fernando Rigo Carratalà ; Ana Requena Hernández ; Bartolomé Oliver Oliver ; Joan Pou Bordoy ; María Lucía Moreno Sancho ; Leiva, Alfonso ; Patricia Lorente Montalvo ; The MEDICHY Group ; Carmen Vega Martínez ; Nuria Navas Gámiz ; Ana Sansó Romera ; Laura Rodriguez Asensio ; Palmira Frontera Mas |
Link: | |
Zeitschrift: | Frontiers in Cardiovascular Medicine, Jg. 11 (2024-05-01) |
Veröffentlichung: | Frontiers Media S.A., 2024 |
Medientyp: | academicJournal |
ISSN: | 2297-055X (print) |
DOI: | 10.3389/fcvm.2024.1355037 |
Schlagwort: |
|
Sonstiges: |
|