Supporting self-management for people with hypertension: a meta-review of quantitative and qualitative systematic reviews

Journal of Hypertension
Orjola ShahajHilary Pinnock

Abstract

Globally, healthcare policy promotes supported self-management as a strategy for people with long-term conditions. This meta-review aimed to explore how people with hypertension make sense of their condition, to assess the effectiveness of supported self-management in hypertension, and to identify effective components of support. From a search of eight databases (January 1993-October 2012; update June 2017) we included systematic syntheses of qualitative studies of patients' experiences, and systematic reviews of randomized controlled trials evaluating the impact of supported self-management on blood pressure and medication adherence. We used meta-ethnography, meta-Forest plots and narrative analysis to synthesise the data. Six qualitative and 29 quantitative reviews provided data from 98 and 446 unique studies, respectively. Self-management support consistently reduced SBP (by between 2 and 6 mmHg), and DBP (by between 1 and 5 mmHg). Information about hypertension and treatment, home BP monitoring (HBPM) and feedback (including telehealth) were widely used in effective interventions. Patients' perceptions of a disease with multiple symptoms contrasted with the professional view of an asymptomatic condition. HBPM, in the contex...Continue Reading

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Citations

Jun 5, 2019·JMIR MHealth and UHealth·Chi Yan HuiBrian McKinstry
Sep 26, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Wenhang ZhangChangyin Shen
Mar 3, 2019·International Journal of Environmental Research and Public Health·Kang-Ju SonChun-Bae Kim
Sep 13, 2019·International Journal of Environmental Research and Public Health·Meng XiaoLijing Yan
Jun 20, 2020·PLoS Medicine·Vicky HammersleyBrian McKinstry
May 30, 2019·JMIR MHealth and UHealth·Tourkiah AlessaLuc de Witte
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Jan 12, 2021·Hypertension·Mehmet KanbayAlberto Ortiz
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Oct 9, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Lena BarreraFabián Méndez

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