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Risk reduction intervention for raised blood pressure (REVERSE): protocol for a mixed-methods feasibility study

INTRODUCTION: Around 40% of adults have pre-hypertension (blood pressure between 120–139/80–89), meaning they are at increased risk of developing hypertension and other cardiovascular disease-related conditions. There are limited studies on the management of pre-hypertension; however, guidance recom...

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Autores principales: Hives, Lucy, Georgiou, Rachel F, Spencer, Joseph, Benedetto, Valerio, Clegg, Andrew, Rutter, Paul, Watkins, Caroline, Williams, Nefyn, Bray, Emma P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10254996/
https://www.ncbi.nlm.nih.gov/pubmed/37258072
http://dx.doi.org/10.1136/bmjopen-2023-072225
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author Hives, Lucy
Georgiou, Rachel F
Spencer, Joseph
Benedetto, Valerio
Clegg, Andrew
Rutter, Paul
Watkins, Caroline
Williams, Nefyn
Bray, Emma P
author_facet Hives, Lucy
Georgiou, Rachel F
Spencer, Joseph
Benedetto, Valerio
Clegg, Andrew
Rutter, Paul
Watkins, Caroline
Williams, Nefyn
Bray, Emma P
author_sort Hives, Lucy
collection PubMed
description INTRODUCTION: Around 40% of adults have pre-hypertension (blood pressure between 120–139/80–89), meaning they are at increased risk of developing hypertension and other cardiovascular disease-related conditions. There are limited studies on the management of pre-hypertension; however, guidance recommends that it should be focused on lifestyle modification rather than on medication. Self-monitoring of blood pressure could allow people to monitor and manage their risk status and may allow individuals to modify lifestyle factors. The purpose of this study is to determine the feasibility and acceptability, to both healthcare professionals and people with pre-hypertension, of blood pressure self-monitoring. METHODS AND ANALYSIS: A prospective, non-randomised feasibility study, with a mixed-methods approach will be employed. Eligible participants (n=114) will be recruited from general practices, pharmacies and community providers across Lancashire and South Cumbria. Participants will self-monitor their blood pressure at home for 6 months and will complete questionnaires at three timepoints (baseline, 6 and 12 months). Healthcare professionals and participants involved in the study will be invited to take part in follow-up interviews and a focus group. The primary outcomes include the willingness to engage with the concept of pre-hypertension, the acceptability of self-monitoring, and the study processes. Secondary outcomes will inform the design of a potential future trial. A cost-analysis and cost-benefit analysis will be conducted. ETHICS AND DISSEMINATION: Ethics approval has been obtained from London–Fulham NHS Research Ethics Committee, the University of Central Lancashire Health Ethics Review Panel and the HRA. The results of the study will be disseminated via peer-reviewed publications, feedback to service users and healthcare professionals, and to professional bodies in primary care and pharmacy. TRIAL REGISTRATION NUMBER: ISRCTN13649483.
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spelling pubmed-102549962023-06-10 Risk reduction intervention for raised blood pressure (REVERSE): protocol for a mixed-methods feasibility study Hives, Lucy Georgiou, Rachel F Spencer, Joseph Benedetto, Valerio Clegg, Andrew Rutter, Paul Watkins, Caroline Williams, Nefyn Bray, Emma P BMJ Open General practice / Family practice INTRODUCTION: Around 40% of adults have pre-hypertension (blood pressure between 120–139/80–89), meaning they are at increased risk of developing hypertension and other cardiovascular disease-related conditions. There are limited studies on the management of pre-hypertension; however, guidance recommends that it should be focused on lifestyle modification rather than on medication. Self-monitoring of blood pressure could allow people to monitor and manage their risk status and may allow individuals to modify lifestyle factors. The purpose of this study is to determine the feasibility and acceptability, to both healthcare professionals and people with pre-hypertension, of blood pressure self-monitoring. METHODS AND ANALYSIS: A prospective, non-randomised feasibility study, with a mixed-methods approach will be employed. Eligible participants (n=114) will be recruited from general practices, pharmacies and community providers across Lancashire and South Cumbria. Participants will self-monitor their blood pressure at home for 6 months and will complete questionnaires at three timepoints (baseline, 6 and 12 months). Healthcare professionals and participants involved in the study will be invited to take part in follow-up interviews and a focus group. The primary outcomes include the willingness to engage with the concept of pre-hypertension, the acceptability of self-monitoring, and the study processes. Secondary outcomes will inform the design of a potential future trial. A cost-analysis and cost-benefit analysis will be conducted. ETHICS AND DISSEMINATION: Ethics approval has been obtained from London–Fulham NHS Research Ethics Committee, the University of Central Lancashire Health Ethics Review Panel and the HRA. The results of the study will be disseminated via peer-reviewed publications, feedback to service users and healthcare professionals, and to professional bodies in primary care and pharmacy. TRIAL REGISTRATION NUMBER: ISRCTN13649483. BMJ Publishing Group 2023-05-31 /pmc/articles/PMC10254996/ /pubmed/37258072 http://dx.doi.org/10.1136/bmjopen-2023-072225 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle General practice / Family practice
Hives, Lucy
Georgiou, Rachel F
Spencer, Joseph
Benedetto, Valerio
Clegg, Andrew
Rutter, Paul
Watkins, Caroline
Williams, Nefyn
Bray, Emma P
Risk reduction intervention for raised blood pressure (REVERSE): protocol for a mixed-methods feasibility study
title Risk reduction intervention for raised blood pressure (REVERSE): protocol for a mixed-methods feasibility study
title_full Risk reduction intervention for raised blood pressure (REVERSE): protocol for a mixed-methods feasibility study
title_fullStr Risk reduction intervention for raised blood pressure (REVERSE): protocol for a mixed-methods feasibility study
title_full_unstemmed Risk reduction intervention for raised blood pressure (REVERSE): protocol for a mixed-methods feasibility study
title_short Risk reduction intervention for raised blood pressure (REVERSE): protocol for a mixed-methods feasibility study
title_sort risk reduction intervention for raised blood pressure (reverse): protocol for a mixed-methods feasibility study
topic General practice / Family practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10254996/
https://www.ncbi.nlm.nih.gov/pubmed/37258072
http://dx.doi.org/10.1136/bmjopen-2023-072225
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