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Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial

OBJECTIVE: The HOME BP (Home and Online Management and Evaluation of Blood Pressure) trial aimed to test a digital intervention for hypertension management in primary care by combining self-monitoring of blood pressure with guided self-management. DESIGN: Unmasked randomised controlled trial with au...

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Autores principales: McManus, Richard J, Little, Paul, Stuart, Beth, Morton, Katherine, Raftery, James, Kelly, Jo, Bradbury, Katherine, Zhang, Jin, Zhu, Shihua, Murray, Elizabeth, May, Carl R, Mair, Frances S, Michie, Susan, Smith, Peter, Band, Rebecca, Ogburn, Emma, Allen, Julie, Rice, Cathy, Nuttall, Jacqui, Williams, Bryan, Yardley, Lucy, Jones, Adam, Hussain, Ajmal, McHardy, Alistair, Harrison, Anna, LaLonde, Anna, Malik, Asim, Hernandez-Diaz, Basilio, Cranfield, Ben, Nicholson, Brian, Anandan, Carl, Neden, Catherine, Bobrow, Cathy, Evans, Chloe, Keast, Christopher, Henderson, Clare, Sutherland, Corrine, Kyte, Craig, Henderson, Dan, Noble, Debbie, Capo-Bianco, Ed, Williams, Edward, Shaw, Elizabeth, Mohri, Fatima, Asal, Gaurav, Dougall, Greig, Bhupal, Hardeep, Luckhurst, Heidi, Dosanjh, Hergeven, Nowell, Hilary, Brown, Jan, Flett, Jennifer, Barber, Julian, Rutter, Heather, Thompson, Julian, Ramanan, Kanjhana, Madronal, Karen, Malone, Karen, Etherington, Katie, Tsoi, Kenney, Knox, Kyle, Amin, Laila, Hirst, Lisa, Allen, Lucy, Skellern, Luke, Flynn, Lynne, McEwan, Lorne, Pugsley, Mark, Frassen, Marloes, Gaw, Matthew, Prendergast, Matthew, Wallard, Matthew, Faisal, Muhammad, Wooding, Nick, Lees, Nienke, Wainman, Paul, Nanda, Nithya, Moore, Patrick, Conley, Paul, Johnson, Paul, Wilson, Penny, Jacobs, Phillip, Whitbred, Pippa, Zamir, Rebecca, Reed, Richard, Tribley, Richard, Woof, Richard, Danson, Ruth, Lawes, Ruth, Gallagher, Sarah, Wadsworth, Sarah, Macanovic, Serge, Cartwright, Simon, Pettitt, Simon, Tucker, Simon, Doggett, Stephen, Sevenoaks, Tamsin, Watson, Tara, Talbot, Tess, Imrie, Ruth, Herbert, Thomas, Crockett, Tony, Wright, Tony, Sharma, Vanshika, Telford, Vicki, Almashta, Zaid, Cheng, Zelda, Ali, Zishan, Grube, Alice, Claxton, Andy, Asante, Barbara, Weare, Becki, McKee, Eleanor, Werrett, Bertha, Barwell, Carmel, Mulvihill, Carole, Sherwood, Caroline, MacDonald, Clare, Tabor, Dadirayi, Denning, Dawn, Roberts, Debbie, Adshead, Diane, Clarke, Gemma, Huntley, Heather, Pinder, Heather, Qasim, Irene, Merrison, Jane, King, Jill, Allison, Julie, Johal, Kam, Terry, Karen, Wood, Karine, Balmford, Kathryn, Barnes, Katie, Post, Katie, Bowden, Kelly-Marie, Edmunds, Kirsty, Whittle, Klaire, Peniket, Lara, Carnegie, Leann, Neale, Linda, Davey, Lisa, Bartlett, Liz, Smith, Louise, Clack, Lucy, Brown, Martina, McKenna, Naomi, Kay, Pam, Jacobs, Polly, Cutts, Rebecca, Pearse, Robert, Atkinson, Ruth, Barter, Sally, Mackie, Sally, Norris, Sam, Cook, Sandra, Elderfield, Sarah, Nzante, Sarah, Cronin, Sharon, Maslen, Sophie, Marchant, Stephanie, Wright, Stephanie, Keene, Sue, Smith, Sue, Cimelli, Suzie, Stone, Tracy, Joyce, Tricia, Le Marechal, Trudie, Kettle, Vicky, Osborne, Victoria, Cubiss, Wendy, Marsden, Wendy, Kowalczyk-Williams, Wioletta, Bailey, Zoe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group Ltd. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814507/
https://www.ncbi.nlm.nih.gov/pubmed/33468518
http://dx.doi.org/10.1136/bmj.m4858
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author McManus, Richard J
Little, Paul
Stuart, Beth
Morton, Katherine
Raftery, James
Kelly, Jo
Bradbury, Katherine
Zhang, Jin
Zhu, Shihua
Murray, Elizabeth
May, Carl R
Mair, Frances S
Michie, Susan
Smith, Peter
Band, Rebecca
Ogburn, Emma
Allen, Julie
Rice, Cathy
Nuttall, Jacqui
Williams, Bryan
Yardley, Lucy
Jones, Adam
Hussain, Ajmal
McHardy, Alistair
Harrison, Anna
LaLonde, Anna
Malik, Asim
Hernandez-Diaz, Basilio
Cranfield, Ben
Nicholson, Brian
Anandan, Carl
Neden, Catherine
Bobrow, Cathy
Evans, Chloe
Keast, Christopher
Henderson, Clare
Sutherland, Corrine
Kyte, Craig
Henderson, Dan
Noble, Debbie
Capo-Bianco, Ed
Williams, Edward
Shaw, Elizabeth
Mohri, Fatima
Asal, Gaurav
Dougall, Greig
Bhupal, Hardeep
Luckhurst, Heidi
Dosanjh, Hergeven
Nowell, Hilary
Brown, Jan
Flett, Jennifer
Barber, Julian
Rutter, Heather
Thompson, Julian
Ramanan, Kanjhana
Madronal, Karen
Malone, Karen
Etherington, Katie
Tsoi, Kenney
Knox, Kyle
Amin, Laila
Hirst, Lisa
Allen, Lucy
Skellern, Luke
Flynn, Lynne
McEwan, Lorne
Pugsley, Mark
Frassen, Marloes
Gaw, Matthew
Prendergast, Matthew
Wallard, Matthew
Faisal, Muhammad
Wooding, Nick
Lees, Nienke
Wainman, Paul
Nanda, Nithya
Moore, Patrick
Conley, Paul
Johnson, Paul
Wilson, Penny
Jacobs, Phillip
Whitbred, Pippa
Zamir, Rebecca
Reed, Richard
Tribley, Richard
Woof, Richard
Danson, Ruth
Lawes, Ruth
Gallagher, Sarah
Wadsworth, Sarah
Macanovic, Serge
Cartwright, Simon
Pettitt, Simon
Tucker, Simon
Doggett, Stephen
Sevenoaks, Tamsin
Watson, Tara
Talbot, Tess
Imrie, Ruth
Herbert, Thomas
Crockett, Tony
Wright, Tony
Sharma, Vanshika
Telford, Vicki
Almashta, Zaid
Cheng, Zelda
Ali, Zishan
Grube, Alice
Claxton, Andy
Asante, Barbara
Weare, Becki
McKee, Eleanor
Werrett, Bertha
Barwell, Carmel
Mulvihill, Carole
Sherwood, Caroline
MacDonald, Clare
Tabor, Dadirayi
Denning, Dawn
Roberts, Debbie
Adshead, Diane
Clarke, Gemma
Huntley, Heather
Pinder, Heather
Qasim, Irene
Merrison, Jane
King, Jill
Allison, Julie
Johal, Kam
Terry, Karen
Wood, Karine
Balmford, Kathryn
Barnes, Katie
Post, Katie
Bowden, Kelly-Marie
Edmunds, Kirsty
Whittle, Klaire
Peniket, Lara
Carnegie, Leann
Neale, Linda
Davey, Lisa
Bartlett, Liz
Smith, Louise
Clack, Lucy
Brown, Martina
McKenna, Naomi
Kay, Pam
Jacobs, Polly
Cutts, Rebecca
Pearse, Robert
Atkinson, Ruth
Barter, Sally
Mackie, Sally
Norris, Sam
Cook, Sandra
Elderfield, Sarah
Nzante, Sarah
Cronin, Sharon
Maslen, Sophie
Marchant, Stephanie
Wright, Stephanie
Keene, Sue
Smith, Sue
Cimelli, Suzie
Stone, Tracy
Joyce, Tricia
Le Marechal, Trudie
Kettle, Vicky
Osborne, Victoria
Cubiss, Wendy
Marsden, Wendy
Kowalczyk-Williams, Wioletta
Bailey, Zoe
author_facet McManus, Richard J
Little, Paul
Stuart, Beth
Morton, Katherine
Raftery, James
Kelly, Jo
Bradbury, Katherine
Zhang, Jin
Zhu, Shihua
Murray, Elizabeth
May, Carl R
Mair, Frances S
Michie, Susan
Smith, Peter
Band, Rebecca
Ogburn, Emma
Allen, Julie
Rice, Cathy
Nuttall, Jacqui
Williams, Bryan
Yardley, Lucy
Jones, Adam
Hussain, Ajmal
McHardy, Alistair
Harrison, Anna
LaLonde, Anna
Malik, Asim
Hernandez-Diaz, Basilio
Cranfield, Ben
Nicholson, Brian
Anandan, Carl
Neden, Catherine
Bobrow, Cathy
Evans, Chloe
Keast, Christopher
Henderson, Clare
Sutherland, Corrine
Kyte, Craig
Henderson, Dan
Noble, Debbie
Capo-Bianco, Ed
Williams, Edward
Shaw, Elizabeth
Mohri, Fatima
Asal, Gaurav
Dougall, Greig
Bhupal, Hardeep
Luckhurst, Heidi
Dosanjh, Hergeven
Nowell, Hilary
Brown, Jan
Flett, Jennifer
Barber, Julian
Rutter, Heather
Thompson, Julian
Ramanan, Kanjhana
Madronal, Karen
Malone, Karen
Etherington, Katie
Tsoi, Kenney
Knox, Kyle
Amin, Laila
Hirst, Lisa
Allen, Lucy
Skellern, Luke
Flynn, Lynne
McEwan, Lorne
Pugsley, Mark
Frassen, Marloes
Gaw, Matthew
Prendergast, Matthew
Wallard, Matthew
Faisal, Muhammad
Wooding, Nick
Lees, Nienke
Wainman, Paul
Nanda, Nithya
Moore, Patrick
Conley, Paul
Johnson, Paul
Wilson, Penny
Jacobs, Phillip
Whitbred, Pippa
Zamir, Rebecca
Reed, Richard
Tribley, Richard
Woof, Richard
Danson, Ruth
Lawes, Ruth
Gallagher, Sarah
Wadsworth, Sarah
Macanovic, Serge
Cartwright, Simon
Pettitt, Simon
Tucker, Simon
Doggett, Stephen
Sevenoaks, Tamsin
Watson, Tara
Talbot, Tess
Imrie, Ruth
Herbert, Thomas
Crockett, Tony
Wright, Tony
Sharma, Vanshika
Telford, Vicki
Almashta, Zaid
Cheng, Zelda
Ali, Zishan
Grube, Alice
Claxton, Andy
Asante, Barbara
Weare, Becki
McKee, Eleanor
Werrett, Bertha
Barwell, Carmel
Mulvihill, Carole
Sherwood, Caroline
MacDonald, Clare
Tabor, Dadirayi
Denning, Dawn
Roberts, Debbie
Adshead, Diane
Clarke, Gemma
Huntley, Heather
Pinder, Heather
Qasim, Irene
Merrison, Jane
King, Jill
Allison, Julie
Johal, Kam
Terry, Karen
Wood, Karine
Balmford, Kathryn
Barnes, Katie
Post, Katie
Bowden, Kelly-Marie
Edmunds, Kirsty
Whittle, Klaire
Peniket, Lara
Carnegie, Leann
Neale, Linda
Davey, Lisa
Bartlett, Liz
Smith, Louise
Clack, Lucy
Brown, Martina
McKenna, Naomi
Kay, Pam
Jacobs, Polly
Cutts, Rebecca
Pearse, Robert
Atkinson, Ruth
Barter, Sally
Mackie, Sally
Norris, Sam
Cook, Sandra
Elderfield, Sarah
Nzante, Sarah
Cronin, Sharon
Maslen, Sophie
Marchant, Stephanie
Wright, Stephanie
Keene, Sue
Smith, Sue
Cimelli, Suzie
Stone, Tracy
Joyce, Tricia
Le Marechal, Trudie
Kettle, Vicky
Osborne, Victoria
Cubiss, Wendy
Marsden, Wendy
Kowalczyk-Williams, Wioletta
Bailey, Zoe
author_sort McManus, Richard J
collection PubMed
description OBJECTIVE: The HOME BP (Home and Online Management and Evaluation of Blood Pressure) trial aimed to test a digital intervention for hypertension management in primary care by combining self-monitoring of blood pressure with guided self-management. DESIGN: Unmasked randomised controlled trial with automated ascertainment of primary endpoint. SETTING: 76 general practices in the United Kingdom. PARTICIPANTS: 622 people with treated but poorly controlled hypertension (>140/90 mm Hg) and access to the internet. INTERVENTIONS: Participants were randomised by using a minimisation algorithm to self-monitoring of blood pressure with a digital intervention (305 participants) or usual care (routine hypertension care, with appointments and drug changes made at the discretion of the general practitioner; 317 participants). The digital intervention provided feedback of blood pressure results to patients and professionals with optional lifestyle advice and motivational support. Target blood pressure for hypertension, diabetes, and people aged 80 or older followed UK national guidelines. MAIN OUTCOME MEASURES: The primary outcome was the difference in systolic blood pressure (mean of second and third readings) after one year, adjusted for baseline blood pressure, blood pressure target, age, and practice, with multiple imputation for missing values. RESULTS: After one year, data were available from 552 participants (88.6%) with imputation for the remaining 70 participants (11.4%). Mean blood pressure dropped from 151.7/86.4 to 138.4/80.2 mm Hg in the intervention group and from 151.6/85.3 to 141.8/79.8 mm Hg in the usual care group, giving a mean difference in systolic blood pressure of −3.4 mm Hg (95% confidence interval −6.1 to −0.8 mm Hg) and a mean difference in diastolic blood pressure of −0.5 mm Hg (−1.9 to 0.9 mm Hg). Results were comparable in the complete case analysis and adverse effects were similar between groups. Within trial costs showed an incremental cost effectiveness ratio of £11 ($15, €12; 95% confidence interval £6 to £29) per mm Hg reduction. CONCLUSIONS: The HOME BP digital intervention for the management of hypertension by using self-monitored blood pressure led to better control of systolic blood pressure after one year than usual care, with low incremental costs. Implementation in primary care will require integration into clinical workflows and consideration of people who are digitally excluded. TRIAL REGISTRATION: ISRCTN13790648.
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spelling pubmed-78145072021-01-25 Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial McManus, Richard J Little, Paul Stuart, Beth Morton, Katherine Raftery, James Kelly, Jo Bradbury, Katherine Zhang, Jin Zhu, Shihua Murray, Elizabeth May, Carl R Mair, Frances S Michie, Susan Smith, Peter Band, Rebecca Ogburn, Emma Allen, Julie Rice, Cathy Nuttall, Jacqui Williams, Bryan Yardley, Lucy Jones, Adam Hussain, Ajmal McHardy, Alistair Harrison, Anna LaLonde, Anna Malik, Asim Hernandez-Diaz, Basilio Cranfield, Ben Nicholson, Brian Anandan, Carl Neden, Catherine Bobrow, Cathy Evans, Chloe Keast, Christopher Henderson, Clare Sutherland, Corrine Kyte, Craig Henderson, Dan Noble, Debbie Capo-Bianco, Ed Williams, Edward Shaw, Elizabeth Mohri, Fatima Asal, Gaurav Dougall, Greig Bhupal, Hardeep Luckhurst, Heidi Dosanjh, Hergeven Nowell, Hilary Brown, Jan Flett, Jennifer Barber, Julian Rutter, Heather Thompson, Julian Ramanan, Kanjhana Madronal, Karen Malone, Karen Etherington, Katie Tsoi, Kenney Knox, Kyle Amin, Laila Hirst, Lisa Allen, Lucy Skellern, Luke Flynn, Lynne McEwan, Lorne Pugsley, Mark Frassen, Marloes Gaw, Matthew Prendergast, Matthew Wallard, Matthew Faisal, Muhammad Wooding, Nick Lees, Nienke Wainman, Paul Nanda, Nithya Moore, Patrick Conley, Paul Johnson, Paul Wilson, Penny Jacobs, Phillip Whitbred, Pippa Zamir, Rebecca Reed, Richard Tribley, Richard Woof, Richard Danson, Ruth Lawes, Ruth Gallagher, Sarah Wadsworth, Sarah Macanovic, Serge Cartwright, Simon Pettitt, Simon Tucker, Simon Doggett, Stephen Sevenoaks, Tamsin Watson, Tara Talbot, Tess Imrie, Ruth Herbert, Thomas Crockett, Tony Wright, Tony Sharma, Vanshika Telford, Vicki Almashta, Zaid Cheng, Zelda Ali, Zishan Grube, Alice Claxton, Andy Asante, Barbara Weare, Becki McKee, Eleanor Werrett, Bertha Barwell, Carmel Mulvihill, Carole Sherwood, Caroline MacDonald, Clare Tabor, Dadirayi Denning, Dawn Roberts, Debbie Adshead, Diane Clarke, Gemma Huntley, Heather Pinder, Heather Qasim, Irene Merrison, Jane King, Jill Allison, Julie Johal, Kam Terry, Karen Wood, Karine Balmford, Kathryn Barnes, Katie Post, Katie Bowden, Kelly-Marie Edmunds, Kirsty Whittle, Klaire Peniket, Lara Carnegie, Leann Neale, Linda Davey, Lisa Bartlett, Liz Smith, Louise Clack, Lucy Brown, Martina McKenna, Naomi Kay, Pam Jacobs, Polly Cutts, Rebecca Pearse, Robert Atkinson, Ruth Barter, Sally Mackie, Sally Norris, Sam Cook, Sandra Elderfield, Sarah Nzante, Sarah Cronin, Sharon Maslen, Sophie Marchant, Stephanie Wright, Stephanie Keene, Sue Smith, Sue Cimelli, Suzie Stone, Tracy Joyce, Tricia Le Marechal, Trudie Kettle, Vicky Osborne, Victoria Cubiss, Wendy Marsden, Wendy Kowalczyk-Williams, Wioletta Bailey, Zoe BMJ Research OBJECTIVE: The HOME BP (Home and Online Management and Evaluation of Blood Pressure) trial aimed to test a digital intervention for hypertension management in primary care by combining self-monitoring of blood pressure with guided self-management. DESIGN: Unmasked randomised controlled trial with automated ascertainment of primary endpoint. SETTING: 76 general practices in the United Kingdom. PARTICIPANTS: 622 people with treated but poorly controlled hypertension (>140/90 mm Hg) and access to the internet. INTERVENTIONS: Participants were randomised by using a minimisation algorithm to self-monitoring of blood pressure with a digital intervention (305 participants) or usual care (routine hypertension care, with appointments and drug changes made at the discretion of the general practitioner; 317 participants). The digital intervention provided feedback of blood pressure results to patients and professionals with optional lifestyle advice and motivational support. Target blood pressure for hypertension, diabetes, and people aged 80 or older followed UK national guidelines. MAIN OUTCOME MEASURES: The primary outcome was the difference in systolic blood pressure (mean of second and third readings) after one year, adjusted for baseline blood pressure, blood pressure target, age, and practice, with multiple imputation for missing values. RESULTS: After one year, data were available from 552 participants (88.6%) with imputation for the remaining 70 participants (11.4%). Mean blood pressure dropped from 151.7/86.4 to 138.4/80.2 mm Hg in the intervention group and from 151.6/85.3 to 141.8/79.8 mm Hg in the usual care group, giving a mean difference in systolic blood pressure of −3.4 mm Hg (95% confidence interval −6.1 to −0.8 mm Hg) and a mean difference in diastolic blood pressure of −0.5 mm Hg (−1.9 to 0.9 mm Hg). Results were comparable in the complete case analysis and adverse effects were similar between groups. Within trial costs showed an incremental cost effectiveness ratio of £11 ($15, €12; 95% confidence interval £6 to £29) per mm Hg reduction. CONCLUSIONS: The HOME BP digital intervention for the management of hypertension by using self-monitored blood pressure led to better control of systolic blood pressure after one year than usual care, with low incremental costs. Implementation in primary care will require integration into clinical workflows and consideration of people who are digitally excluded. TRIAL REGISTRATION: ISRCTN13790648. BMJ Publishing Group Ltd. 2021-01-19 /pmc/articles/PMC7814507/ /pubmed/33468518 http://dx.doi.org/10.1136/bmj.m4858 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
McManus, Richard J
Little, Paul
Stuart, Beth
Morton, Katherine
Raftery, James
Kelly, Jo
Bradbury, Katherine
Zhang, Jin
Zhu, Shihua
Murray, Elizabeth
May, Carl R
Mair, Frances S
Michie, Susan
Smith, Peter
Band, Rebecca
Ogburn, Emma
Allen, Julie
Rice, Cathy
Nuttall, Jacqui
Williams, Bryan
Yardley, Lucy
Jones, Adam
Hussain, Ajmal
McHardy, Alistair
Harrison, Anna
LaLonde, Anna
Malik, Asim
Hernandez-Diaz, Basilio
Cranfield, Ben
Nicholson, Brian
Anandan, Carl
Neden, Catherine
Bobrow, Cathy
Evans, Chloe
Keast, Christopher
Henderson, Clare
Sutherland, Corrine
Kyte, Craig
Henderson, Dan
Noble, Debbie
Capo-Bianco, Ed
Williams, Edward
Shaw, Elizabeth
Mohri, Fatima
Asal, Gaurav
Dougall, Greig
Bhupal, Hardeep
Luckhurst, Heidi
Dosanjh, Hergeven
Nowell, Hilary
Brown, Jan
Flett, Jennifer
Barber, Julian
Rutter, Heather
Thompson, Julian
Ramanan, Kanjhana
Madronal, Karen
Malone, Karen
Etherington, Katie
Tsoi, Kenney
Knox, Kyle
Amin, Laila
Hirst, Lisa
Allen, Lucy
Skellern, Luke
Flynn, Lynne
McEwan, Lorne
Pugsley, Mark
Frassen, Marloes
Gaw, Matthew
Prendergast, Matthew
Wallard, Matthew
Faisal, Muhammad
Wooding, Nick
Lees, Nienke
Wainman, Paul
Nanda, Nithya
Moore, Patrick
Conley, Paul
Johnson, Paul
Wilson, Penny
Jacobs, Phillip
Whitbred, Pippa
Zamir, Rebecca
Reed, Richard
Tribley, Richard
Woof, Richard
Danson, Ruth
Lawes, Ruth
Gallagher, Sarah
Wadsworth, Sarah
Macanovic, Serge
Cartwright, Simon
Pettitt, Simon
Tucker, Simon
Doggett, Stephen
Sevenoaks, Tamsin
Watson, Tara
Talbot, Tess
Imrie, Ruth
Herbert, Thomas
Crockett, Tony
Wright, Tony
Sharma, Vanshika
Telford, Vicki
Almashta, Zaid
Cheng, Zelda
Ali, Zishan
Grube, Alice
Claxton, Andy
Asante, Barbara
Weare, Becki
McKee, Eleanor
Werrett, Bertha
Barwell, Carmel
Mulvihill, Carole
Sherwood, Caroline
MacDonald, Clare
Tabor, Dadirayi
Denning, Dawn
Roberts, Debbie
Adshead, Diane
Clarke, Gemma
Huntley, Heather
Pinder, Heather
Qasim, Irene
Merrison, Jane
King, Jill
Allison, Julie
Johal, Kam
Terry, Karen
Wood, Karine
Balmford, Kathryn
Barnes, Katie
Post, Katie
Bowden, Kelly-Marie
Edmunds, Kirsty
Whittle, Klaire
Peniket, Lara
Carnegie, Leann
Neale, Linda
Davey, Lisa
Bartlett, Liz
Smith, Louise
Clack, Lucy
Brown, Martina
McKenna, Naomi
Kay, Pam
Jacobs, Polly
Cutts, Rebecca
Pearse, Robert
Atkinson, Ruth
Barter, Sally
Mackie, Sally
Norris, Sam
Cook, Sandra
Elderfield, Sarah
Nzante, Sarah
Cronin, Sharon
Maslen, Sophie
Marchant, Stephanie
Wright, Stephanie
Keene, Sue
Smith, Sue
Cimelli, Suzie
Stone, Tracy
Joyce, Tricia
Le Marechal, Trudie
Kettle, Vicky
Osborne, Victoria
Cubiss, Wendy
Marsden, Wendy
Kowalczyk-Williams, Wioletta
Bailey, Zoe
Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial
title Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial
title_full Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial
title_fullStr Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial
title_full_unstemmed Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial
title_short Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial
title_sort home and online management and evaluation of blood pressure (home bp) using a digital intervention in poorly controlled hypertension: randomised controlled trial
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814507/
https://www.ncbi.nlm.nih.gov/pubmed/33468518
http://dx.doi.org/10.1136/bmj.m4858
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