Interventions in hypertension: systematic review and meta-analysis of natural and quasi-experiments
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: Hypertension is an urgent public health problem. Consistent summary from natural and quasi-experiments employed to evaluate interventions that aim at preventing or controlling hypertension is lacking in the current literature. This study aims to summarize the evidence from natural and quasi-experiments that evaluated interventions used to prevent or control hypertension. Methods: We searched PubMed, Embase and Web of Science for natural and quasi-experiments evaluating interventions used to prevent hypertension, improve blood pressure control or reduce blood pressure levels from January 2008 to November 2018. Descriptions of studies and interventions were systematically summarized, and a meta-analysis was conducted. Results: Thirty studies were identified, and all used quasi-experimental designs including a difference-in-difference, a pre-post with a control group or a propensity score matching design. Education and counseling on lifestyle modifications such as promoting physical activity (PA), promoting a healthy diet and smoking cessation consultations could help prevent hypertension in healthy people. The use of computerized clinical practice guidelines by general practitioners, education and management of hypertension, the screening for cardiovascular disease (CVD) goals and referral could help improve hypertension control in patients with hypertension. The educating and counseling on PA and diet, the monitoring of patients' metabolic factors and chronic diseases, the combination of education on lifestyles with management of hypertension, the screening for economic risk factors, medical needs, and CVD risk factors and referral all could help reduce blood pressure. In the meta-analysis, the largest reduction in blood pressure was seen for interventions which combined education, counseling and management strategies: weighted mean difference in systolic blood pressure was - 5.34 mmHg (95% confidence interval [CI], - 7.35 to - 3.33) and in diastolic blood pressure was - 3.23 mmHg (95% CI, - 5.51 to - 0.96). Conclusions: Interventions that used education and counseling strategies; those that used management strategies; those that used combined education, counseling and management strategies and those that used screening and referral strategies were beneficial in preventing, controlling hypertension and reducing blood pressure levels. The combination of education, counseling and management strategies appeared to be the most beneficial intervention to reduce blood pressure levels.
Abstract
Background: Hypertension is an urgent public health problem. Consistent summary from natural and quasi-experiments employed to evaluate interventions that aim at preventing or controlling hypertension is lacking in the current literature. This study aims to summarize the evidence from natural and quasi-experiments that evaluated interventions used to prevent or control hypertension. Methods: We searched PubMed, Embase and Web of Science for natural and quasi-experiments evaluating interventions used to prevent hypertension, improve blood pressure control or reduce blood pressure levels from January 2008 to November 2018. Descriptions of studies and interventions were systematically summarized, and a meta-analysis was conducted. Results: Thirty studies were identified, and all used quasi-experimental designs including a difference-in-difference, a pre-post with a control group or a propensity score matching design. Education and counseling on lifestyle modifications such as promoting physical activity (PA), promoting a healthy diet and smoking cessation consultations could help prevent hypertension in healthy people. The use of computerized clinical practice guidelines by general practitioners, education and management of hypertension, the screening for cardiovascular disease (CVD) goals and referral could help improve hypertension control in patients with hypertension. The educating and counseling on PA and diet, the monitoring of patients' metabolic factors and chronic diseases, the combination of education on lifestyles with management of hypertension, the screening for economic risk factors, medical needs, and CVD risk factors and referral all could help reduce blood pressure. In the meta-analysis, the largest reduction in blood pressure was seen for interventions which combined education, counseling and management strategies: weighted mean difference in systolic blood pressure was - 5.34 mmHg (95% confidence interval [CI], - 7.35 to - 3.33) and in diastolic blood pressure was - 3.23 mmHg (95% CI, - 5.51 to - 0.96). Conclusions: Interventions that used education and counseling strategies; those that used management strategies; those that used combined education, counseling and management strategies and those that used screening and referral strategies were beneficial in preventing, controlling hypertension and reducing blood pressure levels. The combination of education, counseling and management strategies appeared to be the most beneficial intervention to reduce blood pressure levels.
참고문헌 (55)
- National Center for Health Statistics, "Deaths: Leading Causes for 2018" (2021), CDC
- Lewington S, "The burden of hypertension and associated risk for cardiovascular mortality in China", JAMA Intern Med, 176, pp.524~532 (2016)
- A global brief on hypertension: silent killer, global public health crisis: World Health Day 2013, "World Health Organization(WHO)", WHO, ~ (2013)
- Sun D, "Recent development of riskprediction models for incident hypertension : an updated systematic review", PLoS One, 12, pp.e0187240~ (2017)
- Benjamin EJ, "Heart disease and stroke statistics-2018 update : a report from the American Heart Association", Circulation, 137, pp.e67~e492 (2018)
- Glynn LG, "Interventions used to improve control of blood pressure in patients with hypertension", Cochrane Database Syst Rev, 3, pp.CD005182~ (2010)
- Sheridan S, "Screening for high blood pressure: a review of the evidence for the U.S. preventive services task force", Am J Prev Med, 25, pp.151~158 (2003)
- Uhlig K, "Self-measured blood pressure monitoring in the management of hypertension : a systematic review and meta-analysis", Ann Intern Med, 159, pp.185~194 (2013)
- de Simone G, "Are observational studies more informative than randomized controlled trials in hypertension? Pro side of the argument", Hypertension, 62, pp.463~469 (2013)
- Li DZ, "Acupuncture for essential hypertension : a meta-analysis of randomized sham-controlled clinical trials", Evid Based Complement Alternat Med, 2014, pp.279478~ (2014)
- Murthy VH, "Participation in cancer clinical trials : race-, sex-, and age-based disparities", JAMA, 291, pp.2720~2726 (2004)
- Remler DK, "Research methods in practice: strategies for description and causation" (2014), SAGE
- Handley MA, "Selecting and improving quasi-experimental designs in effectiveness and implementation research", Annu Rev Public Health, 39, pp.5~25 (2018)
- Basu S, "Evaluating the health impact of large-scale public policy changes : classical and novel approaches", Annu Rev Public Health, 38, pp.351~370 (2017)
- Craig P, "Natural experiments : an overview of methods, approaches, and contributions to public health intervention research", Annu Rev Public Health, 38, pp.39~56 (2017)
- Berkowitz SA, "Addressing unmet basic resource needs as part of chronic cardiometabolic disease management", JAMA Intern Med, 177, pp.244~252 (2017)
- James A, "Impact of a population health management intervention on disparities in cardiovascular disease control", J Gen Intern Med, 33, pp.463~470 (2018)
- Comin E, "Impact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of cardiovascular risk factors : a pre-post controlled study", Aten Primaria, 49, pp.389~398 (2017)
- Panattoni L, "Workflow standardization of a novel team care model to improve chronic care : a quasi-experimental study", BMC Health Serv Res, 17, pp.286~ (2017)
- Bor J, "Capitalizing on natural experiments to improve our understanding of population health", Am J Public Health, 106, pp.1388~1389 (2016)
- Moher D, "PRISMA Group Preferred reporting items for systematic reviews and meta-analyses : the PRISMA statement", PLoS Med, 6, pp.e1000097~ (2009)
- Ho AM, "Bias in before-after studies : narrative overview for anesthesiologists", Anesth Analg, 126, pp.1755~1762 (2018)
- Bronfenbrenner U, "The ecology of human development: experiments by nature and design" (1979), Harvard University Press
- Barnidge EK, "The effect of education plus access on perceived fruit and vegetable consumption in a rural African American community intervention", Health Educ Res, 30, pp.773~785 (2015)
- Sahli J, "Effectiveness of a community-based intervention program to reduce hypertension prevalence among adults : results of a quasiexperimental study with control group in the region of Sousse", Tunisia Glob Heart, 11, pp.131~137 (2016)
- Fikri-Benbrahim N, "Effect of a pharmacist intervention in Spanish community pharmacies on blood pressure control in hypertensive patients", Am J Health Syst Pharm, 69, pp.1311~1318 (2012)
- Flannery K, "The worksite heart health improvement project(WHHIP) : feasibility and efficacy", Public Health Nurs, 29, pp.455~466 (2012)
- Gemson DH, "Promoting weight loss and blood pressure control at work : impact of an education and intervention program", J Occup Environ Med, 50, pp.272~281 (2008)
- Lin YP, "Short-term efficacy of a “sit less, walk more” workplace intervention on improving cardiometabolic health and work productivity in office workers", J Occup Environ Med, 59, pp.327~334 (2017)
- Chang MY, "Associations between Tai chi Chung program, anxiety, and cardiovascular risk factors", Am J Health Promot, 28, pp.16~22 (2013)
- Verberne LD, "Evaluation of a combined lifestyle intervention for overweight and obese patients in primary health care : a quasi-experimental design", Fam Pract, 33, pp.671~677 (2016)
- Xu F, "Impact of a program of Tai chi plus behaviorally based dietary weight loss on physical functioning and coronary heart disease risk factors : a community-based study in obese older women", J Nutr Gerontol Geriatr, 34, pp.50~65 (2015)
- Zhu W, "Longterm effects of sit-stand workstations on workplace sitting : a natural experiment", J Sci Med Sport, 21, pp.811~816 (2018)
- Kamran A, "The effect of theory based nutritional education on fat intake, weight and blood lipids", Electron Physician, 8, pp.3333~3342 (2016)
- Ibrahim N, "Effects of a community-based healthy lifestyle intervention program(co-HELP)among adults with prediabetes in a developing country : a quasi-experimental study", PLoS One, 11, pp.e0167123~ (2016)
- Kassim MSA, "Effects of lifestyle intervention towards obesity and blood pressure among housewives in Klang Valley : a quasi-experimental study", Malays J Med Sci, 24, pp.83~91 (2017)
- Fazliana M, "Effects of weight loss intervention on body composition and blood pressure among overweight and obese women : findings from the MyBFF@home study", BMC Womens Health, 18(Suppl 1), pp.93~ (2018)
- Miao Y, "Improving the performance of social health insurance system through increasing outpatient expenditure reimbursement ratio : a quasi-experimental evaluation study from rural China", Int J Equity Health, 17, pp.89~ (2018)
- Scanlon DP, "Financial and clinical impact of team-based treatment for medicaid enrollees with diabetes in a federally qualified health center", Diabetes Care, 31, pp.2160~2165 (2008)
- Darviri C, "A HEALth promotion and STRESS management program(HEALSTRESS study)for prehypertensive and hypertensive patients : a quasiexperimental study in Greece", J Hum Hypertens, 30, pp.397~403 (2016)
- Fernandez S, "A senior center-based pilot trial of the effect of lifestyle intervention on blood pressure in minority elderly people with hypertension", J Am Geriatr Soc, 56, pp.1860~1866 (2008)
- Jung H, "The impact of community-based eHealth self-management intervention among elderly living alone with hypertension", J Telemed Telecare, 23, pp.167~173 (2017)
- Hussain T, "The role of care management as a population health intervention to address disparities and control hypertension : a quasi-experimental observational study", Ethn Dis, 26, pp.285~294 (2016)
- Miao Y, "Improving health related quality of life among rural hypertensive patients through the integrative strategy of health services delivery : a quasi-experimental trial from Chongqing", China Int J Equity Health, 15, pp.132~ (2016)
- Visanuyothin S, "An integrated program with home blood-pressure monitoring and village health volunteers for treating poorly controlled hypertension at the primary care level in an urban community of Thailand", Integr Blood Press Control, 11, pp.25~35 (2018)
- Scharf DM, "General medical outcomes from the primary and behavioral health care integration grant program", Psychiatr Serv, 67, pp.1226~1232 (2016)
- Chang KC, "Impact of the National Health Service Health Check on cardiovascular disease risk : a difference-in-differences matching analysis", CMAJ, 188, pp.E228~E238 (2016)
- Yu EY, "Effects of risk assessment and management programme for hypertension on clinical outcomes and cardiovascular disease risks after 12 months : a populationbased matched cohort study", J Hypertens, 35, pp.627~636 (2017)
- van de Vijver S, "Impact evaluation of a community-based intervention for prevention of cardiovascular diseases in the slums of Nairobi", the SCALE-UP study Glob Health Action, 9, pp.30922~ (2016)
- Higgins JP, "Cochrane handbook for systematic reviews of interventions" (2020), Wiley-Blackwell
- Borenstein M, "Introduction to metaanalysis" (2009), John Wiley & Sons
- Walsh JM, "Quality improvement strategies for hypertension management : a systematic review", Med Care, 44, pp.646~657 (2006)
- Kim K, "Effects of community-based health worker interventions to improve chronic disease management and care among vulnerable populations : a systematic review", Am J Public Health, 106, pp.e3~e28 (2016)
- Rehkopf DH, "A new tool for case studies in epidemiology-the synthetic control method", Epidemiology, 29, pp.503~505 (2018)
- Dickinson HO, "Lifestyle interventions to reduce raised blood pressure : a systematic review of randomized controlled trials", J Hypertens, 24, pp.215~233 (2006)