Effect of a Multicomponent Intervention Delivered on a Web-Based Platform on Hypertension Control

作者：Haoqi Zhou, Xin Wang, Ying Yang, Zuo Chen, Linfeng Zhang, Congyi Zheng, Lan Shao, Ye Tian, Xue Cao, Zhen Hu, Yixin Tian, Lu Chen, Jiayin Cai, Runqing Gu, Zengwu Wang · 发表于：JAMA Network Open · 年份：2022 · DOI：10.1001/jamanetworkopen.2022.45439 · 被引用次数：32 · 研究领域：Blood Pressure and Hypertension Studies、Mobile Health and mHealth Applications、Telemedicine and Telehealth Implementation

Importance: The prevalence of hypertension is high and still increasing across the world, while the control rate remains low in many countries. Emerging technology, such as telemedicine, may offer additional support to change the unsatisfactory situation. Objective: To establish a multicomponent intervention delivered on a web-based telemedicine platform and oriented with the Chinese hypertension management guidelines and to evaluate the effect of the intervention on blood pressure (BP) control for patients with hypertension. Design, Setting, and Participants: This cluster randomized clinical trial of a hypertension management program was conducted at 66 community health centers in China from October 1, 2018, to May 31, 2020, with a 12-month follow-up. Patients with hypertension were blinded to randomization and were randomized to either the intervention group or control group. Hypertension was diagnosed at mean systolic BP (SBP) and diastolic BP (DBP) readings higher than 140 and 90 mm Hg or with use of antihypertensive medication. Evaluation of the intervention effect was based on the principle of modified intention to treat. Interventions: Multicomponent intervention was delivered on a web-based platform and consisted of a primary prevention program for cardiovascular disease and standardized management for hypertension. Main Outcomes and Measures: The primary outcome was the change in BP control rate (SBP and DBP levels <140 and 90 mm Hg, or <130 and 80 mm Hg for patients...