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. Author manuscript; available in PMC: 2018 Jul 16.
Published in final edited form as: Ann Intern Med. 2017 Dec 26;168(2):110–120. doi: 10.7326/M17-1805

Table 2.

Summary Characteristics of Trials by Implementation Strategy

Implementation Strategy No. of Studies* No. of Participants Mean Age Range, years Sex Range, % of Male Mean Baseline SBP Range, mmHg Mean Baseline DBP Range, mmHg Duration Study Design BP Measurement Methods Control Categories

No. of Measurements Type of Device
Patient-level

Health Coaching 39 10,656 33–74 0–100 124–181 70–105 6 months – 2 years 97% parallel RCTs (30% cluster-randomized); 3% Factorial RCTs one visit, 2–6 measurements (n=19); two visits, 2 measurements each (n=1); unknown (n=18) automated (n=15), standard mercury (n=8), automated or standard mercury (n=1), random zero (n=2), unknown (n=12) 46% usual care, 54% minimal education
Home Blood Pressure Monitoring 29 7,966 47–77 21–92 126–170 72–104 6 months – 2 years 100% parallel RCTs (8% cluster-randomized) one visit, 2–6 measurements (n=15); two visits, 3 measurements each (n=1); nine visits, 1 measurement each (n=1); daytime ambulatory (n=1); routine clinic measurements (n=1); unknown (n=7) automated (n=13), standard mercury (n=2), random zero (n=1), aneroid (n=1), ambulatory (n=1), device used in clinic (n=3), unknown (n=5) 76% usual care, 24% minimal education

Provider-level

Provider Training 6 17,642 53–67 35–47 127–153 74–96 6 months – 2 years 100% parallel RCTs (100% cluster-randomized) one visit, 3 measurements (n=2); 24-hour ambulatory (n=1); routine clinic measurements (n=1); unknown (n=2) automated (n=2), ambulatory (n=1), device used in clinic (n=1), unknown (n=2) 83% usual care, 17% minimal education
Audit and Feedback 2 2,121 61–62 54–64 133–146 73–89 6 months – 2 years 100% parallel RCTs (100% cluster-randomized) two visits, 2 measurements each (n=1); unknown (n=1) automated (n=1), unknown (n=1) 50% usual care, 50% minimal education
Electronic Decision Support System 6 8,229 54–69 22–97 136–158 75–89 6 – 18 months 100% parallel RCTs (100% cluster-randomized) one visit, 2 measurements (n=1); routine clinic measurements (n=4); unknown (n=1) automated (n=3), device used in clinic (n=2), unknown (n=1) 67% usual care, 33% minimal education

Multilevel

Multilevel Strategy without Team-based Care 8 3,436 53–67 30–100 133–169 73–95 6 months – 2 years 100% parallel RCTs (75% cluster-randomized) one visit, 2–3 measurements (n=5); two visits, 2 measurements each (n=1); unknown (n=2) automated (n=6), standard mercury (n=1), unknown (n=1) 63% usual care, 37% minimal education
Team-based Care with Physicians Titrating Medications 20 6,680 47–68 21–99 127–162 76–93 6 – 18 months 100% parallel RCTs (30% cluster-randomized) one visit, 2–4 measurements (n=8); two visits, 3 measurements each (n=1); 24-hour ambulatory (n=1); routine clinic measurements (n=2); unknown (n=5) automated (n=7), standard mercury (n=5), random zero (n=1), aneroid (n=1), device used in clinic (n=2), unknown (n=1) 55% usual care, 45% minimal education
Team-based Care with Non-Physician Providers Titrating Medications 11 3,417 41–68 31–100 136–174 76–99 6 months – 5 years 100% parallel RCTs (18% cluster-randomized) one visit, 1 measurement (n=1); one visit, 2–3 measurements (n=8); two visits, 3 measurements each (n=1); routine clinic measurements (n=1) automated (n=6), standard mercury (n=2), random zero (n=1), device used in clinic (n=1), unknown (n=1) 64% usual care, 36% minimal education
*

A total of 121 comparisons from 100 publications and 55,920 participants are included.

Sixteen publications contribute more than one comparison because they have multiple treatment arms.