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.