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Interventions and contextual factors to improve retention in care for patients with hypertension in primary care: Hermeneutic systematic review.
Ye, Jiancheng; Sanuade, Olutobi A; Hirschhorn, Lisa R; Walunas, Theresa L; Smith, Justin D; Birkett, Michelle A; Baldridge, Abigail S; Ojji, Dike B; Huffman, Mark D.
Afiliação
  • Ye J; Weill Cornell Medicine, NY, New York, USA; Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address: jiy4009@med.cornell.edu.
  • Sanuade OA; Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Department of Population Health Sciences, Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, UT, USA.
  • Hirschhorn LR; Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Northwestern University Robert J Havey Institute for Global Health, Chicago, IL, USA.
  • Walunas TL; Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
  • Smith JD; Department of Population Health Sciences, Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, UT, USA.
  • Birkett MA; Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
  • Baldridge AS; Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Northwestern University Robert J Havey Institute for Global Health, Chicago, IL, USA.
  • Ojji DB; Cardiovascular Research Unit, University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria; University of Abuja, Abuja, Nigeria.
  • Huffman MD; Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Washington University in St. Louis, St. Louis, MO, USA; The George Institute for Global Health, Sydney, Australia.
Prev Med ; 180: 107880, 2024 Mar.
Article em En | MEDLINE | ID: mdl-38301908
ABSTRACT

BACKGROUND:

Regular engagement over time in hypertension care, or retention, is a crucial but understudied step in optimizing patient outcomes. This systematic review leverages a hermeneutic methodology to identify, evaluate, and quantify the effects of interventions and contextual factors for improving retention for patients with hypertension.

METHODS:

We searched for articles that were published between 2000 and 2022 from multiple electronic databases, including MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, clinicaltrials.gov, and WHO International Trials Registry. We followed the latest version of the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guideline to report the findings for this review. We also synthesized the findings using a hermeneutic methodology for systematic reviews, which used an iterative process to review, integrate, analyze, and interpret evidence.

RESULTS:

From 4686 screened titles and abstracts, 18 unique studies from 9 countries were identified, including 10 (56%) randomized controlled trials (RCTs), 3 (17%) cluster RCTs, and 5 (28%) non-RCT studies. The number of participants ranged from 76 to 1562. The overall mean age range was 41-67 years, and the proportion of female participants ranged from 0% to 100%. Most (n = 17, 94%) studies used non-physician personnel to implement the proposed interventions. Fourteen studies (78%) implemented multilevel combinations of interventions. Education and training, team-based care, consultation, and Short Message Service reminders were the most common interventions tested.

CONCLUSIONS:

This review presents the most comprehensive findings on retention in hypertension care to date and fills the gaps in the literature, including the effectiveness of interventions, their components, and contextual factors. Adaptation of and implementing HIV care models, such differentiated service delivery, may be more effective and merit further study. REGISTRATION CRD42021291368. PROTOCOL REGISTRATION PROSPERO 2021 CRD42021291368. Available at https//www.crd.york.ac.uk/prospero/display_record.php?RecordID=291368.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Hipertensão Tipo de estudo: Clinical_trials / Guideline / Prognostic_studies / Qualitative_research / Systematic_reviews Limite: Humans Idioma: En Revista: Prev Med Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Hipertensão Tipo de estudo: Clinical_trials / Guideline / Prognostic_studies / Qualitative_research / Systematic_reviews Limite: Humans Idioma: En Revista: Prev Med Ano de publicação: 2024 Tipo de documento: Article