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Evidence summaries

Self-Management Training for Hypertension

Self-management training appears to improve blood pressure control in patients with hypertension. Level of evidence: "B"

A systematic review 1 including 13 studies was abstracted in DARE. Self-management programmes were associated with a statistically significant decrease of 5 mmHg in systolic blood-pressure (ES -0.39, 95% CI: -0.51 to -0.28) and 4.3 mmHg in diastolic blood-pressure (ES -0.51, 95% CI: -0.73 to -0.30). The ES for the 7 studies that focused primarily on relaxation response or anxiety management was not significantly different from that of the remaining 6 studies.

Comment: The quality of evidence is downgraded by a possibility of publication bias.

    References

    • Chodosh J, Morton SC, Mojica W, Maglione M, Suttorp MJ, Hilton L, Rhodes S, Shekelle P. Meta-analysis: chronic disease self-management programs for older adults. Ann Intern Med 2005 Sep 20;143(6):427-38. [PubMed][DARE]

Primary/Secondary Keywords