Effect of Posting on Social Media on Systolic Blood Pressure and Management of Hypertension: A Randomized Controlled Trial.
Effect of Posting on Social Media on Systolic Blood Pressure and Management of Hypertension: A Randomized Controlled Trial.
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在社交媒体上发帖对收缩压和高血压管理的影响：一项随机对照试验。
DOI：
10.1161/jaha.120.020596
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发表时间：
2021-10-05
影响因子：
5.4
通讯作者：
Merchant RM
中科院分区：
文献类型：
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作者：
Mancheno C;Asch DA;Klinger EV;Goldshear JL;Mitra N;Buttenheim AM;Barg FK;Ungar LH;Yang L;Merchant RM
在线平台被用来管理我们生活的方方面面，包括临床环境之外的健康。人们对使用网络平台管理高血压的有效性知之甚少。我们评估了控制不佳的高血压患者推特/转发心血管健康内容对收缩压（SBP）和患者激活的影响。我们进行了这项两组随机对照试验。入选条件包括诊断为高血压；收缩压>140 mm Hg；现有的推特账户或创建一个关注研究推特账户的意愿。干预组被要求在研究期间（6个月）使用特定的标签每周推特/转发健康内容2次。主要测量指标包括收缩压的主要转归变化；患者激活测量（PAM）的次要终点改变。我们远程招募并招募了611名参与者，平均年龄52岁（SD, 11.7）。干预组平均基线收缩压为155.8，对照组为155.6。6个月时，干预组平均收缩压为137.6，对照组为135.7。干预组从基线到6个月的平均收缩压变化为- 18.5，对照组为- 19.8 （P=0.48）。干预组基线时平均PAM为70.3，对照组为72.7。6个月时，平均PAM评分为71.1分（干预组）和75.6分（对照组）。干预组PAM评分的平均变化为0.0，对照组为3.3 （P=0.12）。使用Twitter远程招募和吸引患者并收集结果测量是可行的。鼓励控制不佳的高血压患者在Twitter上tweet或转发健康内容并没有改善6个月时的收缩压或PAM评分。URL: https://www.clinicaltrials.gov。唯一标识符：NCT02622256。
Online platforms are used to manage aspects of our lives including health outside clinical settings. Little is known about the effectiveness of using online platforms to manage hypertension. We assessed effects of tweeting/retweeting cardiovascular health content by individuals with poorly controlled hypertension on systolic blood pressure (SBP) and patient activation. We conducted this 2‐arm randomized controlled trial. Eligibility included diagnosis of hypertension; SBP >140 mm Hg; and an existing Twitter account or willingness to create one to follow study Twitter account. Intervention arm was asked to tweet/retweet health content 2×/week using a specific hashtag for study duration (6 months). The main measures include primary outcome change in SBP; secondary outcome point change in Patient Activation Measure (PAM). We remotely recruited and enrolled 611 participants, mean age 52 (SD, 11.7). Mean baseline SBP for the intervention group was 155.8 and for control was 155.6. At 6 months, mean SBP for intervention group was 137.6 and for control was 135.7. Mean change in SBP from baseline to 6 months for the intervention group was −18.5 and for control was −19.8 (P=0.48). Mean PAM at baseline for the intervention group was 70.3 for control was 72.7. At 6 months, mean PAM scores were 71.1 (intervention) and 75.6 (control). Mean change in PAM score for the intervention group was 0.0 and for control was 3.3 (P=0.12). Recruiting and engaging patients and collecting outcome measures remotely are feasible using Twitter. Encouraging patients with poorly controlled hypertension to tweet or retweet health content on Twitter did not improve SBP or PAM score at 6 months. URL: https://www.clinicaltrials.gov. Unique identifier: NCT02622256.