The overall quality of evidence based on GRADE criteria was moderate for systolic blood pressure , but low for diastolic blood pressure .
INTERPRETATION Task-sharing interventions are effective in reducing blood pressure .
BACKGROUND Task sharing for the management of hypertension could be useful for understaffed and re source -poor health systems .
We assessed the effectiveness of task-sharing interventions in improving blood pressure control among adults in low-income and middle-income countries .
Development and evaluation of a nurse-led hypertension management model in a community: a pilot randomized controlled trial.
This study aims to develop a nurse-led hypertension management model in the community setting and pilot it to an experimental trial . A total of 73 recruited participants were r and omly allocated into two groups . The study group received a home visit and 2 - 4 telephone follow-ups from the trained community nurses assisted by nursing student volunteers . The control group received doctor-led hypertension management . Data was collected at recruitment and immediately after the 8-week program . Outcome measures included blood pressure readings , self-care adherence , self-efficacy , quality of life , and patient satisfaction . Participants from the study group led by nurses had significant improvement in self-care adherence , patient satisfaction post-intervention than those from the control group led by doctors . However , there were no statistical significant differences in blood pressure readings , quality of life and self-efficacy between the two groups . The findings show that the nurse-led hypertension management appears to be a promising way to manage hypertensive patients at the community level , particularly when the healthcare system is better integrated
The overall quality of evidence based on GRADE criteria was moderate for systolic blood pressure , but low for diastolic blood pressure .
INTERPRETATION Task-sharing interventions are effective in reducing blood pressure .
BACKGROUND Task sharing for the management of hypertension could be useful for understaffed and re source -poor health systems .
We assessed the effectiveness of task-sharing interventions in improving blood pressure control among adults in low-income and middle-income countries .