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 .
Short-term pilot feasibility study of a nurse-led intervention to improve blood pressure control after stroke in Nigeria
BACKGROUND Given the paucity of neurologists in Sub-Saharan Africa ( SSA ) , task-shifting post-stroke care to nurses could be a viable avenue for enhancing post-stroke outcomes . This pilot study assessed the feasibility and short-term impact of a nurse-led intervention to manage blood pressure ( BP ) control in recent stroke survivors in Nigeria . METHODS A r and omized pilot trial allocated patients within one month of an index stroke from two participating hospitals in Nigeria to either nurse-led group clinic or st and ard care for 14days  . Key study endpoints were successful execution of the protocol , subject retention , and short-term BP effects . RESULTS There were no significant differences between the intervention ( n=17 ) and control ( n=18 ) groups at baseline . At the post-intervention clinic , patient retention rate was 100 % . In the intervention group , both the systolic and diastolic BPs measured at home were lower than the clinic BPs post-intervention ( 127±12.88/78.13±19.26mmHg versus 137.50±23.05/84.06±9.67mmHg ; p=0.05 ) . However , there was no significant change in clinic blood pressure ( BP ) recordings in both the intervention and control groups . CONCLUSION It is possible to initiate a nurse-led group clinic intervention to address BP management  among stroke survivors in SSA with good early retention of participants . A larger and longer-term trial is being planned
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 .