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 .
Effects of a nurse-led transitional care program on clinical outcomes, health-related knowledge, physical and mental health status among Chinese patients with coronary artery disease: A randomized controlled trial.
BACKGROUND Coronary artery disease is a major cause of morbidity and mortality among adults worldwide , including China . After a hospital stay , transitional care could help to ensure improved patient care and outcomes , and reduce Medicare costs . Nevertheless , the results of the existing transitional care are not always satisfactory and our knowledge of how to perform effective transitional care for patients with coronary artery disease is limited in mainl and China . OBJECTIVES To examine the effectiveness of a nurse-led transitional care program on clinical outcomes , health-related knowledge , and physical and mental health status among Chinese patients with coronary artery disease . DESIGN R and omized controlled trial . METHODS The Omaha system and Pender 's health promoting model were employed in planning and implementing this nurse-led transitional care program . The sample was comprised of 199 Chinese patients with coronary artery disease . The experimental group ( n=100  ) received nurse-led transitional care intervention in addition to routine care . The nurse-led transitional care intervention included a structured assessment and health education , followed by 7 months of individual teaching and coaching ( home visits , telephone follow-up and group activity ) . The  control group ( n=99 ) received a comparable length routine care and follow-up contacts . Evaluations were conducted at baseline and completion of the interventions using the perceived knowledge scale for coronary heart disease , the medical outcomes study 36-item short-form health survey and clinical measures ( blood pressure , blood glucose , lipids , body mass index ) . Data were collected between March and October 2014 . RESULTS Compared with the control group , participants in the experimental group showed significant better clinical outcomes ( systolic blood pressure , t=5.762 , P=0.000 ; diastolic blood pressure , t=4.250 , P=0.000 ; fasting blood glucose , t=2.249 , P=0.027 ; total cholesterol , t=4.362 , P=0.000 ; triglyceride , t=3.147 , P=0.002 ; low density lipoprotein cholesterol , t=2.399 , P=0.018 ; and body mass index , t=3.166 , P=0.002 ) , higher knowledge scores for coronary artery disease ( total knowledge score , t=-7.099 , P=0.000 ) , better physical health status ( t=-2.503 , P=0.014 ) and mental health status ( t=-2.950 , P=0.004 ) . CONCLUSIONS This study provides evidence for the value of a  nurse-led transitional care program  using both the Omaha system and Pender 's health promoting model as its theoretical framework . The structured interventions in this nurse-led transitional care program facilitate the use of this program in other setting
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 .