Effectiveness of telemedicine interventions on blood pressure control and self-management efficacy in hypertensive patients: a systematic review and meta-analysis
Abstract
OBJECTIVE: The objective of this study was to systematically evaluate the combined effect of a telemedicine intervention on systolic blood pressure (SBP), diastolic blood pressure (DBP), and self-management efficacy in adult hypertensive patients.
METHODS: On May 2025, a systematic literature search was conducted using the PubMed, Cochrane, Embase, and Web of Science databases. Randomized controlled trials (RCTs) were included to compare the effectiveness of the telemedicine group (the intervention group) with the usual care group (the control group) in controlling the blood pressure of adult patients with hypertension. Primary outcomes were SBP and DBP change values, and secondary outcomes included self-management, medication adherence, self-efficacy, weight, BMI, pulse pressure, total cholesterol, and low-density lipoprotein. Effect sizes were combined using a random-effects model, and heterogeneity was explored through subgroup analyses of mean age, intervention intensity, intervention duration, intervention mode, and region.
RESULTS: A total of 31 eligible articles, comprising 31 studies and 9,559 patients (4,685 in the intervention group and 4,874 in the control group), were included in the evidence synthesis analysis. The two groups had similar baseline characteristics for all outcomes. The pooled analysis revealed statistically significant changes in SBP and DBP, pulse pressure, and total cholesterol. Additionally, improvements in self-efficacy, self-management…
How strong is the evidence?
Evidence Hub reads this as a meta-analysis, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 9,559 participants or records.
Read the paper
Related studies
- Combining in silico and in vitro approaches to identification of potent inhibitor against phospholipase A2 (PLA2)
- In silico and in vitro studies: investigating the chemical composition, DFT, molecular docking, and dynamic simulation of Satureja candidissima (Munby) Briq essential oil as a potential antibacterial agent
- Quercetin combined with ciprofloxacin and gentamicin inhibits biofilm formation and virulence in Staphylococcus aureus
- In silico study of the mechanism of action, pharmacokinetic and toxicological properties of some N-methylanthranilates and their analogs
- Anticonvulsant Effects of Citronellal, Daidzin, and Phytol, Possibly Through GABAA Receptor and Voltage-Gated Sodium Channel Interaction Pathways: In Vivo and In Silico Studies
- 2-Phenylcyclopropylmethylamine (PCPMA) Derivatives as D3R-Selective Ligands for 3D-QSAR, Docking and Molecular Dynamics Simulation Studies
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.