BACKGROUND: Home blood pressure monitoring (HBPM) predicts cardiovascular risk and increases hypertension control. Non-participation in HBPM is prevalent and decreases the potential benefit. METHODS: Telephone surveys were conducted with a random quota sample of non-participants in a HBPM program, which supplied a complimentary automated blood pressure cuff and utilized a centralized reporting system. Questioning assessed use of monitors, perceived benefit, communication with providers, and barriers. RESULTS: There were 320 completed surveys (response rate 53%). Of non-participants, 70.2% still used HBPM cuffs and 58% communicated values to providers. Spanish-speakers were 4.4 times more likely to not use cuffs (95% CI, 2.22-8.885). Barriers to participation were largely personal (forgetting, not having time, or self-described laziness). Reasons for not communicating readings with providers were largely clinic factors (no doctor visit, doctor didn't ask, thinking doctor wouldn't care). Lack of knowledge of HBPM and program design also contributed. After being surveyed, patients were over three times more likely to use the central reporting system. DISCUSSION: Most non-participants still used HBPM and communicated values to providers, suggesting many "drop-outs" may still receive clinical benefit. However, much valuable information is not utilized. Future programs should focus on reminder systems, patient motivation, education, and minimizing time involvement.
BACKGROUND: Home blood pressure monitoring (HBPM) predicts cardiovascular risk and increases hypertension control. Non-participation in HBPM is prevalent and decreases the potential benefit. METHODS: Telephone surveys were conducted with a random quota sample of non-participants in a HBPM program, which supplied a complimentary automated blood pressure cuff and utilized a centralized reporting system. Questioning assessed use of monitors, perceived benefit, communication with providers, and barriers. RESULTS: There were 320 completed surveys (response rate 53%). Of non-participants, 70.2% still used HBPM cuffs and 58% communicated values to providers. Spanish-speakers were 4.4 times more likely to not use cuffs (95% CI, 2.22-8.885). Barriers to participation were largely personal (forgetting, not having time, or self-described laziness). Reasons for not communicating readings with providers were largely clinic factors (no doctor visit, doctor didn't ask, thinking doctor wouldn't care). Lack of knowledge of HBPM and program design also contributed. After being surveyed, patients were over three times more likely to use the central reporting system. DISCUSSION: Most non-participants still used HBPM and communicated values to providers, suggesting many "drop-outs" may still receive clinical benefit. However, much valuable information is not utilized. Future programs should focus on reminder systems, patient motivation, education, and minimizing time involvement.
Authors: W Perry Dickinson; Donald E Nease; Robert L Rhyne; Kyle E Knierim; Douglas H Fernald; Dionisia R de la Cerda; L Miriam Dickinson Journal: J Am Board Fam Med Date: 2020 Sep-Oct Impact factor: 2.657
Authors: Vishal N Rao; Stacey L Sheridan; Laura A Tuttle; Feng-Chang Lin; Daichi Shimbo; Keith M Diaz; Alan L Hinderliter; Anthony J Viera Journal: J Clin Hypertens (Greenwich) Date: 2014-11-29 Impact factor: 3.738
Authors: Raj Padwal; Finlay Aleck McAlister; Peter William Wood; Pierre Boulanger; Miriam Fradette; Scott Klarenbach; Alun L Edwards; Jayna M Holroyd-Leduc; Kannayiram Alagiakrishnan; Doreen Rabi; Sumit Ranjan Majumdar Journal: JMIR Res Protoc Date: 2016-06-24
Authors: Ramya Sita Palacholla; Nils Fischer; Amanda Coleman; Stephen Agboola; Katherine Kirley; Jennifer Felsted; Chelsea Katz; Stacy Lloyd; Kamal Jethwani Journal: JMIR Cardio Date: 2019-03-26