BACKGROUND: Home blood pressure (BP) measurement (HBPM) is recommended for the diagnosis and follow-up of high BP. It is unclear how this aspect of BP monitoring has evolved over the years and whether interventions could influence patient adherence to HBPM guidelines. METHODS: After a questionnaire-based cross-sectional study performed in 2010, a passive, multimodal intervention, focused on improving adherence to HBPM guidelines, was implemented. A second study was conducted in 2014 to measure its effect. RESULTS: In 2010 and 2014, 1010 and 1005 patients, respectively, completed the questionnaire. In 2010 and 2014, 82% and 84% of patients, respectively, self-measured their BP. Reporting of HBPM and adherence to recommended procedures was suboptimal. Only 34.0% of patients in 2010 and 31.7% in 2014 brought > 80% of their measurements to their doctor. Only 49.6% in 2010 and 52.9% in 2014 prepared > 80% of the time for HBPM. Only 48.1% in 2010 and 52.1% in 2014 rested for 5 minutes > 80% of the time before HBPM. Only 15% of patients in 2010 and 18% in 2014 were defined as sufficiently compliant with all HBPM procedures. Paired analysis of a subset of 535 patients who participated in the 2010 and 2014 studies showed no clinically significant differences in reliability between the 2 surveys. CONCLUSIONS: Adherence to HBPM guidelines was suboptimal in 2010 and still is in 2014 despite a passive, multimodal intervention. Active training in HBPM procedures should be studied. Greater automation could improve HBPM reliability.
BACKGROUND: Home blood pressure (BP) measurement (HBPM) is recommended for the diagnosis and follow-up of high BP. It is unclear how this aspect of BP monitoring has evolved over the years and whether interventions could influence patient adherence to HBPM guidelines. METHODS: After a questionnaire-based cross-sectional study performed in 2010, a passive, multimodal intervention, focused on improving adherence to HBPM guidelines, was implemented. A second study was conducted in 2014 to measure its effect. RESULTS: In 2010 and 2014, 1010 and 1005 patients, respectively, completed the questionnaire. In 2010 and 2014, 82% and 84% of patients, respectively, self-measured their BP. Reporting of HBPM and adherence to recommended procedures was suboptimal. Only 34.0% of patients in 2010 and 31.7% in 2014 brought > 80% of their measurements to their doctor. Only 49.6% in 2010 and 52.9% in 2014 prepared > 80% of the time for HBPM. Only 48.1% in 2010 and 52.1% in 2014 rested for 5 minutes > 80% of the time before HBPM. Only 15% of patients in 2010 and 18% in 2014 were defined as sufficiently compliant with all HBPM procedures. Paired analysis of a subset of 535 patients who participated in the 2010 and 2014 studies showed no clinically significant differences in reliability between the 2 surveys. CONCLUSIONS: Adherence to HBPM guidelines was suboptimal in 2010 and still is in 2014 despite a passive, multimodal intervention. Active training in HBPM procedures should be studied. Greater automation could improve HBPM reliability.
Authors: Raj Padwal; Norm R C Campbell; Michael A Weber; Daniel Lackland; Daichi Shimbo; Xin-Hua Zhang; Aletta E Schutte; Michael Rakotz; Gregory Wozniak; Raymond Townsend; Richard McManus; Kei Asayama; Dean Picone; Jordy Cohen; Tammy Brady; Michael Hecht-Olsen; Christian Delles; Bruce Alpert; Richard Dart; Donald J DiPette; James E Sharman Journal: J Clin Hypertens (Greenwich) Date: 2019-11-19 Impact factor: 3.738
Authors: Paula Am Ogink; Jelske M de Jong; Mats Koeneman; Mariska Weenk; Lucien Jlpg Engelen; Harry van Goor; Tom H van de Belt; Sebastian Jh Bredie Journal: J Med Internet Res Date: 2019-06-19 Impact factor: 5.428
Authors: Raj Padwal; Norm R C Campbell; Aletta E Schutte; Michael Hecht Olsen; Christian Delles; Anthony Etyang; J Kennedy Cruickshank; George Stergiou; Michael K Rakotz; Gregory Wozniak; Marc G Jaffe; Ivor Benjamin; Gianfranco Parati; James E Sharman Journal: J Hypertens Date: 2019-09 Impact factor: 4.844
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