Does self-monitoring reduce blood pressure? Meta-analysis with meta-regression of randomized controlled trials

Bray, Emma P; Holder, Roger; Mant, Jonathan; McManus, Richard J

doi:10.3109/07853890.2010.489567

Cited by 212 publications

(129 citation statements)

References 37 publications

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“…8 There is now clear evidence from clinical trials that self-monitoring leads to clinically significant reductions in BP. 9,10 This is further supported by an increasing body of qualitative evidence showing patients want to understand more about their hypertension [11][12][13][14] and establishes links between self-monitoring and telemonitoring with medication adherence. [15][16][17][18][19] Two UK-based randomised controlled trials with embedded qualitative studies support the utility of self-monitoring, though authors do note that participant selection may also have inclusion bias.…”

Section: Introductionmentioning

confidence: 83%

Improving management and effectiveness of home blood pressure monitoring: a qualitative UK primary care study

Grant

Greenfield

Nouwen³

et al. 2015

Br J Gen Pract

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BackgroundSelf-monitoring blood pressure (SMBP) is becoming an increasingly prevalent practice in UK primary care, yet there remains little conceptual understanding of why patients with hypertension engage in self-monitoring. AimTo identify psychological factors or processes prompting the decision to self-monitor blood pressure. Design and settingA qualitative study of patients previously participating in a survey study about SMBP from four general practices in the West Midlands. MethodTaped and transcribed in-depth interviews with 16 patients (6 currently monitoring, 2 used to self-monitor, and 8 had never self-monitored). Thematic analysis was undertaken. ResultsThree main themes emerged: 'self' and 'living with hypertension' described the emotional element of living with an asymptomatic condition; 'self-monitoring behaviour and medication' described overall views about self-monitoring, current practice, reasons for monitoring, and the impact on medication adherence; and 'the GP-patient transaction' described the power relations affecting decisions to self-monitor. Self-monitoring was performed by some as a protective tool against the fears of a silent but serious condition, whereas others self-monitor simply out of curiosity. People who self-monitored tended not to discuss this with their nurse or GP, partly due to perceiving minimal or no interest from their clinician about home monitoring, and partly due to fear of being prescribed additional medication. ConclusionThe decision to self-monitor appeared often to be an individual choice with no schedule or systems to integrate it with other medical care. Better recognition by clinicians that patients are self-monitoring, perhaps utilising the results in shared decision-making, might help integrate it into daily practice. Keywordshypertension; motivation; primary care; qualitative; self-monitoring.

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Section: Introductionmentioning

confidence: 83%

Improving management and effectiveness of home blood pressure monitoring: a qualitative UK primary care study

Grant

Greenfield

Nouwen³

et al. 2015

Br J Gen Pract

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“…В зависимости от системы организации здраво-охранения на местном уровне, многие из последую-щих контактов с пациентов могут выполняться другим медицинским персоналом, например, медицинскими сестрами [674]. У стабильных больных приемлемыми альтернативами являются ДМАД и электронная связь с врачом (смс, электронная почта, социальные сети или автоматизированные способы телекоммуника-ции) [675][676][677]. Тем не менее, рекомендуется оцени-вать факторы риска и бессимптомное поражение орга-нов-мишеней не реже, чем 1 раз в 2 года.…”

Section: лечение гипергликемииunclassified

2013 Esh/Esc Guidelines for the Management of Arterial Hypertension

Mancia

Fagard²,

Redón³

et al. 2014

Russ J Cardiol

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Авторы/члены рабочей группы: Giuseppe Mancia (сопредседатель; италия)*, Robert Fagard (сопредседатель; бельгия)*, Krzysztof Narkiewicz (координатор секции, Польша), Josep Redón (координатор секции; испания), Alberto Zanchetti (координатор секции, италия), Michael Böhm

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“…W zależności od lokalnej organizacji opieki zdrowotnej kolejne wizyty może przeprowadzać na przykład pielęgniarka, a nie koniecznie lekarz [674]. U pacjentów ze stabilnymi wartościami BP możliwą do zaakceptowania alternatywę stanowią również domowe pomiary BP, komunikacja z lekarzem drogą elektroniczną (SMS, e-mail, portale społecznościowe lub automatyczna teletransmisja domowych pomiarów BP) [675][676][677]. Niemniej jednak zaleca się bezpośrednią ocenę czynników ryzyka i powikłań narządowych przynajmniej raz na 2 lata.…”

Section: Leczenie Hiperglikemiiunclassified

Wytyczne ESH/ESC dotyczące postępowania w nadciśnieniu tętniczym w 2013 roku

Mancia

Fagard

Redón³

et al. 2013

Kardiol Pol

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Does self-monitoring reduce blood pressure? Meta-analysis with meta-regression of randomized controlled trials

Abstract: short versionIntroduction: Self monitoring of blood pressure (BP) is an increasingly common part

Cited by 212 publications

References 37 publications

Improving management and effectiveness of home blood pressure monitoring: a qualitative UK primary care study

Improving management and effectiveness of home blood pressure monitoring: a qualitative UK primary care study

2013 Esh/Esc Guidelines for the Management of Arterial Hypertension

Wytyczne ESH/ESC dotyczące postępowania w nadciśnieniu tętniczym w 2013 roku

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