Adherence to Blood Pressure Telemonitoring in a Cluster-Randomized Clinical Trial
Article first published online: 26 JUL 2012
© 2012 Wiley Periodicals, Inc.
The Journal of Clinical Hypertension
Volume 14, Issue 10, pages 668–674, October 2012
How to Cite
Kerby, T. J., Asche, S. E., Maciosek, M. V., O’Connor, P. J., Sperl-Hillen, J. M. and Margolis, K. L. (2012), Adherence to Blood Pressure Telemonitoring in a Cluster-Randomized Clinical Trial. The Journal of Clinical Hypertension, 14: 668–674. doi: 10.1111/j.1751-7176.2012.00685.x
- Issue published online: 2 OCT 2012
- Article first published online: 26 JUL 2012
- Manuscript received: March 2, 2012; revised: May 29, 2012; accepted: June 2, 2012
J Clin Hypertens (Greenwich). 2012;14:668–674. ©2012 Wiley Periodicals, Inc.
Hypertension is a leading cause of cardiovascular disease and death worldwide. Advances in technology have added telemedicine as a tool for managing hypertension. The effectiveness of telemedicine depends on patients’ ability to adhere to schedules of home monitoring and case management. Participants with uncontrolled hypertension in the intervention arm of a randomized trial who completed 6 months of follow-up were included in this analysis. They were asked to measure their blood pressure (BP) a minimum of 6 times per week using a telemonitor that transmitted the readings to their pharmacist case manager. Hypertensive patients in this study had high adherence to telemonitoring (73% took at least 6 BP readings per week) and phone visits (88% of expected visits were attended). In a multivariate analysis, older age, male sex, and some college education predicted better telemonitoring adherence. White non-Hispanic race/ethnicity predicted better adherence to phone visits with pharmacist case managers. Telemonitoring adherence and phone adherence were highly correlated; participants who did not send readings on schedule were more likely to skip at least one phone visit with their pharmacist case manager. The findings from this analysis indicate that hypertensive patients in this study were able to achieve and maintain high adherence to both the telemonitoring and the phone case management visits.