Integrating Self Blood Pressure Monitoring Into the Routine Management of Uncontrolled Hypertension: Translating Evidence to Practice

Authors

  • Sonia Angell MD,

    1. From the New York City Department of Health and Mental Hygiene, Queens, NY;
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    • Affiliations at time of study: (SA, MD: NYC Department of Health and Mental Hygiene, Queens, NY; VP: Harlem Hospital, Manhattan, NY, and Columbia University, College of Physicians and Surgeons, New York, NY; AW: Mount Sinai School of Medicine, New York, NY, and North General Hospital, New York, NY).

  • Seth Guthartz BA,

    1. From the New York City Department of Health and Mental Hygiene, Queens, NY;
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  • Mehul Dalal MD,

    1. Department of Chronic Disease Prevention and Control, Connecticut Department of Public Health, Hartford, CT;
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    • Affiliations at time of study: (SA, MD: NYC Department of Health and Mental Hygiene, Queens, NY; VP: Harlem Hospital, Manhattan, NY, and Columbia University, College of Physicians and Surgeons, New York, NY; AW: Mount Sinai School of Medicine, New York, NY, and North General Hospital, New York, NY).

  • Victoria Foster MPH,

    1. From the New York City Department of Health and Mental Hygiene, Queens, NY;
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  • Velvie Pogue MD,

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    • Affiliations at time of study: (SA, MD: NYC Department of Health and Mental Hygiene, Queens, NY; VP: Harlem Hospital, Manhattan, NY, and Columbia University, College of Physicians and Surgeons, New York, NY; AW: Mount Sinai School of Medicine, New York, NY, and North General Hospital, New York, NY).

  • Alice Wei MD,

    1. and St. Luke’s Roosevelt Hospital Center, New York Downtown Hospital, New York, NY [Correction added after online publication 22-Jan-2013: The affiliations for Foster and Chamany have been updated.]
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    • Affiliations at time of study: (SA, MD: NYC Department of Health and Mental Hygiene, Queens, NY; VP: Harlem Hospital, Manhattan, NY, and Columbia University, College of Physicians and Surgeons, New York, NY; AW: Mount Sinai School of Medicine, New York, NY, and North General Hospital, New York, NY).

  • Shadi Chamany MD,

    1. From the New York City Department of Health and Mental Hygiene, Queens, NY;
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  • Stella Yi PhD

    1. From the New York City Department of Health and Mental Hygiene, Queens, NY;
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Errata

This article is corrected by:

  1. Errata: Erratum Volume 15, Issue 6, 444, Article first published online: 29 April 2013

  • Note: For contact purposes only, Dr. Angell’s affiliation is currently with the Centers for Disease Control and Prevention.

Seth Guthartz, BA, New York City Department of Health and Mental Hygiene, 42-09 28th Street, CN-22E, Queens, NY 11101
E-mail:sguthart@health.nyc.gov

Abstract

Improving hypertension control is a public health priority and could reduce health disparities. Self blood pressure monitoring (SBPM) is effective but not widely integrated into clinical care. A pragmatic study distributing blood pressure (BP) monitors was conducted to assess its effectiveness in the management of uncontrolled hypertension under conditions consistent with clinic resources. Patients, predominantly black and Hispanic adults from clinics in low-income, medically underserved communities with uncontrolled BP were enrolled. Follow-up assessments were conducted 9 months after enrollment. Approximately half (53%) of the patients had controlled hypertension at follow-up. Systolic and diastolic BP decreased by 18.7 mm Hg and 8.5 mm Hg, respectively, at follow-up. Although attenuated, decreases persisted after adjustment for regression to the mean. Clinicians were supportive of the program, although collecting follow-up data from enrolled patients was a common challenge. The integration of SBPM into routine management of uncontrolled hypertension demonstrated substantial improvements in control. Systems to identify and track patients who are self-monitoring may increase impact. J Clin Hypertens (Greenwich). 2013;00:00–00. ©2013 Wiley Periodicals, Inc.

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