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).
Integrating Self Blood Pressure Monitoring Into the Routine Management of Uncontrolled Hypertension: Translating Evidence to Practice
Article first published online: 22 JAN 2013
© 2013 Wiley Periodicals, Inc.
The Journal of Clinical Hypertension
Volume 15, Issue 3, pages 180–185, March 2013
How to Cite
Angell, S., Guthartz, S., Dalal, M., Foster, V., Pogue, V., Wei, A., Chamany, S. and Yi, S. (2013), Integrating Self Blood Pressure Monitoring Into the Routine Management of Uncontrolled Hypertension: Translating Evidence to Practice. The Journal of Clinical Hypertension, 15: 180–185. doi: 10.1111/jch.12046
Note: For contact purposes only, Dr. Angell’s affiliation is currently with the Centers for Disease Control and Prevention.
- Issue published online: 4 MAR 2013
- Article first published online: 22 JAN 2013
- Manuscript received: August 20, 2012; revised: October 5, 2012; accepted: October 16, 2012
Vol. 15, Issue 6, 444, Article first published online: 29 APR 2013
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.