Topic Initiated. The Evidence-based Practice Center (EPC) reviewed the existing body of evidence on the effects of SMBP on clinical, surrogate, and intermediate outcomes in the management of hypertension. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. That the mean number of BP measurements recorded per week for users who continued recording blood pressure at 6 weeks was 6 compared to 8 among those who continued for at least 14 weeks, demonstrates high levels of engagement with respect to self-measured BP monitoring. OF SELF-MEASURED BLOOD PRESSURE MONITORING INTERVENTIONS CENTERS FOR DISEASE CONTROL AND PREVENTION . Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. 343 0 obj <>stream This website also contains material copyrighted by 3rd parties. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. Data extraction Data on . Measuring your blood pressure is the only way to know whether you have high blood pressure. Self-measured blood pressure (SMBP) has been used in the treatment of hypertension with three major aims: 1) to avoid undertreatment of hypertension 2) to enhance self-participation in disease management and to enhance adherence; and 3) to avoid overtreatment in those with lower BP out of the clinic compared with in the clinic26, SMBP is being used to avoid undertreatment of hypertension. There are also a variety of kiosks available in stores and pharmacies. Self-Measured Blood Pressure Monitoring | Million Hearts Self-Measured Blood Pressure Monitoring: Comparative Effectiveness Document author(s)/institution of origin: Effective Health Care Program, Agency for Healthcare Research and Quality, Internet Citation: Effectiveness of Self-Measured Blood Pressure Monitoring in Adults With Hypertension. SMBP means you regularly use a personal blood pressure measurement device away from a doctors office or hospitalusually at home. Talk with your health care team about regularly measuring your blood pressure at home, also called self-measured blood pressure (SMBP) monitoring. Readings by a person can be affected by observer training, preference, and bias. These cookies may also be used for advertising purposes by these third parties. Ambulatory BP monitoring requires a technologist to program the machine, fit it on the patient, remove it and download the results and a physician to interpret them. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. A 2012 comparative-effectiveness review by the Agency for Healthcare Research and Quality found strong evidence that SMBP plus clinical support was . 1, 2 The TASMINH (Telemonitoring And SelfManagement in the Control of Hypertension) trials demonstrated that SMBP plus support, including telemonitoring (remotely monitoring patients using communication They help us to know which pages are the most and least popular and see how visitors move around the site. Conclusions: Lin JS, O'Connor E, Rossom RC, Perdue LA, Burda BU, Thompson M, Eckstrom E. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Nov. Report No. Finally, SMBP may be useful in preventing overtreatment in individuals with white coat syndrome, orthostatic BP changes, or hypotensive episodes from medication. The primary objective of this review is to evaluate whether the use of SMBP monitoring influences outcomes in adults and children with hypertension and to what extent these changes in outcomes can be attributable to the use of self monitoring devices alone or the use of SMBP with additional support or attention provided. 2012 Feb 15. In addition, SMBP may carry the risk of unreliable BP readings if not obtained in a standard fashion, inappropriate self adjustments of antihypertensive medications, as well as increased anxiety in susceptible patients. The trials were greatly heterogeneous, varying in population, intervention, and outcome measures and definitions. official website and that any information you provide is encrypted 7 HBPM is also known as self-measured BP. What is the correct way to measure blood pressure? E-mail questions about the Forum [email protected]. Effectiveness of Self-Measured Blood Pressure Monitoring in - PubMed This program from the AMA and Johns Hopkins University School of Medicine is designed to help physician offices and health centers engage patients in SMBP monitoring. SMBP requires the use of a home blood pressure measurement device by the patient to measure blood pressure at different points in time. The trials were greatly heterogeneous, varying in population, intervention, and outcome measures and definitions. Nonpharmacologic Interventions for Treatment-Resistant Depression in Adults. You will receive email when new content is published. Self-measured blood pressure monitoring in the management of hypertension: a systematic review and meta-analysis. Patients are instructed to keep an activity log throughout the testing period for evaluation of stress- and activity-related BP changes. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. People using assistive technology may not be able to fully access information in these files. Content last reviewed March 2021. In studies of SMBP monitoring, how does achieving BP control relate to clinical and surrogate outcomes? Saving Lives, Protecting People. However, reviews of evidence should not be construed to represent clinical recommendations or guidelines. This patient-friendly video from NACHC outlines clear instructions for using home blood pressure monitors. Measurements can be read by a person or provided digitally by a device. No studies evaluated children. 45. 5600 Fishers Lane This feature requires the newest version of Flash. The current report evaluates ambulatory BP monitoring only as an outcome measurement tool, not as an intervention of interest. Effective BP control has been shown to decrease incidence for stroke by 35 to 40 percent, myocardial infarction by 20 to 25 percent, and heart failure more than 50 percent.11,12 Systematic reviews have also shown the beneficial effects of lowering BP on reducing fatal and nonfatal stroke, cardiac events, and total among individuals with severe hypertension or at increased risk (such as of older age or with other comorbid risk factors).11,13,14 A decrease of 5 mmHg in systolic BP has been estimated to result in a 14 percent overall reduction in mortality due to stroke, 9 percent reduction in mortality due to chronic heart disease and 7 percent reduction in all-cause mortality.1,15,16 However, long-term adherence to lifestyle modification and medication remains a challenge in the management of hypertension, which is usually a lifelong condition. This list of resources from the Million Hearts Hypertension Control Change Package can help assign care team roles for an SMBP monitoring program and guide patients on selecting a home blood pressure monitor. SMBP Health IT Checklist [PDF 136 KB] : 14-05204-EF-1. The https:// ensures that you are connecting to the Self-Measured Blood Pressure Monitoring: Action Steps for Public Health Practitioners [PDF 1 MB] We also included longitudinal cohort studies in addressing adherence predictors. official website and that any information you provide is encrypted hXio8EIbHr)_cBCq{(1KLL)}]IDb)Pb"VL *&DSK28ijMqXLG:a/^~ vs:?COe+Y1~504ye49ucTSQZGUI+'O+ {EQZu]`^.7t n\B^9~: To summarize evidence about the effectiveness of self-measured blood pressure (SMBP) monitoring in adults with hypertension. What you need to know about self-measured blood pressure monitoring For all comparisons, evidence for clinical outcomes was insufficient; for all other outcomes (surrogate and intermediate outcomes, and health care encounters) strength of evidence was low, thus failing to support a difference. Europe PMC is an archive of life sciences journal literature. 2013 Aug 6;159(3):185-94. doi: 10.7326/0003-4819-159-3-201308060-00008. Strong scientific evidence shows that self-measured blood pressure (SMBP) monitoring, also known as home blood pressure monitoring, plus clinical support helps people with hypertension lower their blood pressure. One study estimated that the global prevalence of hypertension in 2000 was 26 percent in the adult population. This document provides action steps for public health practitioners to facilitate the implementation of SMBP monitoring plus additional support in five key areas: Understanding the environment; Working with payers and purchasers; Working with health care providers; Spreading the word to the public; and Monitoring/assessment of SMBP, plus additional support implementation. Would you like email updates of new search results? Strong scientific evidence shows that self-measured blood pressure (SMBP) monitoring, also known as home blood pressure monitoring, plus clinical support helps people with hypertension lower their blood pressure. Screening for Cognitive Impairment in Older Adults: An Evidence Update for the U.S. Preventive Services Task Force [Internet]. Learn the correct way to have your blood pressure taken, whether youre getting it checked at the doctors office or checking it yourself at home. Research shows that SMBP: Can improve adherence and health outcomes for hypertensive patients1 This site needs JavaScript to work properly. Study Selection: MeSH 45. See the resources below for specific recommendations. Rockville, MD: Agency for Healthcare Research and Quality. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. (Prepared by the Tufts Evidence-based Practice Center under Contract No. Together we can empower patients to take control of their hypertension, thereby reducing their risk for heart attack and stroke. Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians [PDF 947 KB] The full report, listing all studies, is available at www.effectivehealthcare.ahrq.gov/selfmeasuredbp.cfm. Purpose John M Eisenberg Center for Clinical Decisions and Communications Science. Your feet should be flat on the floor and your legs . [1] SMBP monitoring plus clinical support has been found to be effective in helping patients control their blood pressure.[2]. There is no consensus on the precise protocol for SMBP monitoring in the management of hypertension regarding timing, frequency and duration. Resources for Public Health Professionals, Improving Medication Adherence Among Patients with Hypertension, Hypertension Control Challenge Rules and Eligibility, Hypertension Control Champions Success Stories, Hospitals & Health Systems Recognition Program, Spotlight: NYC Health + Hospitals/Metropolitan, Spotlight: The Ohio State University and Wexner Medical Center, Spotlight: New Hanover Regional Medical Center, COVID-19 and Cardiovascular Disease Partner Toolkit, Heart-Healthy Steps Campaign Partner Toolkit, "Live to the Beat" Campaign Partner Toolkit, Self-Measured Blood Pressure (SMBP) Monitoring Implementation Toolkit [PDF - 2 MB], U.S.