Effectiveness of Self-Monitoring Blood Pressure in Primary Care
Objective: To examine the effectiveness of self-monitoring blood pressure (SMBP) in a randomized controlled trial with 12 months of follow-up in a community hospital. Methods: A total of 224 eligible patients with hypertension were randomly allocated to the SMBP (n = 111) and usual care groups (n =...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2016-04-01
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| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/2150131915614069 |
| _version_ | 1828465002687758336 |
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| author | Wichai Aekplakorn Paibul Suriyawongpaisal Rassamee Tansirisithikul Thida Sakulpipat Phikul Charoensuk |
| author_facet | Wichai Aekplakorn Paibul Suriyawongpaisal Rassamee Tansirisithikul Thida Sakulpipat Phikul Charoensuk |
| author_sort | Wichai Aekplakorn |
| collection | DOAJ |
| description | Objective: To examine the effectiveness of self-monitoring blood pressure (SMBP) in a randomized controlled trial with 12 months of follow-up in a community hospital. Methods: A total of 224 eligible patients with hypertension were randomly allocated to the SMBP (n = 111) and usual care groups (n = 113). Each patient in the SMBP group was provided with a blood pressure (BP) monitor for home BP measurement. Mixed model regression was used to compare changes in BP at months 6 and 12 and compare between groups. Results: At month 12, compared with usual care, the SMBP group had average systolic BP decreased by 2.5 mm Hg. The benefit of the SMBP was found in those aged ≥60 years, which significantly decreased by −8.9 mm Hg (95%CI = −15.1 to −2.7) compared with those in the usual care. For individuals aged 60 years and older in the SMBP group, the proportion of those with uncontrolled BP decreased from 90.9% at baseline to 38.2% at month 12 ( P < .05). However, among those aged <60 years, SMBP did not perform better than the usual care group. Conclusion: For primary care setting in urban area, the SMBP resulted in lower BP in the older persons with hypertension at 12 months. Further study on effectiveness of SMBP in other settings may be warranted. |
| first_indexed | 2024-12-11T03:24:24Z |
| format | Article |
| id | doaj.art-d4bea6827d854665abfbff02593ef6f3 |
| institution | Directory Open Access Journal |
| issn | 2150-1319 2150-1327 |
| language | English |
| last_indexed | 2024-12-11T03:24:24Z |
| publishDate | 2016-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj.art-d4bea6827d854665abfbff02593ef6f32022-12-22T01:22:33ZengSAGE PublishingJournal of Primary Care & Community Health2150-13192150-13272016-04-01710.1177/2150131915614069Effectiveness of Self-Monitoring Blood Pressure in Primary CareWichai Aekplakorn0Paibul Suriyawongpaisal1Rassamee Tansirisithikul2Thida Sakulpipat3Phikul Charoensuk4Ramathibodi Hospital, Mahidol University, Bangkok, ThailandRamathibodi Hospital, Mahidol University, Bangkok, ThailandRamathibodi Hospital, Mahidol University, Bangkok, ThailandBangphli Hospital, Samutprakarn, ThailandBangphli Hospital, Samutprakarn, ThailandObjective: To examine the effectiveness of self-monitoring blood pressure (SMBP) in a randomized controlled trial with 12 months of follow-up in a community hospital. Methods: A total of 224 eligible patients with hypertension were randomly allocated to the SMBP (n = 111) and usual care groups (n = 113). Each patient in the SMBP group was provided with a blood pressure (BP) monitor for home BP measurement. Mixed model regression was used to compare changes in BP at months 6 and 12 and compare between groups. Results: At month 12, compared with usual care, the SMBP group had average systolic BP decreased by 2.5 mm Hg. The benefit of the SMBP was found in those aged ≥60 years, which significantly decreased by −8.9 mm Hg (95%CI = −15.1 to −2.7) compared with those in the usual care. For individuals aged 60 years and older in the SMBP group, the proportion of those with uncontrolled BP decreased from 90.9% at baseline to 38.2% at month 12 ( P < .05). However, among those aged <60 years, SMBP did not perform better than the usual care group. Conclusion: For primary care setting in urban area, the SMBP resulted in lower BP in the older persons with hypertension at 12 months. Further study on effectiveness of SMBP in other settings may be warranted.https://doi.org/10.1177/2150131915614069 |
| spellingShingle | Wichai Aekplakorn Paibul Suriyawongpaisal Rassamee Tansirisithikul Thida Sakulpipat Phikul Charoensuk Effectiveness of Self-Monitoring Blood Pressure in Primary Care Journal of Primary Care & Community Health |
| title | Effectiveness of Self-Monitoring Blood Pressure in Primary Care |
| title_full | Effectiveness of Self-Monitoring Blood Pressure in Primary Care |
| title_fullStr | Effectiveness of Self-Monitoring Blood Pressure in Primary Care |
| title_full_unstemmed | Effectiveness of Self-Monitoring Blood Pressure in Primary Care |
| title_short | Effectiveness of Self-Monitoring Blood Pressure in Primary Care |
| title_sort | effectiveness of self monitoring blood pressure in primary care |
| url | https://doi.org/10.1177/2150131915614069 |
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