>gL/?eEAV c,1t D~ 8-?x}0 KQUo~TJa&A6@sY(|x D G&pA32^Y|VLEcx 71HbFFhi3"9#+Z~GqESHm,Y-G1. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. Conclusions: Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. If you are concerned about your blood pressure numbers, talk to your health care team. : 12-EHC002-EF. Choosing-a-Home-BP-Monitor At-a-Glance-Comparison [PDF 446 KB] Rockville (MD): Agency for Healthcare Research and Quality (US); 2016 Aug. Report No. Hypertension often requires lifelong treatment. Clinical support includes regular one-on-one counseling, web-based or telephonic support tools, and educational classes. Details on design, patients, interventions, outcomes, and quality were extracted into standard forms. There is growing evidence that selfmonitoring of blood pressure (SMBP) with guided support beyond usual primary care improves BP control. PDF CER 45 Self-Measured Blood Pressure Monitoring Comparative To address comparative effectiveness, we included prospective comparative studies of SMBP with or without additional support versus usual care or an alternative SMBP intervention. Purpose: To systematically review the trial evidence on the comparative effectiveness of hypertension management with versus without SMBP monitoring, and of different additional support interventions with SMBP. Document author(s)/institution of origin: Effective Health Care Program, Agency for Healthcare Research and . These include ambulatory BP monitoring (ABPM), self monitoring (or self measurement or home based) BP which is usually done by the patient at home, at work, or in any conducive environment. HHSA 290-2007-10055-I.) 45. A 2012 comparative-effectiveness review by the Agency for Healthcare Research and Quality found strong evidence that SMBP plus clinical support was . Nonpharmacologic Interventions for Treatment-Resistant Depression in Adults. Page originally created December 2020. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. This is an official U.S. government web site managed by the Agency for Healthcare Research and Quality, Rockville, MD. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Self-Measured Blood Pressure Monitoring: Comparative Effectiveness The cuff has a gauge on it that will measure your blood pressure. 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. Purpose: 45. Data Sources: You will be subject to the destination website's privacy policy when you follow the link. Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians [PDF 947 KB] Systematic Review: You will be subject to the destination website's privacy policy when you follow the link. For SMBP plus additional support versus SMBP alone or with less intense additional support, the strength of evidence is low, failing to support a difference in BP. In total, 49 studies met eligibility criteria. The https:// ensures that you are connecting to the For additional assistance, please contact us. There is insufficient evidence concerning predictors of SMBP adherence. Evidence shows that people with high blood pressure are more likely to lower their blood pressure if they use SMBP combined with support from their health care team than if they dont use SMBP.3. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. Please enable it to take advantage of the complete set of features! CDC twenty four seven. Thank you for taking the time to confirm your preferences. 0 Sit correctly. 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]. As self-measurement requires patient participation, certain patient characteristics may affect compliance with SMBP monitoring, such as the willingness and ability to self-monitor BP and the technical literacy in operating the device or an interface for telemonitoring. We take your privacy seriously. Thank you for taking the time to confirm your preferences. People who have high blood pressure may need to measure their blood pressure more often than people who do not have high blood pressure. i` V04s7.w`t32Cc( L4M\ES}*vWe+= 4a)\5O)si8hQ[^}.L01>#t7On,c7g K>=}NrMo4;Zj:97MgN1m#6+U6i This report can help policymakers learn more about which payers have programs that cover and reimburse for SMBP monitoring. PDF Science In Brief: Home and Online Management and Evaluation of Blood Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. Today, as part of the CDC Expert Commentary Series on Medscape, I would like to talk about self-measured blood pressure (SMBP) monitoring plus clinical support as a way to help patients manage their hypertension. in the management of hypertension, a systematic review of 49 studies examined the comparative effectiveness and adherence predictors of SMBP monitoring. Tools to Establish a Self-Measured BP (SMBP) Monitoring Program [PDF 2 MB] They help us to know which pages are the most and least popular and see how visitors move around the site. This AMAAHA joint initiative can help health care professionals launch an SMBP monitoring program. How does SMBP monitoring compare with usual care or other interventions without SMBP in its effect on relevant surrogate outcomes (cardiac measures: LVH [left ventricular hypertrophy], LVM [left ventricular mass], LVMI [left ventricular mass index]) and intermediate outcomes (BP control, BP treatment adherence, or health care process measures)? What you need to know about self-measured blood pressure monitoring In a comparative effectiveness review supported by the Agency for . Newer SMBP devices can automatically store readings and some are equipped to electronically transmit readings to a provider. Screening for High Blood Pressure in Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force [Internet]. Resource title: Effectiveness of Self-Measured Blood Pressure Monitoring in Adults With Hypertension Resource description: This research summary of a systematic review compares the effectiveness of various methods and approaches to blood pressure measurement by patients or companions. AHRQ Publication No. In total, 49 studies met eligibility criteria. This review does not explore the validity, reproducibility, or comparability of BP measurements across devices or techniques (which was addressed by the 2002 EPC report25), or the use of SMBP as a diagnostic tool. Million Hearts Science team, Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, GeorgiaDisclosure: Allison Goldstein, MPH, has disclosed no relevant financial relationships. Purpose Telephone: (301) 427-1364, Powered by the Evidence-based Practice Centers, Self-Measured Blood Pressure Monitoring: Comparative Effectiveness, https://effectivehealthcare.ahrq.gov/products/measuring-blood-pressure, Comment on Key Questions and Draft Reports, 25 Years of the AHRQ Evidence-based Practice Center Program, U.S. Department of Health & Human Services. Allison Goldstein, MPH, How can I measure my blood pressure at home? E-mail questions about the Forum toMillionHeartsSMBP@nachc.com. An official website of the United States government. 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. Together we can empower patients to take control of their hypertension, thereby reducing their risk for heart attack and stroke. Hypertension often requires lifelong treatment. sX Ndb`T~ Self-Blood Pressure Monitoring in an Urban, Ethnically Diverse Data Synthesis: SMBP measurements can be obtained from the upper arm, wrist, or fingers (or, if necessary, the lower extremity); however, experts recommend the use of upper arm devices due to the lack of validation and the high number of inaccurate measurements from the wrist and finger devices.26-28 Models for SMBP devices range from mechanical aneroid gauges (sphygmomanometers), which require self-inflation and auscultation (manual devices), to manually-inflated sphygmomanometers with automatic displays (semiautomated devices), to fully automated configurations that automatically inflate the sphygmomanometer and measure the BP (automated devices). SMBP = self-measured BP; KQ = Key Question. 45.) [3] (Figure 2). PDF Background Effective Health Care Program - Agency for Healthcare National Library of Medicine Technically, SMBP monitoring refers to regular measurement by the patient of his or her own BP. SMBP monitoring can provide more frequent BP readings and if these are transmitted back to the provider, they can be used for more rapid and frequent adjustments in blood pressure medication to ensure adequate BP control. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. By using the site you are agreeing to this as outlined in our privacy notice and cookie policy. Thank you. The health care professional will slowly let air out of the cuff while listening to your pulse with a stethoscope and watching the gauge. Comparative Effectiveness Review Number 45 Self-Measured Blood Pressure Monitoring: Comparative Effectiveness Executive Summary Background High blood pressure (BP), or hypertension, is a common, long-term health condition, particularly among older adults. Talk with your health care team about regularly measuring your blood pressure at home, also called self-measured blood pressure (SMBP) monitoring. Uhlig K, Patel K, Ip S, Kitsios GD, Balk EM. Kallioinen N, Hill A, Horswill MS, Ward HE, Watson MO. With training, additional support and treatment algorithms, patients may be able to self adjust medications based on SMBP results. Strategies aimed at the control of high BP as well as adherence to medication continue to be of foremost concern to providers and patients, health care payers, policymakers, and governments worldwide. Background: Take this form [PDF 105 KB]with you on your first blood pressure visit to record important blood pressure-related information. Content last reviewed August 2018. Addressing Barriers Beyond the Published Literature Given clinical heterogeneity and limited head to head comparisons, the evidence limits our ability to draw definitive conclusions about the incremental effect of any specific additional support. Self-measured blood pressure (SMBP) monitoring, the regular measurement of blood pressure (BP) by the patient at home, has been proposed as a means of improving treatment adherence and BP control. Balk, Ethan - Brown University Home BP monitoring (HBPM) has been utilized for regular monitoring of BP at home to improve HTN control or regulate antihypertensive medications. Blood Pressure Validated Device Listing (VDL), Self-Measurement: How Patients and Care Teams Are Bringing Blood Pressure to Control, An Economic Case for Self-Measured Blood Pressure (SMBP) Monitoring [PDF - 156 KB], Choosing-a-Home-BP-Monitor At-a-Glance-Comparison, Self-Measured Blood Pressure Monitoring: Key Findings from a National Health Information Technology Landscape Analysis, Tools to Establish a Self-Measured BP (SMBP) Monitoring Program, Self-Measured Blood Pressure Monitoring Program: Engaging Patients in Self-Measurement, Oscillometric Blood Pressure Devices Validated for Accuracy During Pregnancy, Target: BP: CME Course: Using SMBP to Diagnose and Manage High Blood Pressure, Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians, Collaborative Care Models for Improving Hypertension Control Through SMBP Monitoring, Accelerating Use of Self-measured Blood Pressure Monitoring (SMBP) Through Clinical-Community Care Models, Self-Measured Blood Pressure Monitoring: Action Steps for Public Health Practitioners, Topline Findings: A National Analysis of Self-Measured Blood Pressure Monitoring Coverage and Reimbursement, CDCs 6|18 Initiative: Accelerating Evidence into Action, Release the Pressure Self-Measured Blood Pressure (SMBP) Training Video, How to Use Your Home Blood Pressure Monitor, Taking Control of My Blood Pressure: DAngelos Story, Taking Control of My Blood Pressure: Natalias Story, How to Measure Your Blood Pressure at Home, The Correct Way to Measure Blood Pressure, How Do We Jump-Start Self-measured Blood Pressure Monitoring in the United States? Content last reviewed March 2021. Rockville, MD 20857 Given clinical heterogeneity and limited head to head comparisons, the evidence limits our ability to draw definitive conclusions about the incremental effect of any specific additional support.
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