You and your health care team can take steps to control your blood pressureif it is too high. In total, 49 studies met eligibility criteria. sharing sensitive information, make sure youre on a federal See the resources below for specific recommendations. How Do We Jump-Start Self-measured Blood Pressure Monitoring in the United States? Careers. This report from the Public Health Informatic Institute provides key findings from a national health information technology assessment on SMBP and identifies gaps, barriers, and recommendations to advance the collection, transfer, and use of patient-generated SMBP data to improve hypertension management. They can help you make a plan to manage high blood pressure. Data Sources: Prior to joining CDC, Allison worked on the Global Polio Eradication Initiative at CARE International where she designed curricula for health workers and conducted evaluation field research on global polio eradication efforts. Limitations: Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. The actual BP measurement can be done either by the patient, or less frequently by a companion, who is usually not a medical professional. Talk with your health care team about regularly measuring your blood pressure at home, also called self-measured blood pressure (SMBP) monitoring. include self-measured blood pressure monitoring (SMBP) plus additional clinical support and empowerment of non-physician clinicians (e.g. Self-Blood Pressure Monitoring in an Urban, Ethnically Diverse There is insufficient evidence concerning predictors of SMBP adherence. Readings by a person can be affected by observer training, preference, and bias. A health care team member can show you how to use one if you need help. Where can I get my blood pressure checked? John M Eisenberg Center for Clinical Decisions and Communications Science. 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 site provides a list of clinically validated blood pressure devices, based on the American Medical Associations (AMA) established criteria to independently validate clinical accuracy. U.S. Preventive Services Task Force (USPSTF) Final Recommendation Statement: Hypertension in Adults: Screening Source:Centers for Disease Control and Prevention. No studies evaluated children. To review the role of self-measured blood pressure (SMBP) monitoring with or without additional support (interventions such as telemonitoring, counseling, education, Web support, behavioral interventions, home visits, etc.) Would you like email updates of new search results? Please enable it to take advantage of the complete set of features! High blood pressure (BP), or hypertension, is a common, long-term health condition, particularly among older adults. official website and that any information you provide is encrypted 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. FOIA To determine predictors of adherence with SMBP monitoring. in the management of hypertension, a systematic review of 49 studies examined the comparative effectiveness and adherence To sign up for updates or to access your subscriberpreferences, please enter your contact information below. Future research should standardize patient inclusion criteria, BP treatment targets for home BP, and SMBP and additional support protocols to maximize the interpretability and applicability of SMBP trials. 5600 Fishers Lane How often should I measure my blood pressure? We also included longitudinal cohort studies in addressing adherence predictors. Would you like email updates of new search results? 315 0 obj <>/Filter/FlateDecode/ID[]/Index[293 51]/Info 292 0 R/Length 113/Prev 421311/Root 294 0 R/Size 344/Type/XRef/W[1 3 1]>>stream Uhlig K, Balk EM, Patel K, Ip S, Kitsios GD, Obadan NO, et al. 5600 Fishers Lane : 12-EHC002-EF. Cookies used to make website functionality more relevant to you. The cuff has a gauge on it that will measure your blood pressure. This report addresses questions regarding the clinical value of SMBP monitoring with or without additional support and what factors may predict adherence with SMBP monitoring. Use this printable and shareable list of questions to ask your health care team to help you manage your blood pressure. Topline Findings: A National Analysis of Self-Measured Blood Pressure Monitoring Coverage and Reimbursement [PDF 1.7 MB] Please confirm that you would like to log out of Medscape. Several national and international hypertension guidelines endorse self-measured BP monitoring. For SMBP alone versus usual care, the strength of evidence is moderate and supports a lower BP with SMBP (SBP/DBP -3.1/-2.0 mmHg at 6 months). 343 0 obj <>stream Hypertension also imposes a heavy financial burden on society at large. Obtaining Adequate Fixation in a Periprosthetic Humerus Fracture Around a Shoulder Arthroplasty Stem in 81-Year-Old Man, ECG Challenge: Irregular Pulse During Cardiology Visit. SMBP means you regularly use a personal blood pressure measurement device away from a doctor's office or hospitalusually at home. Bethesda, MD 20894, Web Policies Progestogens for Prevention of Preterm Birth. High blood pressure usually has no warning signs or symptoms, and many people do not know they have it.