Home Blood Pressure Monitoring Has Similar Effects on Office Blood Pressure and Medication Compliance as Usual Care
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Background: Home blood pressure monitoring is recommended to achieve controlled blood pressure. This study evaluated home blood pressure monitoring-improvement of office blood pressure control and treatment compliance among hypertensive patients. Methods: A randomized controlled trial was conducted from December 2014 to April 2015. The home blood pressure monitoring group used an automatic blood pressure device along with standard hypertension outpatient care. Patients were seen at baseline and after 2 months. Medication adherence was measured using a novel validated Medication Adherence Scale (MAS) questionnaire. Office blood pressure and MAS were recorded at both visits. The primary outcomes included evaluation of mean office blood pressure and MAS within groups and between groups at baseline and after 2 months. Results: Mean changes in systolic blood pressure (SBP) and diastolic blood pressure (DBP) and MAS differed significantly within groups. The home blood pressure monitoring group showed greater mean changes (SBP 17.6 mm Hg, DBP 9.5 mm Hg, MAS 1.5 vs. SBP 14.3 mm Hg, DBP 6.4 mm Hg, MAS 1.3), while between group comparisons showed no significant differences across all variables. The adjusted mean difference for mean SBP was 4.74 (95% confidence interval [CI], -0.65 to 10.13 mm Hg; P=0.084), mean DBP was 1.41 (95% CI, -2.01 to 4.82 mm Hg; P=0.415), and mean MAS was 0.05 (95% CI, -0.29 to 0.40 mm Hg; P=0.768). Conclusion: Short-term home blood pressure monitoring significantly reduced office blood pressure and improved medication adherence, albeit similarly to standard care.
Abstract
Background: Home blood pressure monitoring is recommended to achieve controlled blood pressure. This study evaluated home blood pressure monitoring-improvement of office blood pressure control and treatment compliance among hypertensive patients. Methods: A randomized controlled trial was conducted from December 2014 to April 2015. The home blood pressure monitoring group used an automatic blood pressure device along with standard hypertension outpatient care. Patients were seen at baseline and after 2 months. Medication adherence was measured using a novel validated Medication Adherence Scale (MAS) questionnaire. Office blood pressure and MAS were recorded at both visits. The primary outcomes included evaluation of mean office blood pressure and MAS within groups and between groups at baseline and after 2 months. Results: Mean changes in systolic blood pressure (SBP) and diastolic blood pressure (DBP) and MAS differed significantly within groups. The home blood pressure monitoring group showed greater mean changes (SBP 17.6 mm Hg, DBP 9.5 mm Hg, MAS 1.5 vs. SBP 14.3 mm Hg, DBP 6.4 mm Hg, MAS 1.3), while between group comparisons showed no significant differences across all variables. The adjusted mean difference for mean SBP was 4.74 (95% confidence interval [CI], -0.65 to 10.13 mm Hg; P=0.084), mean DBP was 1.41 (95% CI, -2.01 to 4.82 mm Hg; P=0.415), and mean MAS was 0.05 (95% CI, -0.29 to 0.40 mm Hg; P=0.768). Conclusion: Short-term home blood pressure monitoring significantly reduced office blood pressure and improved medication adherence, albeit similarly to standard care.
참고문헌 (31)
- Global status report on noncommunicable diseases 2010, "World Health Organization", World Health Organization, ~ (2011)
- National Health and Morbidity Survey 2015: volume II: non-communicable diseases, risk factors & other health problems, "Institute for Public Health", Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, ~ (2015)
- Joffres M, "Hypertension prevalence, awareness, treatment and control in national surveys from England, the USA and Canada, and correlation with stroke and ischaemic heart disease mortality : a cross-sectional study", BMJ Open, 3, pp.e003423~ (2013)
- Ogedegbe G, "A systematic review of the effects of home blood pressure monitoring on medication adherence", J Clin Hypertens(Greenwich), 8, pp.174~180 (2006)
- Pickering TG, "Call to action on use and reimbursement for home blood pressure monitoring : a joint scientific statement from the American Heart Association, American Society of Hypertension, and Preventive Cardiovascular Nurses Association", Hypertension, 52, pp.10~29 (2008)
- World Health Organization, "A global brief on hypertension silent killer, global public health crisis" (2013), World Health Organization
- Parati G, "Why is out-of-office blood pressure measurement needed", Hypertension, 54, pp.181~187 (2009)
- McGrath BP, "Ambulatory blood pressure monitoring", Med J Aust, 176, pp.588~592 (2002)
- Ministry of Health Malaysia, "Clinical practice guidelines: management of hypertension", Malaysian Society of Hypertension, Ministry of Health Malaysia, Academy of Medicine of Malaysia, ~ (2013)
- Beth MR, "A study to assess the knowledge on selfblood pressure monitoring(SBPM)among hypertensive patients in selected wards of Hospital Lam Wah Ee, Malaysia", Int e-J Sci Med Educ, 6, pp.43~45 (2012)
- Stergiou G, "Self monitoring of blood pressure at home", BMJ, 329, pp.870~871 (2004)
- McManus RJ, "Blood pressure self monitoring: questions and answers from a national conference", BMJ, 337, pp.a2732~ (2008)
- Abdullah A, "The influence of self-owned home blood pressure monitoring(HBPM)on primary care patients with hypertension : a qualitative study", BMC Fam Pract, 12, pp.143~ (2011)
- Green BB, "Effectiveness of home blood pressure monitoring, Web communication, and pharmacist care on hypertension control : a randomized controlled trial", JAMA, 299, pp.2857~2867 (2008)
- Logan AG, "Effect of home blood pressure telemonitoring with self-care support on uncontrolled systolic hypertension in diabetics", Hypertension, 60, pp.51~57 (2012)
- Cappuccio FP, "Blood pressure control by home monitoring : meta-analysis of randomised trials", BMJ, 329, pp.145~ (2004)
- Agarwal R, "Role of home blood pressure monitoring in overcoming therapeutic inertia and improving hypertension control : a systematic review and meta-analysis", Hypertension, 57, pp.29~38 (2011)
- Uhlig K, "Self-measured blood pressure monitoring in the management of hypertension : a systematic review and meta-analysis", Ann Intern Med, 159, pp.185~194 (2013)
- Nieuwlaat R, "Interventions for enhancing medication adherence", Cochrane Database Syst Rev, (11), pp.CD000011~ (2014)
- Ramli A, "Medication adherence among hypertensive patients of primary health clinics in Malaysia", Patient Prefer Adherence, 6, pp.613~622 (2012)
- Turki AK, "Elevated blood pressure among patients with hypertension in general hospital of Penang, Malaysia : does poor adherence matter", Int J Pharm Pharm Sci, 2, pp.24~32 (2010)
- NHLBI Working Group, "Management of patient compliance in the treatment of hypertension : report of the NHLBI Working Group", Hypertension, 4, pp.415~423 (1982)
- Fletcher BR, "The effect of self-monitoring of blood pressure on medication adherence and lifestyle factors : a systematic review and meta-analysis", Am J Hypertens, 28, pp.1209~1221 (2015)
- Marquez-Contreras E, "Efficacy of a home blood pressure monitoring programme on therapeutic compliance in hypertension : the EAPACUM-HTA study", J Hypertens, 24, pp.169~175 (2006)
- Kim MT, "Development and testing of the Hill-Bone Compliance to High Blood Pressure Therapy Scale", Prog Cardiovasc Nurs, 15, pp.90~96 (2000)
- Morisky DE, "Concurrent and predictive validity of a self-reported measure of medication adherence", Med Care, 24, pp.67~74 (1986)
- McManus RJ, "Targets and self monitoring in hypertension : randomised controlled trial and cost effectiveness analysis", BMJ, 331, pp.493~ (2005)
- Bosworth HB, "Two self-management interventions to improve hypertension control : a randomized trial", Ann Intern Med, 151, pp.687~695 (2009)
- Lim TO, "The Mentakab hypertension study project : part V : drug compliance in hypertensive patients", Singapore Med J, 33, pp.63~66 (1992)
- Cuspidi C, "Home blood pressure measurement and its relationship with blood pressure control in a large selected hypertensive population", J Hum Hypertens, 18, pp.725~731 (2004)
- McKenney JM, "Impact of an electronic medication compliance aid on long-term blood pressure control", J Clin Pharmacol, 32, pp.277~283 (1992)