The Effectiveness of Home Blood Pressure on 24-Hour Blood Pressure Control

A Randomized Controlled Trial

Yendelela Cuffee, Christopher Sciamanna, William Gerin, Erik Lehman, Lindsay Cover, Andrea A. Johnson, Andy Pool, Chengwu Yang

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUND Home blood pressure monitoring (HBPM) is cited as an effective approach for improving blood pressure control. The objective of this study was to determine the effectiveness of HBPM combined with a health education session in reducing blood pressure and improving medication adherence among adults with hypertension. METHODS Two hundred thirteen participants were enrolled in a 3-month study and randomized to receive HBPM or usual care. Participants were also randomized to receive an educational session delivered using a pamphlet or a computer-based program. Topics of the educational session included preventing hypertension, managing weight, staying active, and cutting down on salt and fat. RESULTS At the 3-month follow-up, there was a reduction in ambulatory blood pressure among the HBPM group. However, the differences found within the HBPM group were no greater than those found among the control group. We did not detect a statistically significant difference in adherence to medication when comparing the HBPM to the usual care group. CONCLUSIONS HBPM and educational session did not lower blood pressure or improve medication adherence in our sample. A greater effect may have been seen if coupled with an enhanced educational intervention and if blood pressure measures were shared with the provided. The findings of this study provide useful insights for future HBPM studies.

Original languageEnglish (US)
Pages (from-to)186-192
Number of pages7
JournalAmerican journal of hypertension
Volume32
Issue number2
DOIs
StatePublished - Jan 15 2019

Fingerprint

Ambulatory Blood Pressure Monitoring
Randomized Controlled Trials
Blood Pressure
Medication Adherence
Hypertension
Pamphlets
Health Education
Software
Salts
Fats
Weights and Measures
Control Groups

All Science Journal Classification (ASJC) codes

  • Internal Medicine

Cite this

Cuffee, Yendelela ; Sciamanna, Christopher ; Gerin, William ; Lehman, Erik ; Cover, Lindsay ; Johnson, Andrea A. ; Pool, Andy ; Yang, Chengwu. / The Effectiveness of Home Blood Pressure on 24-Hour Blood Pressure Control : A Randomized Controlled Trial. In: American journal of hypertension. 2019 ; Vol. 32, No. 2. pp. 186-192.
@article{6a661a9f350345dfb896497a4bd5cfae,
title = "The Effectiveness of Home Blood Pressure on 24-Hour Blood Pressure Control: A Randomized Controlled Trial",
abstract = "BACKGROUND Home blood pressure monitoring (HBPM) is cited as an effective approach for improving blood pressure control. The objective of this study was to determine the effectiveness of HBPM combined with a health education session in reducing blood pressure and improving medication adherence among adults with hypertension. METHODS Two hundred thirteen participants were enrolled in a 3-month study and randomized to receive HBPM or usual care. Participants were also randomized to receive an educational session delivered using a pamphlet or a computer-based program. Topics of the educational session included preventing hypertension, managing weight, staying active, and cutting down on salt and fat. RESULTS At the 3-month follow-up, there was a reduction in ambulatory blood pressure among the HBPM group. However, the differences found within the HBPM group were no greater than those found among the control group. We did not detect a statistically significant difference in adherence to medication when comparing the HBPM to the usual care group. CONCLUSIONS HBPM and educational session did not lower blood pressure or improve medication adherence in our sample. A greater effect may have been seen if coupled with an enhanced educational intervention and if blood pressure measures were shared with the provided. The findings of this study provide useful insights for future HBPM studies.",
author = "Yendelela Cuffee and Christopher Sciamanna and William Gerin and Erik Lehman and Lindsay Cover and Johnson, {Andrea A.} and Andy Pool and Chengwu Yang",
year = "2019",
month = "1",
day = "15",
doi = "10.1093/ajh/hpy160",
language = "English (US)",
volume = "32",
pages = "186--192",
journal = "American Journal of Hypertension",
issn = "0895-7061",
publisher = "Oxford University Press",
number = "2",

}

The Effectiveness of Home Blood Pressure on 24-Hour Blood Pressure Control : A Randomized Controlled Trial. / Cuffee, Yendelela; Sciamanna, Christopher; Gerin, William; Lehman, Erik; Cover, Lindsay; Johnson, Andrea A.; Pool, Andy; Yang, Chengwu.

In: American journal of hypertension, Vol. 32, No. 2, 15.01.2019, p. 186-192.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The Effectiveness of Home Blood Pressure on 24-Hour Blood Pressure Control

T2 - A Randomized Controlled Trial

AU - Cuffee, Yendelela

AU - Sciamanna, Christopher

AU - Gerin, William

AU - Lehman, Erik

AU - Cover, Lindsay

AU - Johnson, Andrea A.

AU - Pool, Andy

AU - Yang, Chengwu

PY - 2019/1/15

Y1 - 2019/1/15

N2 - BACKGROUND Home blood pressure monitoring (HBPM) is cited as an effective approach for improving blood pressure control. The objective of this study was to determine the effectiveness of HBPM combined with a health education session in reducing blood pressure and improving medication adherence among adults with hypertension. METHODS Two hundred thirteen participants were enrolled in a 3-month study and randomized to receive HBPM or usual care. Participants were also randomized to receive an educational session delivered using a pamphlet or a computer-based program. Topics of the educational session included preventing hypertension, managing weight, staying active, and cutting down on salt and fat. RESULTS At the 3-month follow-up, there was a reduction in ambulatory blood pressure among the HBPM group. However, the differences found within the HBPM group were no greater than those found among the control group. We did not detect a statistically significant difference in adherence to medication when comparing the HBPM to the usual care group. CONCLUSIONS HBPM and educational session did not lower blood pressure or improve medication adherence in our sample. A greater effect may have been seen if coupled with an enhanced educational intervention and if blood pressure measures were shared with the provided. The findings of this study provide useful insights for future HBPM studies.

AB - BACKGROUND Home blood pressure monitoring (HBPM) is cited as an effective approach for improving blood pressure control. The objective of this study was to determine the effectiveness of HBPM combined with a health education session in reducing blood pressure and improving medication adherence among adults with hypertension. METHODS Two hundred thirteen participants were enrolled in a 3-month study and randomized to receive HBPM or usual care. Participants were also randomized to receive an educational session delivered using a pamphlet or a computer-based program. Topics of the educational session included preventing hypertension, managing weight, staying active, and cutting down on salt and fat. RESULTS At the 3-month follow-up, there was a reduction in ambulatory blood pressure among the HBPM group. However, the differences found within the HBPM group were no greater than those found among the control group. We did not detect a statistically significant difference in adherence to medication when comparing the HBPM to the usual care group. CONCLUSIONS HBPM and educational session did not lower blood pressure or improve medication adherence in our sample. A greater effect may have been seen if coupled with an enhanced educational intervention and if blood pressure measures were shared with the provided. The findings of this study provide useful insights for future HBPM studies.

UR - http://www.scopus.com/inward/record.url?scp=85060061083&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85060061083&partnerID=8YFLogxK

U2 - 10.1093/ajh/hpy160

DO - 10.1093/ajh/hpy160

M3 - Article

VL - 32

SP - 186

EP - 192

JO - American Journal of Hypertension

JF - American Journal of Hypertension

SN - 0895-7061

IS - 2

ER -