Effective Health Care Program . SMBP plus clinical support can improve access to care and quality of care for people with hypertension while making blood pressure control more convenient and accessible across the population. This site needs JavaScript to work properly. Document author(s)/institution of origin: Effective Health Care Program, Agency for Healthcare Research and Quality, Internet Citation: Effectiveness of Self-Measured Blood Pressure Monitoring in Adults With Hypertension. They can help you make a plan to manage high blood pressure. The current report evaluates ambulatory BP monitoring only as an outcome measurement tool, not as an intervention of interest. Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 Jan. (Comparative Effectiveness Reviews, No. Take this form [PDF 105 KB]with you on your first blood pressure visit to record important blood pressure-related information. The Forum convenes online quarterly. No trials compared different SMBP devices or provided evidence on the relationship between BP control and clinical or surrogate outcomes. 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. This report can help policymakers learn more about which payers have programs that cover and reimburse for SMBP monitoring. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. 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. How do health care professionals measure my blood pressure? 45. Disclaimer. and transmitted securely. 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. Details on design, patients, interventions, outcomes, and quality were extracted into standard forms. 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). This graphic from Target: BP demonstrates how to prepare for a blood pressure reading, the correct position to take your own blood pressure, and how to measure it. Use this list of questions to ask your health care team [PDF 173 KB]to help you manage your blood pressure. Research shows that SMBP: Can improve adherence and health outcomes for hypertensive patients1 SMBP means you regularly use a personal blood pressure measurement device away from a doctor's office or hospitalusually at home. This process is quick and painless. Where can I get my blood pressure checked? SMBP requires the use of a home blood pressure measurement device by the patient to measure blood pressure at different points in time. The trials were greatly heterogeneous, varying in population, intervention, and outcome measures and definitions. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. Content last reviewed March 2021. 2011 Aug 8. FOIA If you log out, you will be required to enter your username and password the next time you visit. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. By using the site you are agreeing to this as outlined in our privacy notice and cookie policy. PMC This one-page overview outlines the viability, costs, and returns for implementing an SMBP monitoring program based on Medicare reimbursement. The site is secure. Self-Measured Blood Pressure Monitoring at Home: A Joint Policy Statement From the American Heart Association and American Medical Association For SMBP plus additional support versus usual care, the strength of evidence is high and supports a lower BP with SMBP use (SBP/DBP -3.4 to -8.9/-1.9 to -4.4 mmHg) up to 12 months. More broadly, though, it is the regular use of a BP measurement device that is owned by (or lent to) the patient to be used outside the office/clinic setting. is a member of the Million Hearts Science team with the Centers for Disease Control and Prevention (CDC) Division for Heart Disease and Stroke Prevention. Target: BP: CME Course: Using SMBP to Diagnose and Manage High Blood Pressure European Associations Review Dietary Therapies for Obesity, AHA Statement Ranks 10 Popular Diets for Heart Health. 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. Please enable it to take advantage of the complete set of features! How can I measure my blood pressure at home? In studies of SMBP monitoring, how does achieving BP control relate to clinical and surrogate outcomes? You and your health care team can take steps to control your blood pressureif it is too high. Use this tool to keep track of your blood pressure measurements at home. This video from NACHC features DAngelo, a patient who explains how he has taken control of his blood pressure with the help of SMBP monitoring. A recent CDC study found that 67 million adult Americans have hypertension, and of those, 36 million are uncontrolled. This table from a 2021 Current Atherosclerosis Reports journal article features oscillometric blood pressure devices validated for accuracy during pregnancy. A 2012 comparative-effectiveness review by the Agency for Healthcare Research and Quality found strong evidence that SMBP plus clinical support was . Thank you for taking the time to confirm your preferences. What is the correct way to measure blood pressure? 45. 8600 Rockville Pike Other factors that can improve accuracy include the use of an appropriately sized cuff and slow cuff deflation. There is no consensus on the precise protocol for SMBP monitoring in the management of hypertension regarding timing, frequency and duration. The Correct Way to Measure Blood Pressure Regular BP measurement by visiting nurses or other health care professionals at home is not considered to be SMBP monitoring. 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. 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. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. : 14-05198-EF-1. SMBP monitoring is the regular measurement of blood pressure by the patient outside the clinical setting, either at home or elsewhere. 0 There are two BP monitoring strategies that can currently be used at home: Ambulatory and SMBP monitoring. However, even when measured according to established guidelines, clinic BP measurements have several limitations. Why do I need to measure my blood pressure? John M. Eisenberg Center for Clinical Decisions and Communications Science. Uhlig K, Patel K, Ip S, Kitsios GD, Balk EM. Untreated or ineffectively treated hypertension leads to increased cardiovascular morbidity and mortality in individuals, increased consumption of health care resources, high financial and human costs to society. Self-measured blood pressure monitoring (SMBP), the regular measurement of blood pressure by a patient outside the clinical setting, plus additional support, is a proven, cost-effective but underutilized strategy to improve hypertension outcomes. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Effective Health Care Program, Agency for Healthcare Research and Quality, Rockville, MD. U.S. Preventive Services Task Force (USPSTF) Final Recommendation Statement: Hypertension in Adults: Screening Unauthorized use of these marks is strictly prohibited. There is growing evidence that selfmonitoring of blood pressure (SMBP) with guided support beyond usual primary care improves BP control. These blood pressure monitors are easy and safe to use. It predicted a rise by 24 percent in developed countries and 80 percent in developing countries by 2025.4 The World Health Report 2002 estimates that over 1 billion people have hypertension, which is estimated to cause 4.5 percent of the global disease burden.5 In addition, high BP directly results in 7 million deaths annually.6 Within the United States, about 76.4 million adults are affected.7 Data from the National Health and Nutrition Examination Surveys (NHANES) from 1999 to 2008 indicated that 30 percent of all adults in the U.S. 18 years and older were hypertensive, with a higher prevalence among African Americans and the elderly.8 The prevalence of verified hypertension in children is more than 3 percent.2 A study from 2002 reported a lifetime risk of developing hypertension among adults aged 55 to 65 years in the U.S. as greater than 90 percent.9 Despite improvements in the quality of health care and life expectancy, it is expected that the prevalence of hypertension will continue to rise as the population ages. To increase nationwide implementation of SMBP plus clinical support, multiple issues must be addressed. Sit correctly. Self-Measured Blood Pressure Monitoring Definition and Indications SMBP plus additional clinical support is one alternative to traditional oce care that could improve access to care and quality of care for individuals with hypertension while making blood pressure control more convenient and accessible across the population. Rockville, MD 20857 Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians [PDF 947 KB] For additional assistance, please contact us. https://effectivehealthcare.ahrq.gov/products/measuring-blood-pressure/research. Show details Contents < Prev Next > Key Informants Susan Booth Project Leader, Personal Care & Wellness Consumer Reports Yonkers, NY Hayden Bosworth, Ph.D. High blood pressure (BP), or hypertension, is a common, long-term health condition, particularly among older adults. An Opportunity to Better Address Hypertension in Women: Self-Measured Blood Pressure Monitoring SMBP plus clinical support interventions should be delivered by a trained healthcare provider, such as a pharmacist or nurse, and include regular communication of patient SMBP readings to providers and a patient-provider feedback loop. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. Learn the correct way to have your blood pressure taken, whether youre getting it checked at the doctors office or checking it yourself at home. MeSH Take this form with you to your doctors office to record important blood pressure-related information. Tools to Establish a Self-Measured BP (SMBP) Monitoring Program [PDF 2 MB] 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).

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