self measured blood pressure monitoring: comparative effectiveness
Data Extraction: OF SELF-MEASURED BLOOD PRESSURE MONITORING INTERVENTIONS CENTERS FOR DISEASE CONTROL AND PREVENTION . I am Allison Goldstein from the Division for Heart Disease and Stroke Prevention at CDC. Regardless of the mode of support delivered, the patient-provider feedback loop is essential. The trials were greatly heterogeneous, varying in population, intervention, and outcome measures and definitions. May 28, 2010. This patient-friendly video from the Release the Pressure Coalition highlights the key steps people can take for accurate SMBP monitoring. Take your blood pressure at the same time every day. Screening for High Blood Pressure in Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force [Internet]. Self-Measured Blood Pressure Monitoring . Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2013. SMBP monitoring may not be suitable in certain patients, such as those with arrhythmias and ectopic beats, large arm circumferences (as a too-small cuff size may give falsely elevated BP readings), with physical or mental disabilities that interfere with device operation. Measure your blood pressure regularly to help your health care team diagnose any health problems early. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. The cost of a home BP monitor ranges between $40 to $150, and the insurance coverage and approval for these devices vary across states.33 However, provision of the device could be cost-saving if it resulted in a reduced number of office visits for BP measurement or management or resulted in improved BP, which could translate into reduced morbidity and health care utilization. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness Updated Hypertension Guidelines: Implications for Treatment? hbbd```b``A$ug`rX|" o/XDLHp0{W$5)"30^` w This resource from the Public Health Informatics Institute provides a checklist of helpful characteristics for SMBP telemonitoring software. These cookies may also be used for advertising purposes by these third parties. Self-measured blood pressure monitoring in the management of hypertension: a systematic review and meta-analysis. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. A reading that says your blood pressure is higher than it actually is may lead to treatment you dont need. Figure 1. PDF Coffee Break 2019: Effectiveness and Economic Evidence of Self-Measured Target: BP: CME Course: Using SMBP to Diagnose and Manage High Blood Pressure Very few trials evaluated objective clinical outcomes. sharing sensitive information, make sure youre on a federal This video from the NACHC features Natalia, a patient who explains how she has taken control of her blood pressure with SMBP monitoring. The current report evaluates ambulatory BP monitoring only as an outcome measurement tool, not as an intervention of interest. The health care professional then inflates the cuff, which gently tightens on your arm. 45. Together we can empower patients to take control of their hypertension, thereby reducing their risk for heart attack and stroke. This 2015 CPSTF systematic review evaluates the effectiveness of using SMBP with additional clinical support to manage high blood pressure and SMBP alone. People who have high blood pressure may need to measure their blood pressure more often than people who do not have high blood pressure. SMBP = self-measured BP; KQ = Key Question The figure shows a schematic of possible comparisons between SMBP, SMBP plus additional, support without (more), In light of the potential health care benefits and knowledge gaps highlighted above, a topic titled Self Blood Pressure Monitoring was developed through the processes of topic identification, selection, and refinement for Comparative Effectiveness Review (CER) within the Agency for Healthcare Research and Quality (AHRQ) Effective Health Care program.34. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. Rockville, MD: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services; 2012. SMBP Coverage Insights: Medicaid [PDF 232 KB] Content last reviewed March 2021. Empty your bladder and ensure at least 5 minutes of quiet rest before measurements. Sit with your back straight and supported (on a dining chair, rather than a sofa). Use this printable and shareable list of questions to ask your health care team to help you manage your blood pressure. 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. sX Ndb`T~ Patients in the intervention group and their providers, received feedback on self-monitored blood pressure results and optional lifestyle advice and motivational support. To increase nationwide implementation of SMBP plus clinical support, multiple issues must be addressed. High blood pressure (BP), or hypertension, is a common, long-term health condition, particularly among older adults. CDC twenty four seven. Unauthorized use of these marks is strictly prohibited. An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. Data Synthesis: Comparative Effectiveness Review No. Federal government websites often end in .gov or .mil. An Opportunity to Better Address Hypertension in Women: Self-Measured Blood Pressure Monitoring Self-blood pressure monitoring, by itself, has been shown to be an effective tool in predominantly white populations, but less studied in minority, urban communities. They can help you make a plan to manage high blood pressure. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness Screening for Cognitive Impairment in Older Adults: An Evidence Update for the U.S. Preventive Services Task Force [Internet]. Rockville, MD 20857 Progestogens for Prevention of Preterm Birth. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness [Internet]. This AMAAHA joint initiative can help health care professionals launch an SMBP monitoring program. Would you like email updates of new search results? A reading that says your blood pressure is lower than it actually is may give you a false sense of security about your health. Untreated or ineffectively treated hypertension leads to increased cardiovascular . FOIA It has been the subject of a 2002 Evidence Practice Center (EPC) Evidence Report.25 A fuller description of ambulatory BP monitoring can be found there. This list of resources from the Million Hearts Hypertension Control Change Package can help assign care team roles for an SMBP monitoring program and guide patients on selecting a home blood pressure monitor. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. To sign up for updates or to access your subscriberpreferences, please enter your contact information below. Data extraction Data on . Neither is there consensus on how many serial measurements should be taken and which ones should be used or averaged to derive an accurate reading. 45.) hXio8EIbHr)_cBCq{(1KLL)}]IDb)Pb"VL *&DSK28ijMqXLG:a/^~ vs:?COe+Y1~504ye49ucTSQZGUI+'O+ {EQZu]`^.7t n\B^9~: Internet Citation: Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. These blood pressure monitors are easy and safe to use. Uhlig K, Patel K, Ip S, Kitsios GD, Balk EM. Rockville, MD 20857 8600 Rockville Pike dabl Educational Trust: Sphygmomanometers for Self-measurement of Blood Pressure, British Hypertension Society: Blood Pressure Monitors Validated for Home Use, AHRQ Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. SMBP Health IT Checklist [PDF 136 KB] 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. Centers for Disease Control and Prevention. Effective Health Care Program . An official website of the United States government. There is within-individual biological variability as well as measurement error. This one-page overview outlines the viability, costs, and returns for implementing an SMBP monitoring program based on Medicare reimbursement.