Patients' experiences and opinions of home blood pressure measurement

Stroke patients' perceptions of home blood pressure monitoring: a qualitative study

“…However, the study findings are consistent with similar work in the field regarding patient perceptions of self-monitoring, [13][14][15][16] and highlight the importance of the doctor-patient interaction for home monitoring and how patients can feel empowered by this complex intervention, even self-adjusting their medication. One potential bias could be that the interviewer herself is a GP and associated with the main trial.…”

Improving management and effectiveness of home blood pressure monitoring: a qualitative UK primary care study

“…14 The present study also confirms former study findings of a reluctance on the part of patients to communicate with clinicians when an elevated reading is found. 11,14 A perceived lack of interest from health professionals regarding self-monitoring resonates with findings from former studies of older adults, 12 and in studies exploring other parameters for patients with diabetes. 34,35 The present study provides further insight into reasons for the reluctance to share or communicate SMBP results and brings new information to the foreground about the existence of fears about being prescribed more medication, and the relationship with self-monitoring.…”

“…8 There is now clear evidence from clinical trials that self-monitoring leads to clinically significant reductions in BP. 9,10 This is further supported by an increasing body of qualitative evidence showing patients want to understand more about their hypertension [11][12][13][14] and establishes links between self-monitoring and telemonitoring with medication adherence. [15][16][17][18][19] Two UK-based randomised controlled trials with embedded qualitative studies support the utility of self-monitoring, though authors do note that participant selection may also have inclusion bias.…”

“…12 In the UK, outside trials, only one small UK practice-based study describes an efficient communication feedback system, though, even then, patients described insufficient feedback or guidance on normal pressure levels. 11 The present study suggests that patients are not clear about what they hope to gain from self-monitoring, or have any measurable outcomes or schedule for home monitoring. This is at odds with previous results from one of our former studies demonstrating a clear opportunity being missed for selfmonitoring within hypertensive populations.…”

Feasibility of a New Cuffless Device for Ambulatory Blood Pressure Measurement in Patients With Hypertension: Mixed Methods Study (Preprint)

“…[44] Further, it enables physicians to intervene and adjust medication since patients are often not able to interpret the readings of SBP correctly. [45,46] Strengths and weaknesses…”