A primary care pragmatic cluster randomized trial of the use of home blood pressure monitoring on blood pressure levels in hypertensive patients with above target blood pressure.

@article{Godwin2010APC,
  title={A primary care pragmatic cluster randomized trial of the use of home blood pressure monitoring on blood pressure levels in hypertensive patients with above target blood pressure.},
  author={Marshall Godwin and Miu Lam and Richard V Birtwhistle and Dianne Delva and Rachelle Seguin and Ian Casson and S Macdonald},
  journal={Family practice},
  year={2010},
  volume={27 2},
  pages={
          135-42
        }
}
BACKGROUND The measurement of blood pressure (BP) at home by patients with hypertension is increasingly used to assess and monitor BP. Evidence for its effectiveness in improving BP control is mixed. METHODS To determine if home BP monitoring improves BP a pragmatic cluster randomized contolled trial was carried out in family practices in southeastern Ontario, Canada. Family practice patients with uncontrolled hypertension were recruited to the trail. Patients were divided into two groups… 
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Background Citations
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Methods Citations
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Results Citations
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32 Citations

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Citation Type

Home blood pressure monitoring with nurse-led telephone support among patients with hypertension and a history of stroke: a community-based randomized controlled trial
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Overall, home monitoring did not improve blood pressure control in patients with hypertension and a history of stroke, and was associated with a fall in systolic pressure in patients who had uncontrolled blood pressure at baseline and those without disability due to stroke.
Is antihypertensive treatment based on home blood pressure recommended rather than that based on office blood pressure in adults with essential hypertension? (meta-analysis)
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Home blood pressure telemonitoring combined with automated self-care support reduced the blood pressure of diabetic patients with uncontrolled systolic hypertension and improved hypertension control and was obtained without the use of more or different antihypertensive medications or additional clinic visits to physicians.
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Self‐blood pressure monitoring is associated with reduced BP, better BP control rate, greater drug adherence, and improved perception of BP by the patients.
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TLDR
Self-measured BP monitoring with or without additional support lowers BP compared with usual care, but the BP effect beyond 12 months and long-term benefits remain uncertain and additional support enhances the BP-lowering effect.
Are stroke patients' reports of home blood pressure readings reliable? Cross-sectional study.
TLDR
This group of elderly stroke patients were able to record their BPs reliably at home and GPs might consider using hypertensive patients' records of home BP monitoring to help guide treatment decisions.
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TLDR
A pharmacist-led, Heart360-supported, home BP monitoring intervention led to greater BP reductions, superior BP control, and higher patient satisfaction than UC.
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TLDR
Self-monitoring alone is not associated with lower BP or better control, but in conjunction with co-interventions leads to clinically significant BP reduction which persists for at least 12 months.
Blood pressure measurement: clinic, home, ambulatory, and beyond.
TLDR
Various methods for evaluating blood pressure and the clinical utility of each type of measurement are outlined, including estimating central aortic pressures and pulse wave velocity are 2 of the newer methods for assessingBlood pressure and hypertension-related target-organ damage.
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