A reading that says your blood pressure is lower than it actually is may give you a false sense of security about your health. Unauthorized use of these marks is strictly prohibited. This website requires cookies, and the limited processing of your personal data in order to function. We standardized extraction by training on multiple articles, after which each study was extracted by one methodologist and the extraction reviewed by at least one other. Release the Pressure Self-Measured Blood Pressure (SMBP) Training Video This SMBP coverage summary from the American Medical Association shows Medicaid coverage by state for automated SMBP blood pressure devices, standalone cuffs, and related clinical services. 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. Agency for Healthcare Research and Quality (AHRQ) Self-Measured Blood Pressure Monitoring: Comparative Effectiveness [PDF 1.2 MB] 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. As self-measurement requires patient participation, certain patient characteristics may affect compliance with SMBP monitoring, such as the willingness and ability to self-monitor BP and the technical literacy in operating the device or an interface for telemonitoring. Uhlig K, Balk EM, Patel K, et al. Measuring your blood pressure is the only way to know whether you have high blood pressure. Self-measured BP (SMBP) monitoring is another option that allows for more frequent measurements, and possibly more accurate readings of a patient's typical BP. Blood Pressure Validated Device Listing (VDL), Self-Measurement: How Patients and Care Teams Are Bringing Blood Pressure to Control, An Economic Case for Self-Measured Blood Pressure (SMBP) Monitoring [PDF - 156 KB], Choosing-a-Home-BP-Monitor At-a-Glance-Comparison, Self-Measured Blood Pressure Monitoring: Key Findings from a National Health Information Technology Landscape Analysis, Tools to Establish a Self-Measured BP (SMBP) Monitoring Program, Self-Measured Blood Pressure Monitoring Program: Engaging Patients in Self-Measurement, Oscillometric Blood Pressure Devices Validated for Accuracy During Pregnancy, Target: BP: CME Course: Using SMBP to Diagnose and Manage High Blood Pressure, Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians, Collaborative Care Models for Improving Hypertension Control Through SMBP Monitoring, Accelerating Use of Self-measured Blood Pressure Monitoring (SMBP) Through Clinical-Community Care Models, Self-Measured Blood Pressure Monitoring: Action Steps for Public Health Practitioners, Topline Findings: A National Analysis of Self-Measured Blood Pressure Monitoring Coverage and Reimbursement, CDCs 6|18 Initiative: Accelerating Evidence into Action, Release the Pressure Self-Measured Blood Pressure (SMBP) Training Video, How to Use Your Home Blood Pressure Monitor, Taking Control of My Blood Pressure: DAngelos Story, Taking Control of My Blood Pressure: Natalias Story, How to Measure Your Blood Pressure at Home, The Correct Way to Measure Blood Pressure, How Do We Jump-Start Self-measured Blood Pressure Monitoring in the United States? AHRQ Publication No. Effective Health Care Program . Talk with your health care team about regularly measuring your blood pressure at home, also called self-measured blood pressure (SMBP) monitoring. High blood pressure usually has no warning signs or symptoms, and many people do not know they have it. Million Hearts Science team, Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, GeorgiaDisclosure: Allison Goldstein, MPH, has disclosed no relevant financial relationships. SMBP requires the use of a home blood pressure measurement device by the patient to measure blood pressure at different points in time. European Associations Review Dietary Therapies for Obesity, AHA Statement Ranks 10 Popular Diets for Heart Health. Unable to load your collection due to an error, Unable to load your delegates due to an error, Self-Measured Blood Pressure Monitoring: Comparative Effectiveness [Internet]. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2013. Lozano P, Henrikson NB, Morrison CC, Dunn J, Nguyen M, Blasi P, Whitlock EP. A 2012 comparative-effectiveness review by the Agency for Healthcare Research and Quality found strong evidence that SMBP plus clinical support was . Telephone: (301) 427-1364, Powered by the Evidence-based Practice Centers. Piper MA, Evans CV, Burda BU, Margolis KL, OConnor E, Smith N, Webber E, Perdue LA, Bigler KD, Whitlock EP. Disclaimer. In addition, ambulatory BP monitoring is often used in research studies as an outcome, since many consider it to be more accurate than clinic-based BP measurement. To determine predictors of adherence with SMBP monitoring. government site. Technically, SMBP monitoring refers to regular measurement by the patient of his or her own BP. Self-Measured Blood Pressure Monitoring: Action Steps for Public Health Practitioners. This resource from the Public Health Informatics Institute provides a checklist of helpful characteristics for SMBP telemonitoring software. official website and that any information you provide is encrypted Readings by a person can be affected by observer training, preference, and bias. Data Synthesis: In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. This report focuses on SMBP monitoring as a strategy to help patients and clinicians to better manage and control hypertension while avoiding under- or overtreatment or treatment-related hypotension. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Support interventions can be delivered outside of a normal office visit -- for example via telephone, email, or Internet portal -- thereby reducing the necessary frequency of face-to-face visits. Purpose Generate prioritized topics for future research on SMBP, building on evidence gaps identified in a prior comparative effectiveness review and following an . CDC twenty four seven. The site is secure. The population of interest is the general population of people with hypertension, excluding pregnant women or those receiving dialysis. Randomized-controlled trials have shown that self-measured blood pressure predicts cardiovascular morbidity and mortality better than office BP measurements. The health care professional then inflates the cuff, which gently tightens on your arm. An Opportunity to Better Address Hypertension in Women: Self-Measured Blood Pressure Monitoring Providers can help with SMBP implementation by promoting SMBP to their hypertensive patients and establishing clinical feedback systems. This 2015 CPSTF systematic review evaluates the effectiveness of using SMBP with additional clinical support to manage high blood pressure and SMBP alone. To determine predictors of adherence with SMBP monitoring. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. This AMAAHA joint initiative can help health care professionals launch an SMBP monitoring program. There is growing evidence that selfmonitoring of blood pressure (SMBP) with guided support beyond usual primary care improves BP control. https://www.ahrq.gov/evidencenow/heart-health/blood-pressure/smbp-effectiveness.html. government site. SMBP monitoring is also commonly referred to as home blood pressure monitoring. Telephone: (301) 427-1364, Effectiveness of Self-Measured Blood Pressure Monitoring in Adults With Hypertension, https://www.ahrq.gov/evidencenow/heart-health/blood-pressure/smbp-effectiveness.html, AHRQ Publishing and Communications Guidelines, Evidence-based Practice Center (EPC) Reports, Healthcare Cost and Utilization Project (HCUP), AHRQ Quality Indicator Tools for Data Analytics, United States Health Information Knowledgebase (USHIK), AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research, Grant Application, Review & Award Process, Study Sections for Scientific Peer Review, Getting Recognition for Your AHRQ-Funded Study, AHRQ Research Summit on Diagnostic Safety, AHRQ Research Summit on Learning Health Systems, National Action Alliance To Advance Patient Safety, Blood Pressure Control Evidence and Resources, Cholesterol Management Evidence and Resources, Advancing Heart Health Research and Results, U.S. Department of Health & Human Services. pressure monitoring and refers to the regular use of a To determine predictors of adherence with SMBP monitoring. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness [Internet]. Before Further debate focuses on the role of additional support needed to enhance adherence with SMBP monitoring and, possibly, achieve the clinical benefit from it. A 2012 comparative-effectiveness review by the Agency for Healthcare Research and Quality found strong evidence that SMBP plus clinical support was more effective than usual care in improving blood pressure control among patients with hypertension. If you are concerned about your blood pressure numbers, talk to your health care team. The .gov means its official. A BP cuff is placed around the upper arm and left in place for approximately 24 hours. Strong scientific evidence shows that self-measured blood pressure (SMBP) monitoring, also known as home blood pressure monitoring, plus clinical support helps people with hypertension lower their blood pressure. These cookies may also be used for advertising purposes by these third parties. You can review and change the way we collect information below. HHSA 290-2007-10055-I.) Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 Jan. Report No. To address comparative effectiveness, we included prospective comparative studies of SMBP with or without additional support versus usual care or an alternative SMBP intervention. John M Eisenberg Center for Clinical Decisions and Communications Science. Self-Measured Blood Pressure Monitoring: Action Steps for Public Health Practitioners. The direct and indirect cost of high BP and its complications has been estimated at more than $43.5 billion in 2007 in the U.S.7 Thus, it cannot be viewed simply as an individual health issue given the large public health impact and the potential for cost savings with effective prevention or treatment. Internet Citation: Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. You've successfully added to your alerts. He has led the Evidence Review Teams for numerous guidelines for management of kidney disease, gynecological surgery, orthopedic surgery, and triaging in resource-poor countries. Lin JS, O'Connor E, Rossom RC, Perdue LA, Burda BU, Thompson M, Eckstrom E. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Nov. Report No. : 12-EHC002-EF. Clinical support includes regular one-on-one counseling, web-based or telephonic support tools, and educational classes. Target: BP: Implement SMBP 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 summary is provided to assist in clinical decisionmaking along with consideration of a patient's values and preferences. The trials were greatly heterogeneous, varying in population, intervention, and outcome measures and definitions. See the resources below for specific recommendations. Uhlig K, Patel K, Ip S, Kitsios GD, Balk EM. An official website of the United States government. Details on design, patients, interventions, outcomes, and quality were extracted into standard forms. FOIA 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. Self-Measured Blood Pressure Monitoring . Division for Heart Disease and Stroke Prevention. 8600 Rockville Pike 2011 Jan-Feb;46(1):99-102. doi: 10.4085/1062-6050-46.1.99. Rockville (MD): Agency for Healthcare Research and Quality (US); 2014 Dec. Report No. Patients are instructed to keep an activity log throughout the testing period for evaluation of stress- and activity-related BP changes. One study estimated that the global prevalence of hypertension in 2000 was 26 percent in the adult population. Internet Citation: 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. Your feet should be flat on the floor and your legs . Please use this form to submit your questions or comments on how to make this article more useful to clinicians. Public Information from the CDC and Medscape. This video from the NACHC features Natalia, a patient who explains how she has taken control of her blood pressure with SMBP monitoring. Murakami L, Rakotz M. Improving health outcomes: Blood pressure. 0 Apr 11, 2011. Telephone: (301) 427-1364, Powered by the Evidence-based Practice Centers, Self-Measured Blood Pressure Monitoring: Comparative Effectiveness, https://effectivehealthcare.ahrq.gov/products/measuring-blood-pressure, Comment on Key Questions and Draft Reports, 25 Years of the AHRQ Evidence-based Practice Center Program, U.S. Department of Health & Human Services.

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