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https://www.ahrq.gov/evidencenow/heart-health/blood-pressure/smbp-effectiveness.html. 293 0 obj <> endobj 5600 Fishers Lane This document provides action steps for public health practitioners to facilitate the implementation of SMBP monitoring plus additional support in five key areas: Understanding the environment; Working with payers and purchasers; Working with health care providers; Spreading the word to the public; and Monitoring/assessment of SMBP, plus additional support implementation. 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. Where can I get my blood pressure checked? Patient-provider feedback loop.Source:Centers for Disease Control and Prevention. pressure monitoring and refers to the regular use of a The primary objective of this review is to evaluate whether the use of SMBP monitoring influences outcomes in adults and children with hypertension and to what extent these changes in outcomes can be attributable to the use of self monitoring devices alone or the use of SMBP with additional support or attention provided. 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. pharmacists and nurse practitioners) to manage patients' HBP (Figure 1). Self-Measured Blood Pressure Monitoring: Comparative Effectiveness In total, 49 studies met eligibility criteria. Readings by a person can be affected by observer training, preference, and bias. Please use this form to submit your questions or comments on how to make this article more useful to clinicians. This website requires cookies, and the limited processing of your personal data in order to function. Patient-provider feedback loop with clinical support for SMBP monitoring. You've successfully added to your alerts. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. 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 site needs JavaScript to work properly. The cuff has a gauge on it that will measure your blood pressure. 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. For example, terminal digit preference (i.e., preference for 0, 5, and even numbers) and single number preference (i.e., preference for specific values such as 130/80 or 140/90 mmHg) can lead to inaccuracies in measurement readings and variability across observers.17,18 This can be prevented when machines provide readings automatically. 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. If you log out, you will be required to enter your username and password the next time you visit. Self-measured blood pressure (SMBP) monitoring, sometimes called home blood pressure monitoring, is a patient- performed measurement of their own blood pressure outside of a clinical setting.