PMID: 23922064. 8600 Rockville Pike You will be subject to the destination website's privacy policy when you follow the link. 2012 Mar 19. Technically, SMBP monitoring refers to regular measurement by the patient of his or her own BP. Patients are instructed to keep an activity log throughout the testing period for evaluation of stress- and activity-related BP changes. Don't smoke, drink caffeinated beverages or exercise within 30 minutes before measuring your blood pressure. 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. BP as recorded in the office or clinic setting at medical encounters is the most commonly used approach for measurement of BP. There were 24 comparisons of SMBP alone versus usual care, 24 of SMBP plus additional support versus usual care, 12 of SMBP plus additional support versus SMBP without additional support or with less intense additional support, and 1 study evaluating predictors of adherence to SMBP. The Evidence-based Practice Center (EPC) reviewed the existing body of evidence on the effects of SMBP on clinical, surrogate, and intermediate outcomes in the management of hypertension. People who have high blood pressure may need to measure their blood pressure more often than people who do not have high blood pressure. Self-measured blood pressure monitoring in the management of hypertension: a systematic review and meta-analysis. Topline Findings: A National Analysis of Self-Measured Blood Pressure Monitoring Coverage and Reimbursement [PDF 1.7 MB] We take your privacy seriously. The actual BP measurement can be done either by the patient, or less frequently by a companion, who is usually not a medical professional. Agency for Healthcare Research and Quality (AHRQ) Self-Measured Blood Pressure Monitoring: Comparative Effectiveness [PDF 1.2 MB] Many studies were of moderate to poor quality and had short followup periods. 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. Accessibility We also included longitudinal cohort studies in addressing adherence predictors. Uhlig K, Balk EM, Patel K, et al. This website requires cookies, and the limited processing of your personal data in order to function. : 12-EHC002-EF. Possible comparisons between SMBP, SMBP plus additional support, support without SMBP, and usual care. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. Purpose: To systematically review the trial evidence on the comparative effectiveness of hypertension management with versus without SMBP monitoring, and of different additional support interventions with SMBP. ECG Challenge: What's Causing This Woman's Slow Pulse? Whether or not to advise the use of an SMBP monitoring device for a patient with hypertension is a common clinical question for clinicians. SMBP plus clinical support can improve access to care and quality of care for people with hypertension while making blood pressure control more convenient and accessible across the population. Thank you. A recent CDC study found that 67 million adult Americans have hypertension, and of those, 36 million are uncontrolled. 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? Findings may be used for research purposes, but should not be considered current. Thank you for taking the time to confirm your preferences. Nonpharmacologic Interventions for Treatment-Resistant Depression in Adults. CDC twenty four seven. SMBP monitoring is the regular measurement of blood pressure by the patient outside the clinical setting, either at home or elsewhere. (Prepared by the Tufts Evidence . The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. The current report evaluates ambulatory BP monitoring only as an outcome measurement tool, not as an intervention of interest. AHRQ Publication No. 315 0 obj <>/Filter/FlateDecode/ID[]/Index[293 51]/Info 292 0 R/Length 113/Prev 421311/Root 294 0 R/Size 344/Type/XRef/W[1 3 1]>>stream sharing sensitive information, make sure youre on a federal Taking Control of My Blood Pressure: Natalias Story To determine predictors of adherence with SMBP monitoring. Untreated or ineffectively treated hypertension leads to increased cardiovascular . Page originally created December 2020. 7 HBPM is also known as self-measured BP. Unauthorized use of these marks is strictly prohibited. Share this graphic with family and friends to show them the correct way to measure blood pressure. Source:Centers for Disease Control and Prevention. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2013. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians [PDF 947 KB] This report from the Public Health Informatic Institute provides key findings from a national health information technology assessment on SMBP and identifies gaps, barriers, and recommendations to advance the collection, transfer, and use of patient-generated SMBP data to improve hypertension management. 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. Comparative Effectiveness Review Number 45 Self-Measured Blood Pressure Monitoring: Comparative Effectiveness Executive Summary Background High blood pressure (BP), or hypertension, is a common, long-term health condition, particularly among older adults. Regular BP measurement by visiting nurses or other health care professionals at home is not considered to be SMBP monitoring. To systematically review the trial evidence on the comparative effectiveness of hypertension management with versus without SMBP monitoring, and of different additional support interventions with SMBP. Reliable clinic measurements require an adequate rest period prior to measurement in order to enhance the consistency of BP readings. These types of minimally intensive approaches are important to test in all populations, especially those experiencing related health disparities, for broad implementation with . You can review and change the way we collect information below. High blood pressure usually has no warning signs or symptoms, and many people do not know they have it. hb```f`` & B,@Q+g~ Figure 2. While patient self-participation in chronic disease management appears promising, the sustainability and clinical impact of SMBP remains uncertain. This article presents strategies for strengthening the United States ability to address hypertension in women focusing on pregnancy-related considerations for self-measured blood pressure monitoring. This 2015 CPSTF systematic review evaluates the effectiveness of using SMBP with additional clinical support to manage high blood pressure and SMBP alone. >gL/?eEAV c,1t D~ 8-?x}0 KQUo~TJa&A6@sY(|x D G&pA32^Y|VLEcx 71HbFFhi3"9#+Z~GqESHm,Y-G1. 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. An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. 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. Hypertension often requires lifelong treatment. Repeated measurements are needed to facilitate accurate classification of patients. Hello. To determine predictors of adherence with SMBP monitoring. A health care team member can show you how to use one if you need help. [3] (Figure 1). 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. This video from the NACHC features Natalia, a patient who explains how she has taken control of her blood pressure with SMBP monitoring. A 2012 comparative-effectiveness review by the Agency for Healthcare Research and Quality found strong evidence that SMBP plus clinical support was . Self-Measured Blood Pressure Monitoring . Comparative Effectiveness of Diagnosis and Treatment of Obstructive Sleep Apnea in Adults. Rockville, MD 20857 Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2013. Newer SMBP devices can automatically store readings and some are equipped to electronically transmit readings to a provider. In people with hypertension (adults and children), does self-measured blood pressure (SMBP) monitoring, compared with usual care or other interventions without SMBP, have an effect on clinically important outcomes? government site. Agency for Healthcare Research and Quality, Rockville, MD. Addressing Barriers Beyond the Published Literature Purpose The goals of this report, therefore, are to inform physicians' decision whether to encourage the use of SMBP monitoring alone or along with additional support and to assist health care policymakers and payers with decisions regarding coverage and promotion of SMBP monitoring. How do different devices for SMBP monitoring compare with each other (specifically semiautomatic or automatic versus manual) in their effects on clinical, surrogate, and intermediate outcomes (including SMBP monitoring adherence)? Other factors that can improve accuracy include the use of an appropriately sized cuff and slow cuff deflation. The full report, listing all studies, is available at www.effectivehealthcare.ahrq.gov/selfmeasuredbp.cfm. . Evidence shows that people with high blood pressure are more likely to lower their blood pressure if they use SMBP combined with support from their health care team than if they dont use SMBP.3. SMBP monitoring is the regular measurement of blood pressure by the patient outside the clinical setting, either at home or elsewhere. This site provides a list of clinically validated blood pressure devices, based on the American Medical Associations (AMA) established criteria to independently validate clinical accuracy. sX Ndb`T~ Addressing Barriers Beyond the Published Literature, Self-Measured Blood Pressure Monitoring at Home: A Joint Policy Statement From the American Heart Association and American Medical Association, An Opportunity to Better Address Hypertension in Women: Self-Measured Blood Pressure Monitoring, Agency for Healthcare Research and Quality (AHRQ) Self-Measured Blood Pressure Monitoring: Comparative Effectiveness, U.S. Preventive Services Task Force (USPSTF) Final Recommendation Statement: Hypertension in Adults: Screening, Division for Heart Disease and Stroke Prevention, Live to the Beat Campaign Partner Toolkit. Self-Measured Blood Pressure Monitoring Program: Engaging Patients in Self-Measurement [PDF 1.5 MB] Internet Citation: The Forum convenes online quarterly. 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. PMC Talk with your health care team about regularly measuring your blood pressure at home, also called self-measured blood pressure (SMBP) monitoring. Ann Intern Med. PMC If you are concerned about your blood pressure numbers, talk to your health care team. Thank you for taking the time to confirm your preferences. For appropriate diagnosis and therapy, accurate BP measurement is of great importance. Numerous health professional and government organizations have developed various guidelines for BP management. and transmitted securely. Bethesda, MD 20894, Web Policies 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. Using SMBP to guide you in diagnosing and treating hypertension likely will produce better outcomes than using office blood pressure readings alone. 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. This program from the AMA and Johns Hopkins University School of Medicine is designed to help physician offices and health centers engage patients in SMBP monitoring. This report addresses questions regarding the clinical value of SMBP monitoring with or without additional support and what factors may predict adherence with SMBP monitoring. The cuff has a gauge on it that will measure your blood pressure. Ann Intern Med. Screening for Cognitive Impairment in Older Adults: An Evidence Update for the U.S. Preventive Services Task Force [Internet]. Allison Goldstein, MPH, Europe PMC is an archive of life sciences journal literature. 8600 Rockville Pike Research shows that SMBP: Can improve adherence and health outcomes for hypertensive patients1 No trials compared different SMBP devices or provided evidence on the relationship between BP control and clinical or surrogate outcomes. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. 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. 45. Shareable Handouts and Tools in English and Spanish, steps to take to control your blood pressure, this list of questions to ask your health care team, take steps each day to help keep your blood pressure in a healthy range, Heart disease and stroke statistics-2020 update: a report from the American Heart Association, Sources of inaccuracy in the measurement of adult patients resting blood pressure in clinical settings: A systematic review, National Center for Chronic Disease Prevention and Health Promotion, 5 Surprising Facts About High Blood Pressure, Hypertension Statistical Reports for Health Professionals, Morbidity and Mortality Weekly Reports About Hypertension, Hypertension Resources for Health Professionals, U.S. Department of Health & Human Services. 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. Cookies used to make website functionality more relevant to you. Federal government websites often end in .gov or .mil. SMBP requires the use of a home blood pressure measurement device by the patient to measure blood pressure at different points in time. In that role, she provides scientific expertise to support research translation related to Million Hearts priority strategies. This process is quick and painless. Patients may require some instruction on how to use SMBP devices.30,31. How to Use Your Home Blood Pressure Monitor Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 Jan. (Comparative Effectiveness Reviews, No. To sign up for updates or to access your subscriberpreferences, please enter your email address below. A BP cuff is placed around the upper arm and left in place for approximately 24 hours. Hypertension Medication for Specific Comorbidities, Individualized Weight Monitoring Using the Heartphone, Home Blood Pressure Monitoring in Patients With Hypertension. This includes encouraging the purchase of fully automated, validated home blood pressure monitors with a properly sized arm cuff, training patients in SMBP techniques, checking patients' measurement techniques for accuracy, and interpreting and providing counseling based on shared blood pressure readings. Release the Pressure Self-Measured Blood Pressure (SMBP) Training Video 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. 2012 Sep 21. There is within-individual biological variability as well as measurement error. You and your health care team can take steps to control your blood pressureif it is too high. If using a digital or automatic blood pressure cuff, the health care professional will not need to use a stethoscope. Content last reviewed August 2018. : 14-05204-EF-1. Progestogens for Prevention of Preterm Birth. In otherwise healthy adults, hypertension is defined as a persistently elevated BP equal to or greater than 140/90 mmHg.1 The recommended BP measurement technique is to average two readings taken in a person after 5 minutes quietly seated in chair.1 In children, the diagnosis is made from an average of three or more BP readings greater than the 95th percentile for age, sex, and height.2,3 The Seventh Joint National Committee (JNC 7) guideline recommends a BP goal of 140/90 mmHg or less in the general population and a lower goal of 130/80 mmHg or less in patients with diabetes mellitus or chronic kidney disease.1. Bethesda, MD 20894, Web Policies [1] SMBP monitoring plus clinical support has been found to be effective in helping patients control their blood pressure.[2].
Who Is Mr Empty Tagged,
Ashley Williams Actress Cancer,
Articles S