Self-Measured Blood Pressure Monitoring: Comparative Effectiveness Current insurance coverage for SMBP plus clinical support is limited and improvements are planned or are under way. Hello. In: Comparative Effectiveness Review Summary Guides for Clinicians [Internet]. Comparative Effectiveness Review No. 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. Self-Measured Blood Pressure Monitoring: Action Steps for Public Health Practitioners [PDF 1 MB] For SMBP plus additional support versus usual care, the strength of evidence is high and supports a lower BP with SMBP use (SBP/DBP -3.4 to -8.9/-1.9 to -4.4 mmHg) up to 12 months. If you are concerned about your blood pressure numbers, talk to your health care team. These cookies may also be used for advertising purposes by these third parties. 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. The Correct Way to Measure Blood Pressure MeSH 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. Self-Measured Blood Pressure Monitoring - Medscape To sign up for updates or to access your subscriberpreferences, please enter your contact information below. 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. Obtaining Adequate Fixation in a Periprosthetic Humerus Fracture Around a Shoulder Arthroplasty Stem in 81-Year-Old Man, ECG Challenge: Irregular Pulse During Cardiology Visit. Associate Director, Center for Health Services Research in Primary Care Durham Veterans Affairs Medical Center Finally, SMBP may be useful in preventing overtreatment in individuals with white coat syndrome, orthostatic BP changes, or hypotensive episodes from medication. Measure Your Blood Pressure | cdc.gov 0 Data Extraction: official website and that any information you provide is encrypted The .gov means its official. Untreated or ineffectively treated hypertension leads to increased cardiovascular morbidity and mortality in individuals, increased consumption of health care resources, high financial and human costs to society. Telephone: (301) 427-1364, Powered by the Evidence-based Practice Centers. PDF Background Effective Health Care Program - Agency for Healthcare Providers can help with SMBP implementation by promoting SMBP to their hypertensive patients and establishing clinical feedback systems. This site needs JavaScript to work properly. An official website of the Department of Health & Human Services, Internet Citation: government site. Recommended management strategies for BP control include lifestyle and behavior modification (such as smoking cessation, moderation of alcohol consumption, salt restriction and other dietary modifications, regular exercise, and weight loss in obese persons), usually combined with the use of antihypertensive medication. Unauthorized use of these marks is strictly prohibited. There is insufficient evidence concerning predictors of SMBP adherence. They help us to know which pages are the most and least popular and see how visitors move around the site. Self-Measured Blood Pressure Monitoring at Home: A Joint Policy Strategies aimed at the control of high BP as well as adherence to medication continue to be of foremost concern to providers and patients, health care payers, policymakers, and governments worldwide. These blood pressure monitors are easy and safe to use. Given the inconvenience and expense of setting up and using the device, ambulatory BP monitoring is predominantly used to diagnose white coat or masked hypertension, to identify people with abnormal daily BP patters, or to help with management of hard to control or highly variable BP. For SMBP plus additional support versus SMBP alone or with less intense additional support, the strength of evidence is low, failing to support a difference in BP. AHRQ Publication No. 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. Today, as part of the CDC Expert Commentary Series on Medscape, I would like to talk about self-measured blood pressure (SMBP) monitoring plus clinical support as a way to help patients manage their hypertension. Uhlig K, Balk EM, Patel K, Ip S, Kitsios GD, Obadan NO, et al. The .gov means its official. A connected monitor is preprogrammed to regularly record BP, usually every 15 to 20 minutes while awake and every 20 to 30 minutes while asleep. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. %%EOF [1] SMBP monitoring plus clinical support has been found to be effective in helping patients control their blood pressure.[2]. Effectiveness of Self-Measured Blood Pressure Monitoring in - PubMed The CDC 6|18 Initiative supports providing access for SMBP monitoring for home use and creating individual, provider, and health system incentives for compliance and meeting goals. There is no consensus on the precise protocol for SMBP monitoring in the management of hypertension regarding timing, frequency and duration. SMBP monitoring can provide more frequent BP readings and if these are transmitted back to the provider, they can be used for more rapid and frequent adjustments in blood pressure medication to ensure adequate BP control. National Library of Medicine This 2015 CPSTF systematic review evaluates the effectiveness of using SMBP with additional clinical support to manage high blood pressure and SMBP alone. Measurements can be read by a person or provided digitally by a device. This toolkit, developed by the National Association of Community Health Centers (NACHC) for Million Hearts, can help organizations successfully integrate SMBP monitoring into care processes and workflows. Collaborative Care Models for Improving Hypertension Control Through SMBP Monitoring SMBP requires the use of a home blood pressure measurement device by the patient to measure blood pressure at different points in time. To address comparative effectiveness, we included prospective comparative studies of SMBP with or without additional support versus usual care or an alternative SMBP intervention. If using a digital or automatic blood pressure cuff, the health care professional will not need to use a stethoscope. Details on design, patients, interventions, outcomes, and quality were extracted into standard forms. PDF Science In Brief: Home and Online Management and Evaluation of Blood Numerous health professional and government organizations have developed various guidelines for BP management. PDF Self-measured BP monitoring - American Medical Association BP as recorded in the office or clinic setting at medical encounters is the most commonly used approach for measurement of BP. 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. To accelerate SMBP use, the Centers for Disease Control and Prevention (CDC) funded the National . 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? The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 1, 2 The TASMINH (Telemonitoring And SelfManagement in the Control of Hypertension) trials demonstrated that SMBP plus support, including telemonitoring (remotely monitoring patients using communication Ambulatory BP monitoring requires a technologist to program the machine, fit it on the patient, remove it and download the results and a physician to interpret them. 7 HBPM is also known as self-measured BP. These types of minimally intensive approaches are important to test in all populations, especially those experiencing related health disparities, for broad implementation with . Screening for High Blood Pressure in Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force [Internet]. This tool was developed by the National Association of Community Health Centers to help health care professionals compare blood pressure measurement devices from the U.S. Validated Device Listing across device features including cost, available cuff sizes, and data/technology capabilities. To address comparative effectiveness, we included prospective comparative studies of SMBP with or without additional support versus usual care or an alternative SMBP intervention. 12-EHC002-EF. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. 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. Purpose Generate prioritized topics for future research on SMBP, building on evidence gaps identified in a prior comparative effectiveness review and following an . We also included longitudinal cohort studies in addressing adherence predictors. To summarize evidence about the effectiveness of self-measured blood pressure (SMBP) monitoring in adults with hypertension. 5600 Fishers Lane and transmitted securely. 8. This site needs JavaScript to work properly. Careers. Public Information from the CDC and Medscape. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. How to Measure Your Blood Pressure at Home [PDF 255 KB] An official website of the United States government. Home BP monitoring (HBPM) has been utilized for regular monitoring of BP at home to improve HTN control or regulate antihypertensive medications. Introduction. Patients in the intervention group and their providers, received feedback on self-monitored blood pressure results and optional lifestyle advice and motivational support. SMBP CPT Coding [PDF 1 MB] This may facilitate direct communication with a provider via phone call or email and result in shorter turn-around times in responding to a BP reading and thus ultimately to better BP control. MEDLINE, Cochrane Central Register of Controlled Trials, existing systematic and narrative reviews, recent conference proceedings, and the Food and Drug Administration. SMBP Health IT Checklist [PDF 136 KB]
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