Effects of home blood pressure measurement on long-term BP control

Journal Name: 
Am J Public Health
Authors: 
Stahl,S.M.
Kelley,C.R.
Neill,P.J.
Grim,C.E.
Mamlin,J.
Abstract: 
This research reports level of blood pressure control and ability to maintain newly discovered hypertensives in a municipal hospital setting by use of family- and self-monitored home blood pressure units. Three hundred ninety-six patients were randomized into family- and self- monitored blood pressure groups and a control group. Findings indicate that the use of either self- or family-read cuffs is effective in the first six months of treatment in lowering blood pressures. The data are suggestive of a beneficial effect of the use of cuffs for up to 18 months; however, with additional time in the study, no differences in the level of blood pressure control could be demonstrated between groups. The use of family-monitored blood pressure cuffs produces a lower drop-out rate than does the use of no cuff. The effect on drop outs is substantial for the first year of treatment, but beyond 12 months, the family-read cuff is also more effective than no cuff in reducing drop outs.
7
1984
Volume: 
74
Pages: 
704-9
Keywords: 
1460, blood, Blood Pressure, Blood Pressure Determination: methods, differences, effects, Family, Female, Home Nursing, hospital, Human, Hypertension: therapy, Indiana, Male, Middle Age, Negroid Race, Outcome and Process Assessment (Health Care), patient, Patient Dropouts, Patients, Research, ResNet, Self Care, Support,U.S.Gov't,P.H.S.