Self-blood pressure monitoring in an urban, ethnically diverse population: a randomized clinical trial utilizing the electronic health record

Circulation. Cardiovascular Quality and Outcomes
Stella YiShadi Chamany

Abstract

Hypertension is a leading risk factor for cardiovascular disease. Although control rates have improved over time, racial/ethnic disparities in hypertension control persist. 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. These types of minimally intensive approaches are important to test in all populations, especially those experiencing related health disparities, for broad implementation with limited resources. The New York City Health Department in partnership with community clinic networks implemented a randomized clinical trial (n=900, 450 per arm) to investigate the effectiveness of self-blood pressure monitoring in medically underserved and largely black and Hispanic participants. Intervention participants received a home blood pressure monitor and training on use, whereas control participants received usual care. After 9 months, systolic blood pressure decreased (intervention, 14.7 mm Hg; control, 14.1 mm Hg; P=0.70). Similar results were observed when incorporating longitudinal data and calculating a mean slope over time. Control was achieved in 38.9% of intervention and 39.1% of control participants at...Continue Reading

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Citations

Feb 15, 2018·The New England Journal of Medicine·Sandra J Taler
May 22, 2018·Current Opinion in Cardiology·Mohamed AyanPatrick T Campbell
Jan 5, 2019·The Journal of Clinical Hypertension·Robert J FortunaHoward Beckman
Aug 1, 2019·The Journal of Clinical Endocrinology and Metabolism·James L RosenzweigBruno L Vergès
Sep 19, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Woo Seok ChoiJae-Suk Yang
Dec 20, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Woo Seok ChoiJae-Suk Yang
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May 12, 2020·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Linda SanftenbergMartin Offenbächer

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