What question did this study set out to answer?

The aim is to compare the usability and impact on sleep quality between a wrist-type home blood pressure monitoring device and a conventional upper-arm ambulatory monitoring device.

March 26, 2026Open Access

Wrist-type home blood pressure monitoring device improves usability and preserves sleep quality compared with conventional ambulatory monitoring

Key Result

Wrist-type home blood pressure monitoring showed higher usability (SUS 71.9 vs 52.4) and better sleep quality (VAS 74.6 vs 58.9) than conventional upper-arm ambulatory monitoring.

Key Points

The aim is to compare the usability and impact on sleep quality between a wrist-type home blood pressure monitoring device and a conventional upper-arm ambulatory monitoring device.
Randomized crossover design involving 60 community-dwelling individuals aged 50–80 years
Participants used both wrist-type home blood pressure monitoring and upper-arm ambulatory monitoring
Usability assessed using the System Usability Scale (SUS) and sleep quality using a Visual Analogue Scale (VAS)
HBPM involved three nocturnal measurements across five nights, and ABPM included a single 24-hour monitoring period
HBPM demonstrated higher usability (SUS 71.9 vs 52.4; P < 0.0001)
HBPM resulted in better sleep quality (VAS 74.6 vs 58.9; P < 0.0001)
Nocturnal hypertension detected in 27-39% of participants with HBPM versus 26% with ABPM
Nondipping patterns were present in 7-14% of HBPM users compared to 25% with ABPM
27% of participants without obesity or hypertension were identified as HBPM nondippers on at least one night

Structured PICO

Does a wrist-type home blood pressure monitoring device improve usability and sleep quality compared to conventional upper-arm 24-h ambulatory blood pressure monitoring in community-dwelling adults aged 50-80 years?

Population

Community-dwelling individuals aged 50–80 years (mean age 58, 57% female, 23% hypertensive)

Intervention

Wrist-type home blood pressure monitoring (HBPM) device (Omron HEM-9601T) for five nights

Comparator

Conventional upper-arm 24-h ambulatory blood pressure monitoring (ABPM) device for a single 24-h period

Outcome

Usability (system usability scale [SUS]) and sleep quality (visual analogue scale [VAS])patient reported

Wrist-type home blood pressure monitoring offers a highly usable, patient-centered alternative to conventional 24-hour ABPM with significantly less sleep disruption.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

Objective: To compare usability and impact on sleep quality of a wrist-type home blood pressure monitoring (HBPM) device and a conventional upper-arm 24-h ambulatory blood pressure monitoring (ABPM) device. Methods: In this randomized crossover study, 60 community-dwelling individuals aged 50–80 years from the Reviving Early Detection of cardiovascular disease in the Utrecht Health Project (RED-LRGP) trial underwent wrist-type HBPM (Omron HEM-9601T) and upper-arm ABPM. HBPM included three nocturnal measurements per night (4 h after bedtime, 02 : 00, and 04 : 00) for five nights, with additional morning and evening daytime measurements. ABPM included a single 24-h period with hourly cuff inflations. After each monitoring period, participants completed the system usability scale (SUS) and visual analogue scale (VAS) for sleep quality. Linear mixed-effects models were used to compare usability (SUS) and sleep quality (VAS) between devices. Results: Sixty participants (mean age 58 years, 57% female, 23% hypertensive) completed questionnaires. HBPM showed higher usability (SUS 71.9 versus 52.4; P < 0.0001) and better sleep quality (VAS 74.6 versus 58.9; P < 0.0001) than ABPM. With five nightly HBPM measurements, nocturnal hypertension was detected in 27–39% of participants. This was 26% using single-night ABPM measurement. Nondipping patterns occurred in 7–14% with HBPM versus 25% using ABPM. Sixteen participants without obesity, hypertension, or other relevant comorbidities (27%) were classified as HBPM nondippers on ≥1 night. Conclusions: Wrist-type HBPM, combining multinight automated monitoring with high usability and minimal sleep disruption represents a feasible, patient-centered tool for home-based nocturnal BP assessment that has the potential to capture night-to-night BP variability.