Remote Patient Monitoring participation reduced mean systolic blood pressure by 19.38 mmHg after 12 months with 59% retention and high adherence.
Does a Remote Patient Monitoring (RPM) program improve patient engagement, measurement adherence, and systolic blood pressure in adults with hypertension?
Remote Patient Monitoring for hypertension is associated with high patient engagement and clinically meaningful reductions in systolic blood pressure over 12 months.
Abstract Background Remote Patient Monitoring (RPM) programs have been increasingly adopted to support chronic disease management, particularly hypertension. However, real-world evidence describing long-term engagement, adherence, and clinical outcomes remains limited. Objective To evaluate patient engagement, measurement adherence, and changes in systolic blood pressure (SBP) among hypertensive patients enrolled in an RPM program over a 12-month period. Methods This retrospective observational study analyzed de-identified data from 170 adults diagnosed with hypertension (baseline SBP >130 mmHg) who enrolled in an RPM program between May 1, 2021, and July 31, 2021. Home blood pressure readings were transmitted via connected devices to a centralized clinical dashboard reviewed by a primary care team. Engagement, measurement adherence, and longitudinal SBP changes were evaluated over 12 months. Results The mean duration of participation was 11.2 months; 96% of participants were active at 150 days and 59% at 12 months. Measurement adherence was sustained, with an average of 27.77 readings per patient per month at 150 days and 21.64 at 12 months. Among patients completing 12 months of participation, mean SBP decreased by 19.38 mmHg, from 148.69 mmHg at baseline to 129.31 mmHg at 12 months. A majority (81%) achieved a reduction in SBP by 5 months. Reductions were observed early and sustained long term. Conclusions Participation in an RPM program was associated with sustained engagement, high measurement adherence, and clinically meaningful reductions in SBP over 12 months. The magnitude of reduction compares favorably with prior telemonitoring and RPM studies, supporting the potential role of RPM in long-term hypertension management.
Martina Janečková (2023) studied this question. Remote Patient Monitoring participation reduced mean systolic blood pressure by 19.38 mmHg after 12 months with 59% retention and high adherence.