Key result
BP self-monitoring slightly improves medication adherence versus usual care.
Why the study?
Does self-monitoring of blood pressure improve medication adherence and lifestyle factors in ambulatory hypertensive patients?
Population
7,021 ambulatory hypertensive patients from 28 randomized controlled trials
Comparison
Self-monitoring of blood pressure (SMBP) vs Control/usual care
Design
Meta-analysis
Follow-up
2 weeks to 12 months
Authors
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Supports self-monitoring to modestly boost adherence in hypertension care; reinforces meta-analytic evidence for behavioral adjuncts.
Meta-Analysis (n=7,021)
Does self-monitoring of blood pressure improve medication adherence and lifestyle factors in ambulatory hypertensive patients?
Effect estimate: SMD 0.21 (95% CI 0.08, 0.34)
Self-monitoring of blood pressure provides a small but significant improvement in medication adherence and diastolic blood pressure, though evidence for lifestyle changes is lacking.
Fletcher et al. (2015) conducted a meta-analysis in hypertension (n=7,021). Self-monitoring of blood pressure (SMBP) vs. control/usual care was evaluated on medication adherence (SMD 0.21, 95% CI 0.08, 0.34). Self-monitoring of blood pressure demonstrated a small but significant overall effect on medication adherence compared to usual care (standardized mean difference 0.21; 95% CI 0.08, 0.34).
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