Key result
Self-measured blood pressure monitoring program implementation at 5 health centers faced barriers including insufficient material support, funding, and lack of an off-the-shelf intervention.
Why the study?
Self-measured blood pressure monitoring programs are effective at controlling hypertension, but evaluation of their implementation across health centers was needed.
What are the implementation processes and barriers for self-measured blood pressure monitoring programs at Federally Qualified Health Centers?
Observational
Yes
What are the implementation processes and barriers for self-measured blood pressure monitoring programs at Federally Qualified Health Centers?
Successful implementation of self-measured blood pressure monitoring programs in community health centers requires addressing key barriers related to material support, funding, and standardized interventions.
Supports tailored BPMP implementation in FQHCs; leaves open effects on hypertension control.
Self-measured blood pressure monitoring programs (BPMPs) are effective at controlling hypertension. We examined implementation of self-measured BPMPs at 5 Hawai'i-based Federally Qualified Health Centers (FQHCs). In a process evaluation of these programs, we found that FQHCs developed protocols for self-measured BPMP recruitment and enrollment and provided additional supports to account for their patients' psychosocial needs to achieve blood pressure control, such as lifestyle change education and opportunities through referrals either to on-site or other programs (eg, on-site gym, tobacco cessation program). Common barriers across sites included insufficient material support for blood pressure monitors and data collection; funding, which affects program sustainability; and the lack of an "off-the-shelf" self-measured BPMP intervention. Policy makers and funding organizations should address these issues related to self-measured BPMPs to ensure implementation success.
No takes yet. Share an insight, caveat, or question.
Stupplebeen et al. (2020) conducted an observational in hypertension. Self-measured blood pressure monitoring programs was evaluated. Self-measured blood pressure monitoring program implementation at 5 health centers faced barriers including insufficient material support, funding, and lack of an off-the-shelf intervention.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: