Key result
Home blood pressure monitoring use with a physician recommendation was associated with a 3.1/4.5 mm Hg lower mean BP and higher medication adherence (OR 2.9; 95% CI 2.0-4.4).
Why the study?
Hypertension guidelines recommend home blood pressure monitoring (HBPM) to achieve BP control, prompting investigation into whether physician-recommended HBPM use is associated with lower BP and greater medication adherence.
Does physician recommendation and use of home blood pressure monitoring improve blood pressure control and medication adherence in adults with hypertension?
Population
6,320 adults with hypertension in the National Health and Nutrition Examination Survey 2009-2014
Comparison
Provider recommendation for HBPM and HBPM use vs no recommendation or non-use
Design
Cross-sectional survey study
Authors
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Physician HBPM recommendations were associated with better control and adherence; leaves open causal effects and need for prospective trials.
Cross-Sectional (n=6,320)
Yes
Does physician recommendation and use of home blood pressure monitoring improve blood pressure control and medication adherence in adults with hypertension?
Odds Ratio: 2.9 (95% CI 2–4.4)
Physician recommendation for home blood pressure monitoring is associated with increased use, which in turn correlates with lower blood pressure and better medication adherence.
Tang et al. (2020) conducted a cross-sectional in hypertension (n=6,320). Home blood pressure monitoring (HBPM) use with physician recommendation vs. No physician recommendation and/or no HBPM use was evaluated on hypertension medication adherence (OR 2.9, 95% CI 2.0-4.4). Home blood pressure monitoring use with a physician recommendation was associated with a 3.1/4.5 mm Hg lower mean BP and higher medication adherence (OR 2.9; 95% CI 2.0-4.4).
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