Key result
Home blood pressure monitoring alone is insufficient to achieve long-term changes in hypertension control among African American patients, with most studies showing no significant difference versus usual care.
Why the study?
African Americans are disproportionately affected by hypertension, but few studies have evaluated the effectiveness of home blood pressure monitoring specifically in this population.
Does home blood pressure monitoring (HBPM) reduce blood pressure in African American patients with poorly controlled hypertension?
Does home blood pressure monitoring (HBPM) reduce blood pressure in African American patients with poorly controlled hypertension?
Current evidence is insufficient to show that home blood pressure monitoring alone significantly improves long-term blood pressure control in African American patients compared to usual care, largely due to study design limitations and co-interventions.
Do not rely on standalone HBPM for long-term control in African Americans; leaves open dedicated trials isolating its effect amid co-interventions.
African Americans are disproportionately affected by hypertension, a modifiable contributor to multiple chronic diseases and premature death. Primary care physicians play an important role in hypertension control. Home blood pressure monitoring (HBPM) is an evidence-based method for confirming diagnosis and monitoring hypertension over time. Some studies have found that HBPM may lead to clinically relevant reductions in blood pressure when combined with additional interventions, but few studies have focused specifically on African American populations. Evidence of effectiveness could increase clinical recommendation of HBPM. This clinical inquiry examined whether HBPM improves blood pressure control in African Americans with uncontrolled hypertension. Reviewed studies included 4 randomized controlled trials and 2 comparative research studies. Because these studies often were coupled with various co-interventions, ascertaining the independent effects of HBPM was difficult. When examining reviews of HBPM without a co-intervention and conducted independent of race, HBPM alone was insufficient to achieve long-term changes in hypertension control. More research focused on African Americans, with use of control groups, is needed to determine the true role for HBPM in controlling hypertension in this at-risk patient population.
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Nye et al. (2022) conducted a review in Uncontrolled hypertension. Home blood pressure monitoring (HBPM) vs. Usual care was evaluated on Blood pressure reduction. Home blood pressure monitoring alone is insufficient to achieve long-term changes in hypertension control among African American patients, with most studies showing no significant difference versus usual care.
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