Key result
Home BP telemonitoring reduces morning systolic BP by ~6 mm Hg versus control.
Why the study?
Home blood pressure monitoring in remote locations faces challenges that may be addressed by telemonitoring systems to improve BP control.
Does a home blood pressure telemonitoring system improve BP control and motivation in subjects in a remote location?
RCT (n=60)
Randomized
Does a home blood pressure telemonitoring system improve BP control and motivation in subjects in a remote location?
Absolute Event Rate: -5.5% vs 0.7%
p-value: p=<.001
A home blood pressure telemonitoring system significantly improves blood pressure control and patient motivation in remote geographical locations.
HBP telemonitoring may boost remote adherence and control; hypothesis-generating and requires larger trials before practice change.
The purpose of this study was to assess whether a home blood pressure (HBP) telemonitoring system could improve BP control and overcome the problems of HBP monitoring in a remote location. The authors enrolled 60 subjects and randomized them to either a Telemonitoring group or a Control group. The outcomes were changes in HBP level, adherence to HBP monitoring, and visual analog scale (VAS; score 0-100) as a measure of the motivation to perform HBP measurements. The reductions in morning systolic BP (-5.5 ± 0.9 mm Hg vs 0.7 ± 0.7 mm Hg, P < .001) and evening systolic BP (-4.6 ± 1.0 mm Hg vs 1.0 ± 1.1 mm Hg, P < .001) and the change in VAS (12.8 ± 3.3 vs -1.6 ± 2.2, P = .001) were significantly greater in the Telemonitoring group than in the Control group. The measure of the adherence to HBP monitoring tended to be better (P = .064) in the Telemonitoring group than in the Control group. These results indicate that an HBP telemonitoring system would be a beneficial healthcare measure in remote geographical locations.
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Kaihara et al. (2014) conducted an RCT in Blood pressure control (n=60). Home blood pressure (HBP) telemonitoring system vs. Control group was evaluated on Reduction in morning systolic BP (p=<.001). A home blood pressure telemonitoring system significantly reduced morning systolic BP (-5.5 vs 0.7 mm Hg, P<.001) compared to control in a remote island setting.
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