Measure Your Blood Pressure | cdc.gov 8600 Rockville Pike First, a health care professional wraps an inflatable cuff around your arm. Measuring your blood pressure is the only way to know whether you have high blood pressure. and transmitted securely. This video summarizes results from Accelerating Use of Self-measured Blood Pressure Monitoring (SMBP) Through Clinical-Community Care Models article, which discusses a pilot project in nine community health centers across three states to increase the use of SMBP using a collaborative model with health centers, community organizations, and health departments. Blood Pressure Validated Device Listing (VDL), Self-Measurement: How Patients and Care Teams Are Bringing Blood Pressure to Control, An Economic Case for Self-Measured Blood Pressure (SMBP) Monitoring [PDF - 156 KB], Choosing-a-Home-BP-Monitor At-a-Glance-Comparison, Self-Measured Blood Pressure Monitoring: Key Findings from a National Health Information Technology Landscape Analysis, Tools to Establish a Self-Measured BP (SMBP) Monitoring Program, Self-Measured Blood Pressure Monitoring Program: Engaging Patients in Self-Measurement, Oscillometric Blood Pressure Devices Validated for Accuracy During Pregnancy, Target: BP: CME Course: Using SMBP to Diagnose and Manage High Blood Pressure, Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians, Collaborative Care Models for Improving Hypertension Control Through SMBP Monitoring, Accelerating Use of Self-measured Blood Pressure Monitoring (SMBP) Through Clinical-Community Care Models, Self-Measured Blood Pressure Monitoring: Action Steps for Public Health Practitioners, Topline Findings: A National Analysis of Self-Measured Blood Pressure Monitoring Coverage and Reimbursement, CDCs 6|18 Initiative: Accelerating Evidence into Action, Release the Pressure Self-Measured Blood Pressure (SMBP) Training Video, How to Use Your Home Blood Pressure Monitor, Taking Control of My Blood Pressure: DAngelos Story, Taking Control of My Blood Pressure: Natalias Story, How to Measure Your Blood Pressure at Home, The Correct Way to Measure Blood Pressure, How Do We Jump-Start Self-measured Blood Pressure Monitoring in the United States? Read the full Million Hearts Hypertension Control Change Package. Lozano P, Henrikson NB, Morrison CC, Dunn J, Nguyen M, Blasi P, Whitlock EP. %PDF-1.6 % Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. People who have high blood pressure may need to measure their blood pressure more often than people who do not have high blood pressure. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness 5600 Fishers Lane Rockville (MD): Agency for Healthcare Research and Quality (US); 2014 Dec. Report No. You can review and change the way we collect information below. Many studies were of moderate to poor quality and had short followup periods. Possible comparisons between SMBP, SMBP plus additional support, support without SMBP, and usual care. Rockville, MD 20857 dabl Educational Trust: Sphygmomanometers for Self-measurement of Blood Pressure, British Hypertension Society: Blood Pressure Monitors Validated for Home Use, AHRQ Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. National Library of Medicine endstream endobj 294 0 obj <>/Metadata 50 0 R/Names 317 0 R/Outlines 332 0 R/PageMode/UseOutlines/Pages 291 0 R/StructTreeRoot 110 0 R/Type/Catalog/ViewerPreferences<>>> endobj 295 0 obj <>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/StructParents 0/Tabs/S/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 296 0 obj <>stream Collaborative Care Models for Improving Hypertension Control Through SMBP Monitoring Readings by a person can be affected by observer training, preference, and bias. Telephone: (301) 427-1364, Effectiveness of Self-Measured Blood Pressure Monitoring in Adults With Hypertension, https://www.ahrq.gov/evidencenow/heart-health/blood-pressure/smbp-effectiveness.html, AHRQ Publishing and Communications Guidelines, Evidence-based Practice Center (EPC) Reports, Healthcare Cost and Utilization Project (HCUP), AHRQ Quality Indicator Tools for Data Analytics, United States Health Information Knowledgebase (USHIK), AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research, Grant Application, Review & Award Process, Study Sections for Scientific Peer Review, Getting Recognition for Your AHRQ-Funded Study, AHRQ Research Summit on Diagnostic Safety, AHRQ Research Summit on Learning Health Systems, National Action Alliance To Advance Patient Safety, Blood Pressure Control Evidence and Resources, Cholesterol Management Evidence and Resources, Advancing Heart Health Research and Results, U.S. Department of Health & Human Services. Clipboard, Search History, and several other advanced features are temporarily unavailable. No matter your age, you also can take steps each day to help keep your blood pressure in a healthy range. Take your blood pressure at the same time every day. 2011 Jan-Feb;46(1):99-102. doi: 10.4085/1062-6050-46.1.99. hb```f`` & B,@Q+g~ Measurements may interfere with a patient's activity or sleep. In addition, SMBP may carry the risk of unreliable BP readings if not obtained in a standard fashion, inappropriate self adjustments of antihypertensive medications, as well as increased anxiety in susceptible patients. HHS Vulnerability Disclosure, Help Self-Measured Blood Pressure Monitoring Program: Engaging Patients in Self-Measurement [PDF 1.5 MB] 2013 Aug 6;159(3):185-94. doi: 10.7326/0003-4819-159-3-201308060-00008. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2013. Ambulatory BP monitoring requires a technologist to program the machine, fit it on the patient, remove it and download the results and a physician to interpret them. Use this checklist: If you are keeping track of your blood pressure at home, use these additional tips. Content last reviewed August 2018. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. To sign up for updates or to access your subscriberpreferences, please enter your contact information below. This 1-hour continuing medical education (CME) course focuses on the appropriate use of SMBP monitoring in clinical practice and trains physicians, care teams, and other participants who are registered for Target: BP. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. Resource title: Effectiveness of Self-Measured Blood Pressure Monitoring in Adults With Hypertension. For additional assistance, please contact us. Self-measured blood pressure (SMBP) monitoring, the regular measurement of blood pressure (BP) by the patient at home, has been proposed as a means of improving treatment adherence and BP control. Cookies used to make website functionality more relevant to you. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. National Library of Medicine Uhlig K, Patel K, Ip S, Kitsios GD, Balk EM. 1, 2 The TASMINH (Telemonitoring And SelfManagement in the Control of Hypertension) trials demonstrated that SMBP plus support, including telemonitoring (remotely monitoring patients using communication To summarize evidence about the effectiveness of self-measured blood pressure (SMBP) monitoring in adults with hypertension. MeSH This report addresses questions regarding the clinical value of SMBP monitoring with or without additional support and what factors may predict adherence with SMBP monitoring. The cost of a home BP monitor ranges between $40 to $150, and the insurance coverage and approval for these devices vary across states.33 However, provision of the device could be cost-saving if it resulted in a reduced number of office visits for BP measurement or management or resulted in improved BP, which could translate into reduced morbidity and health care utilization. The site is secure. Rockville (MD): Agency for Healthcare Research and Quality (US); 2007. Sit with your back straight and supported (on a dining chair, rather than a sofa). For appropriate diagnosis and therapy, accurate BP measurement is of great importance. SMBP monitoring is also commonly referred to as home blood pressure monitoring. There is insufficient evidence concerning predictors of SMBP adherence. As self-measurement requires patient participation, certain patient characteristics may affect compliance with SMBP monitoring, such as the willingness and ability to self-monitor BP and the technical literacy in operating the device or an interface for telemonitoring. Piper MA, Evans CV, Burda BU, Margolis KL, OConnor E, Smith N, Webber E, Perdue LA, Bigler KD, Whitlock EP. Bethesda, MD 20894, Web Policies endstream endobj startxref Self-measured blood pressure (SMBP) monitoring, sometimes called home blood pressure monitoring, is a patient- performed measurement of their own blood pressure outside of a clinical setting. Before Is immediate imaging important in managing low back pain? This video from NACHC features DAngelo, a patient who explains how he has taken control of his blood pressure with the help of SMBP monitoring. Newer SMBP devices can automatically store readings and some are equipped to electronically transmit readings to a provider. For the purpose of this report, BP measurement by the patient in the office/clinic/pharmacy or a health unit at work is not included under SMBP monitoring since it does not reliably overcome the problem of white coat hypertension nor provide the privacy and opportunity for more frequent measurements of home self measurement. Purpose: To systematically review the trial evidence on the comparative effectiveness of hypertension management with versus without SMBP monitoring, and of different additional support interventions with SMBP. Figure 2. Ann Intern Med. There is insufficient evidence concerning predictors of SMBP adherence. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. The Community Preventive Services Task Force (CPSTF) Recommendations on Self-Measured Blood Pressure Monitoring Interventions Many studies were of moderate to poor quality and had short followup periods. In a comparative effectiveness review supported by the Agency for . A reading that says your blood pressure is lower than it actually is may give you a false sense of security about your health. Centers for Disease Control and Prevention. Self-measured blood pressure (SMBP) has been used in the treatment of hypertension with three major aims: 1) to avoid undertreatment of hypertension 2) to enhance self-participation in disease management and to enhance adherence; and 3) to avoid overtreatment in those with lower BP out of the clinic compared with in the clinic 26 One study estimated that the global prevalence of hypertension in 2000 was 26 percent in the adult population. To systematically review the trial evidence on the comparative effectiveness of hypertension management with versus without SMBP monitoring, and of different additional support interventions with SMBP. 5600 Fishers Lane Self-Measured Blood Pressure Monitoring: Comparative Effectiveness [Internet]. To accelerate SMBP use, the Centers for Disease Control and Prevention (CDC) funded the National . In studies of SMBP monitoring, how does achieving BP control relate to clinical and surrogate outcomes? SMBP monitoring may not be suitable in certain patients, such as those with arrhythmias and ectopic beats, large arm circumferences (as a too-small cuff size may give falsely elevated BP readings), with physical or mental disabilities that interfere with device operation. What is the correct way to measure blood pressure? SMBP plus clinical support interventions should be delivered by a trained healthcare provider, such as a pharmacist or nurse, and include regular communication of patient SMBP readings to providers and a patient-provider feedback loop. Division for Heart Disease and Stroke Prevention. To address comparative effectiveness, we included prospective comparative studies of SMBP with or without additional support versus usual care or an alternative SMBP intervention. Rockville, MD: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services; 2012. Internet Citation: This may facilitate direct communication with a provider via phone call or email and result in shorter turn-around times in responding to a BP reading and thus ultimately to better BP control. Addressing Barriers Beyond the Published Literature, Self-Measured Blood Pressure Monitoring at Home: A Joint Policy Statement From the American Heart Association and American Medical Association, An Opportunity to Better Address Hypertension in Women: Self-Measured Blood Pressure Monitoring, Agency for Healthcare Research and Quality (AHRQ) Self-Measured Blood Pressure Monitoring: Comparative Effectiveness, U.S. Preventive Services Task Force (USPSTF) Final Recommendation Statement: Hypertension in Adults: Screening, Division for Heart Disease and Stroke Prevention, Live to the Beat Campaign Partner Toolkit. Unable to load your collection due to an error, Unable to load your delegates due to an error, Self-Measured Blood Pressure Monitoring: Comparative Effectiveness [Internet]. This website requires cookies, and the limited processing of your personal data in order to function. Saving Lives, Protecting People. Sit correctly. Don't smoke, drink caffeinated beverages or exercise within 30 minutes before measuring your blood pressure. This article outlines high-level SMBP barriers that federal/national partners have encountered and offers potential solutions to achieve widespread SMBP implementation. Self-Measured Blood Pressure Monitoring: Action Steps for Public Health Practitioners [PDF 1 MB] The Evidence-based Practice Center (EPC) reviewed the existing body of evidence on the effects of SMBP on clinical, surrogate, and intermediate outcomes in the management of hypertension. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. The direct and indirect cost of high BP and its complications has been estimated at more than $43.5 billion in 2007 in the U.S.7 Thus, it cannot be viewed simply as an individual health issue given the large public health impact and the potential for cost savings with effective prevention or treatment. Centers for Disease Control and Prevention. AHRQ Publication No. Uhlig K, Balk EM, Patel K, Ip S, Kitsios GD, Obadan NO, et al. Learn the correct way to have your blood pressure taken, whether youre getting it checked at the doctors office or checking it yourself at home. To review the role of self-measured blood pressure (SMBP) monitoring with or without additional support (interventions such as telemonitoring, counseling, education, Web support, behavioral interventions, home visits, etc.) In people with hypertension (adults and children), does self-measured blood pressure (SMBP) monitoring, compared with usual care or other interventions without SMBP, have an effect on clinically important outcomes? Repeated measurements are needed to facilitate accurate classification of patients. Self-Measured Blood Pressure Monitoring: Action Steps for Public Health Practitioners. The gauge uses a unit of measurement called millimeters of mercury (mmHg) to measure the pressure in your blood vessels. This toolkit, developed by the National Association of Community Health Centers (NACHC) for Million Hearts, can help organizations successfully integrate SMBP monitoring into care processes and workflows. Before Purpose Generate prioritized topics for future research on SMBP, building on evidence gaps identified in a prior comparative effectiveness review and following an . Effectiveness of Self-Measured Blood Pressure Monitoring in Adults With These blood pressure monitors are easy and safe to use. Disclaimer. The figure shows a schematic of possible comparisons between SMBP, SMBP plus additional, support without SMBP, and usual care. Show details Contents < Prev Next > Key Informants Susan Booth Project Leader, Personal Care & Wellness Consumer Reports Yonkers, NY Hayden Bosworth, Ph.D. 7 HBPM is also known as self-measured BP. Evidence shows that people with high blood pressure are more likely to lower their blood pressure if they use SMBP combined with support from their health care team than if they dont use SMBP.3. pressure monitoring and refers to the regular use of a Self-measured blood pressure monitoring in the management of hypertension: a systematic review and meta-analysis. Nonpharmacologic Interventions for Treatment-Resistant Depression in Adults. There are also a variety of kiosks available in stores and pharmacies. If you have high blood pressure, talk to your health care team about steps to take to control your blood pressureto lower your risk for heart disease and stroke. Figure 1 shows possible comparisons between SMBP, SMBP plus additional support, support without SMBP, and usual care. Screening for Cognitive Impairment in Older Adults: An Evidence Update for the U.S. Preventive Services Task Force [Internet]. Shareable Handouts and Tools in English and Spanish, steps to take to control your blood pressure, this list of questions to ask your health care team, take steps each day to help keep your blood pressure in a healthy range, Heart disease and stroke statistics-2020 update: a report from the American Heart Association, Sources of inaccuracy in the measurement of adult patients resting blood pressure in clinical settings: A systematic review, National Center for Chronic Disease Prevention and Health Promotion, 5 Surprising Facts About High Blood Pressure, Hypertension Statistical Reports for Health Professionals, Morbidity and Mortality Weekly Reports About Hypertension, Hypertension Resources for Health Professionals, U.S. Department of Health & Human Services. The .gov means its official. This 2020 joint policy statement from the American Heart Association (AHA) and the AMA addresses barriers to implementing SMBP monitoring. Purpose: Lin JS, O'Connor E, Rossom RC, Perdue LA, Burda BU, Thompson M, Eckstrom E. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Nov. Report No. Unauthorized use of these marks is strictly prohibited. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness. Impact of SelfMonitoring of Blood Pressure on Processes of Rockville, MD: Agency for Healthcare Research and Quality. Self-Measured Blood Pressure Monitoring: Comparative Effectiveness [Internet]. List Of Broken Treaties With Native American Tribes, Articles S
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