Home blood pressure monitoring (HBPM) effect on office blood pressure and medication adherence among hypertensive patients attending primary care clinic in university hospital
Year: 2017
Type: dissertation
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: Introduction: \nHBPM usage is increasingly popular nowadays and it is widely recommended \nby local and international guideline as part of the hypertensive care. \nObjectives: \nTo evaluate HBPM effect on office BP and medication adherence among \nhypertensive patients attending primary care clinic in university hospital \nMethods: \nA randomized controlled trial was conducted from December 2014 to April \n2015, involving 88 patients, allocated to either HBPM group or control group. \nMedication adherence was measured by a validated new Medication Adherence \nScore (MAS) questionnaire. Patients were seen at baseline and two months \nafter intervention. The primary outcomes were to evaluate the differences of \noffice BP and MAS at baseline and at two months within groups and in between \ngroups. \nResults: \nFor within group comparison, the mean changes of systolic BP (SBP), diastolic \nBP (DBP) and MAS were statistically significant for both groups. However, themean changes were greater seen in HBPM group than the control group (SBP \n17.6mmHg, DBP 9.5mmHg, MAS 1.5 vs SBP 14.3mmHg, DBP 6.4mmHg, MAS \n1.3). For comparison in-between group at two months, the adjusted mean \ndifference for: mean SBP was 4.74 (95% CI -0.65 mmHg to 10.13 mmHg) \n(p=0.084); mean DBP was 1.41(95% CI -2.01 mmHg to 4.82 mmHg) (p=0.415) \nand mean MAS was 0.05 (95% CI -0.29 mmHg to 0.40 mmHg) (p=0.768). \nThere were no significant differences between the two groups in all variables at \n2 months of the study \nConclusion: \nHBPM of two months results in greater reduction of office BP and improvement \nin medication adherence even though it is statistically no difference to usual \ncare. Therefore, further studies with longer duration are recommended to \nassess the long term effect of HBPM.
Author: Jamial, Muazah Mat
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7038317114