Lancet Global Health: Community health workers and hypertension in Bangladesh, Pakistan and Sri Lanka (3) Self-monitoring of blood pressure (2)

24 March, 2021

Patients can task share hypertension too:

Self-monitoring of blood pressure in hypertension: A systematic review and individual patient data meta-analysis:

Conclusions Self-monitoring alone is not associated with lower BP or better control, but in conjunction with co-interventions (including systematic medication titration by doctors, pharmacists, or patients; education; or lifestyle counselling) leads to clinically significant BP reduction which persists for at least 12 months. The implementation of self-monitoring in hypertension should be accompanied by such co-interventions.

Background• Self-monitoring of BP appears to lower BP in people with hypertension, over and above usual care.• Implementation of self-monitoring has been inconsistent, perhaps because important evidence gaps remain regarding how best to use it and for which patient groups

What do these findings mean?• Self-monitoring can be recommended to lower BP when combined with co-interventions involving individually tailored support.• Self-monitoring alone does not seem to lower BP but may be useful for other

reasons including engaging with patients or reducing clinician workload

Citation: Tucker KL, Sheppard JP, Stevens R, Bosworth HB, Bove A, Bray EP, et al. (2017) Self-monitoring of blood pressure in hypertension: A systematic review and individual patient data meta-analysis. PLoS ed14(9):

e1002389.https://doi.org/10.1371/journal.pmed.1002389--

HIFA profile: Richard Fitton is a retired family doctor - GP, British Medical Association. Professional interests: Health literacy, patient partnership of trust and implementation of healthcare with professionals, family and public involvement in the prevention of modern lifestyle diseases, patients using access to professional records to overcome confidentiality barriers to care, patients as part of the policing of the use of their patient data

Email address: richardpeterfitton7 AT gmail.com