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Systematic Review

Source: The Guide to Community Preventive Services

Last Reviewed: June 2015

The Community Preventive Services Task Force recommends self-measured blood pressure monitoring interventions when combined with additional support to improve blood pressure outcomes in patients with high blood pressure based on strong evidence of effectiveness. Self-measured blood pressure monitoring interventions support and promote the use of personal blood pressure measurement devices in the management and treatment of high blood pressure. Patients are trained to use validated, and usually automated, blood pressure measurement devices on a regular basis in familiar settings, typically their homes. Patients share blood pressure readings with their health care providers during clinic visits, by telephone, or electronically. These measurements are monitored and used in treatment decisions to improve blood pressure control. Interventions combined with additional support include 1 or more of the following: 1-on-1 patient counseling on medications and health behavior changes (e.g., diet and exercise); educational sessions on high blood pressure and blood pressure self-management; access to electronic or web-based tools (e.g., electronic requests for medication refills, text or email reminders to measure blood pressure or attend appointments, direct communications with health care providers via secure messaging). Self-measured blood pressure monitoring interventions are often used with team-based care.

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Guide to Community Preventive Services. (2015). Cardiovascular disease: self-measured blood pressure monitoring interventions for improved blood pressure control – when combined with additional support. Retrieved from https://www.thecommunityguide.org/findings/cardiovascular-disease-self-measured-blood-pressure-with-additional-support