Nearly half of the patients enrolled in an at-home hypertension control program did not participate in consistent remote blood pressure monitoring, according to a study published Jan. 21 in JAMA Cardiology.
Researchers from Boston-based Mass General Brigham analyzed data of 3,390 adult patients with uncontrolled hypertension who enrolled in the program between September 2018 and June 2022.
Here are five notes from the study:
- As part of the remote hypertension management program, patients received automated home blood pressure monitoring devices, education, phone and text-based messaging support from healthcare navigators algorithm-guided medication titration.
- The mean systolic blood pressure of the study cohort was 143 mmHg at baseline.
About 40% of program participants had atherosclerotic cardiovascular disease and about 30% had diabetes. - Patient engagement outcomes for the program were defined as:
- No engagement: No measurements during the study period
- Low engagement: 1 to 11 measurements per week
- Intermediate engagement: 12 to 23 measurements per week
- High engagement: 24 to 28 measurements per week
- Of the 3,390 patients, 32.7% had no engagement, 14.3% had low engagement, 18.2% had intermediate engagement and 34.8% had high engagement.
- “Patient engagement with home blood pressure monitoring was suboptimal despite free devices, education and personalized support with a navigator,” the study authors said. “Innovative methods of blood pressure monitoring that are more convenient and less burdensome for patients may enhance engagement and improve hypertension management outcomes.”
Read the full study here.
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