The Role of Home Blood Pressure Telemonitoring in Managing Hypertensive Populations

Abstract

Hypertension is a common chronic disease affecting nearly one-third of the United States population. Many interventions have been designed to help patients manage their hypertension. With the evolving climate of healthcare, rapidly developing technology, and emphasis on delivering patient-centered care, home-based blood pressure telemonitoring is a promising tool to help patients achieve optimal blood pressure (BP) control. Home-based blood pressure telemonitoring is associated with reductions in blood pressure values and increased patient satisfaction. However, additional research is needed to understand cost-effectiveness and long-term clinical outcomes of home-based BP monitoring. We review key interventional trials involving home based BP monitoring, with special emphasis placed on studies involving additionally behavioral modification and/or medication management. Furthermore, we discuss the role of home-based blood pressure telemonitoring within the context of the patient-centered medical home and the evolving role of technology.

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Acknowledgments

Dr. Zullig is supported by funding from the National Cancer Institute (5R25CA116339). Dr. Bosworth was supported by a research career scientist award from the VA Health Service Research and Development (VA HSR&D 08–027). Dr. Shaw was supported by Health Services Research and Development Service, Department of Veterans Affairs, Office of Academic Affiliations (TPP-21-021). The content is solely the responsibility of the authors and does not necessarily represent the views US Department of Veterans Affairs.

Conflict of Interest

L.L. Zullig declares that she has no conflict of interest.

S.D. Melnyk declares that she has no conflict of interest.

K. Goldstein declares that she has no conflict of interest.

R.J. Shaw declares that he has no conflict of interest.

H.B. Bosworth declares that he has no conflict of interest.

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Correspondence to Leah L. Zullig.

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Zullig, L.L., Dee Melnyk, S., Goldstein, K. et al. The Role of Home Blood Pressure Telemonitoring in Managing Hypertensive Populations. Curr Hypertens Rep 15, 346–355 (2013). https://doi.org/10.1007/s11906-013-0351-6

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Keywords

  • Hypertension
  • Blood pressure monitoring
  • Telephone
  • Home-based telemonitoring
  • Technology
  • Intervention
  • Behavioral modification
  • Medication management
  • Healthcare costs
  • Patient-centric care