scholarly journals Home blood pressure monitors owned by participants in a large decentralised clinical trial in hypertension: the Treatment In Morning versus Evening (TIME) study

2021 ◽  
Author(s):  
Thineskrishna Anbarasan ◽  
Amy Rogers ◽  
David A. Rorie ◽  
J. W. Kerr Grieve ◽  
Thomas M. MacDonald ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Clinical Trial ◽  
Antihypertensive Medication ◽  
Randomised Trial ◽  
Home Blood Pressure ◽  
Retail Price ◽  
Time Study ◽  
Online Retail ◽  
The Public ◽  
Blood Pressure Monitors

AbstractVarious home blood pressure monitors (HBPMs) are available to the public for purchase but only some are validated against standardised protocols. This study aimed to assess whether HBPMs owned by participants taking part in a clinical trial were validated models. The TIME study is a decentralised randomised trial investigating the effect of antihypertensive medication dosing time on cardiovascular outcomes in adults with hypertension. No HBPMs were provided to participants in this trial but patients were asked to report if they already owned one. We identified the model of HBPM reported by participants, then cross-referenced this against lists of validated HBPMs produced by dabl Educational Trust and the British and Irish Hypertension Society (BIHS). Of 21,104 participants, 10,464 (49.6%) reported their model of HBPM. 7464 (71.3%) of these participants owned a monitor that could be identified from the participants’ entry. Of these, 6066 (81.3%) participants owned a monitor listed as validated by either dabl (n = 5903) or BIHS (n = 5491). Some were listed as validated by both. 1398 (18.7%) participants owned an identifiable HBPM that lacked clear evidence of validation. 6963 (93.3%) participants owned an upper arm HBPM and 501 (6.7%) owned a wrist HBPM. Validated HBPMs had a higher median online retail price of £45.00 compared to £20.00 for HBPMs lacking clear evidence of validation. A significant number of participants own HBPMs lacking evidence of validation.

scholarly journals Factors influencing home blood pressure monitor ownership in a large clinical trial

2021 ◽  
Author(s):  
Thineskrishna Anbarasan ◽  
Amy Rogers ◽  
David A. Rorie ◽  
J. W. Kerr Grieve ◽  
Robert W. V. Flynn ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomised Trial ◽  
Previous History ◽  
Home Blood Pressure ◽  
Time Study ◽  
Blood Pressure Monitor ◽  
Pressure Monitor ◽  
Factors Associated ◽  
Factors Influencing ◽  
History Of

AbstractHome blood pressure monitor (HBPM) ownership prevalence and the factors that influence it are unclear. This study aimed to investigate factors associated with HBPM ownership among participants in the Treatment in Morning versus Evening (TIME) hypertension study. This study is a sub-analysis of the TIME study, a randomised trial investigating the effect of day-time versus night-time dosing of antihypertensive medication on cardiovascular outcomes in adults with hypertension. As part of the TIME study online registration process, participants were asked to indicate whether they owned an HBPM. A multivariable logistic regression model was constructed to determine factors associated with HBPM ownership. Of 21,104 randomised participants, 11,434 (54.2%) reported owning an HBPM. The mean age of all participants at enrolment was 67.7 ± 9.3 years, 12,134 (57.5%) were male, and 8892 (42.1%) reported a current or previous history of smoking. Factors associated with an increased likelihood of reporting HBPM owned include being male (OR:1.47; 95% CI 1.39–1.56) or residing in a less deprived socioeconomic region (IMD Decile 6–10) (OR:1.31; 95% CI 1.23–1.40). Participants with a history of diabetes mellitus (OR:0.74; 95% CI:0.64–0.86) or current smokers, compared to non-smokers, (OR:0.71; 95% CI:0.62–0.82) were less likely to report owning an HBPM. This study has identified important patient factors influencing HBPM ownership. Further qualitative research would be valuable to identify and explore potential patient-level barriers to engagement with self-monitoring of blood pressure.

scholarly journals Effect of Azilsartan on Day-to-Day Variability in Home Blood Pressure: A Prospective Multicenter Clinical Trial

2017 ◽  
Vol 9 (7) ◽  
pp. 618-623 ◽  
Author(s):  
Toru Miyoshi ◽  
Ryoji Suetsuna ◽  
Naoto Tokunaga ◽  
Masayasu Kusaka ◽  
Ryuichiro Tsuzaki ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Clinical Trial ◽  
Home Blood Pressure ◽  
Multicenter Clinical Trial

scholarly journals Evaluation of the effects of antihypertensive medication with home blood pressure measurements in a cohort of northern Japan

1995 ◽  
Vol 58 (SupplementIV) ◽  
pp. 1324-1327
Author(s):  
Yutaka Imai ◽  
Keishi Abe ◽  
Shigeru Hisamichi ◽  
Ichiro Tsuji ◽  
Hiroshi Satoh ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Medication ◽  
Home Blood Pressure ◽  
Pressure Measurements ◽  
Northern Japan

Usability of a Home-Use Blood Pressure Monitor System: An Evaluation of the Device and Instructional Materials

2019 ◽  
Vol 8 (1) ◽  
pp. 147-151
Author(s):  
Isis Chong ◽  
Jackie Cha ◽  
Frank Peng ◽  
Denny Yu
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Home Blood Pressure ◽  
Instructional Materials ◽  
Monitor System ◽  
Blood Pressure Cuff ◽  
Blood Pressure Monitor ◽  
Pressure Monitor ◽  
Pressure Cuff ◽  
Blood Pressure Monitors

Although advancements in home-use technologies have allowed users to take control over how they monitor their health, their likely inexperience with such technologies can lead to use errors. The study aimed to determine the usability of a home-use blood pressure monitor, which included the device and instructional materials. Nineteen participants completed a 45-minute study which included an out-of-the-box handling scenario without moderator facilitation. The primary goal of this scenario was to determine if participants would be able to classify their heart rate reading obtained from the heart rate monitor as either low, average, or high in accordance to the thresholds set by the device. Although a majority of users were able to complete the use scenario, users nonetheless experienced major use errors and had difficulty with correctly placing the blood pressure cuff on their arm or inadvertently inflated the cuff when simply trying to turn on the device. There were also differences in the instructional materials such as how users should place the cuff around their arm. These inconsistencies were exacerbated by ambiguous wording without any pictorial clarifications. Additionally, 10% of users were unable to locate information on how to interpret their blood pressure readings. These findings highlight the importance of studying the usability of at-home blood pressure monitors to ensure more accurate health monitoring of users.

Genome-wide response to antihypertensive medication using home blood pressure measurements: a pilot study nested within the HOMED-BP study

2013 ◽  
Vol 14 (14) ◽  
pp. 1709-1721 ◽  
Author(s):  
Kei Kamide ◽  
Kei Asayama ◽  
Tomohiro Katsuya ◽  
Takayoshi Ohkubo ◽  
Takuo Hirose ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pilot Study ◽  
Antihypertensive Medication ◽  
Home Blood Pressure ◽  
Pressure Measurements ◽  
Genome Wide
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