Abstract
Self-monitoring for improving control of blood pressure in patients with hypertension: a Cochrane intervention review
Part of Special Series: WONCA World Rural Health Conference Abstracts 2022
AUTHORS
Róisín Doogue1 General Practice Nurse, PhD Candidate * 
Peter Hayes2 MD, Senior Lecturer in General Practice
Katherine Tucker3 Senior Researcher
Tom Fahey4 Professor
Ali Sheikhi5 Senior Biostatistician
Liam Glynn7 MD, Professor of General Practice
CORRESPONDENCE
*Ms Róisín Doogue
AFFILIATIONS
1, 2, 7 Department of General Practice, School of Medicine, University of Limerick, Limerick, Ireland
3, 6 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
4 Royal College of Surgeons in Ireland, Dublin, Ireland
5 Health Research Institute, University of Limerick, Limerick, Ireland
PUBLISHED
10 January 2023 Volume 23 Issue 1
HISTORY
RECEIVED: 20 September 2022
ACCEPTED: 20 September 2022
CITATION
Doogue R, Hayes P, Tucker K, Fahey T, Sheikhi A, Koshiaris C, Glynn L. Self-monitoring for improving control of blood pressure in patients with hypertension: a Cochrane intervention review. Rural and Remote Health 2023; 23: 8170. https://doi.org/10.22605/RRH8170
AUTHOR CONTRIBUTIONS
This work is licensed under a Creative Commons Attribution 4.0 International Licence
abstract:
Background: Hypertension is a major risk factor for cardiovascular events with only a minority of people treated to satisfactory levels. There is an increasing body of literature pertaining to the beneficial effect of self-blood pressure monitoring (SBPM) on blood pressure control in hypertensive patients. It is cost-effective, well tolerated, and has been shown to be a better predictor of end organ damage than traditional office blood pressure monitoring (OBPM). The aim of this Cochrane review is to provide an up-to-date assessment on the effectiveness of self-monitoring in the management of hypertension.
Methods: All randomised controlled trials of adult patients with a diagnosis of primary hypertension where the intervention of interest is SBPM will be included. Data extraction, analysis and risk of bias assessment will be carried out by two independent authors. Analysis will be based on intention-to-treat (ITT) data from individual trials.
Results: Primary outcome measures include change in mean office systolic and/or diastolic BP, change in mean ambulatory blood pressure, the proportion of patients reaching target BP, and adverse events including mortality or cardiovascular morbidity or related to treatment with antihypertensive agents.
Discussion: This review will help to determine if self-monitoring of blood pressure, with or without co-interventions, is effective in lowering blood pressure. Results will be available for conference.