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 2022go to url


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Róisín Doogue
1 General Practice Nurse, PhD Candidate * ORCID logo

name here
Peter Hayes
2 MD, Senior Lecturer in General Practice

name here
Katherine Tucker
3 Senior Researcher

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Tom Fahey
4 Professor

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Ali Sheikhi
5 Senior Biostatistician

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Constantinos Koshiaris

name here
Liam Glynn
7 MD, Professor of General Practice ORCID logo


*Ms Róisín Doogue


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


10 January 2023 Volume 23 Issue 1


RECEIVED: 20 September 2022

ACCEPTED: 20 September 2022


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


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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.

  • Is SBPM more efficacious in reducing blood pressure, compared with OBPM or usual care?
  • Is SBPM with additional supports more efficacious in reducing blood pressure, compared with no additional support?
  • Are there any adverse events associated with SBPM, compared with OBPM or usual care?
  • 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.

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    This PDF has been produced for your convenience. Always refer to the live site https://www.rrh.org.au/journal/article/8170 for the Version of Record.