Evidence map›Paper›PMID 26500326›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2015

Improving management and effectiveness of home blood pressure monitoring: a qualitative UK primary care study.

Sabrina Grant, Sheila M Greenfield, Arie Nouwen, Richard J McManus

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. How point-of-care HbADiabetic medicine : a journal of the British Diabetic Association · 2020
    Article
  7. Using mHealth for the management of hypertension in UK primary care: an embedded qualitative study of the TASMINH4 randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
  8. Article
  9. Patient experience of home and waiting room blood pressure measurement: a qualitative study of patients with recently diagnosed hypertension.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
  10. Patient use of blood pressure self-screening facilities in general practice waiting rooms: a qualitative study in the UK.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Article
  11. Patients' and clinicians' views on the optimum schedules for self-monitoring of blood pressure: a qualitative focus group and interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
    Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Sabrina GrantPrimary Care Clinical Sciences, University of Birmingham, Birmingham.
Sheila M GreenfieldPrimary Care Clinical Sciences, University of Birmingham, Birmingham.
Arie NouwenDepartment of Psychology, School of Science and Technology, Middlesex University London, London.
Richard J McManusNuffield Department of Primary Care Health Sciences, NIHR School for Primary Care Research, University of Oxford, Oxford.
University of Birmingham · GB

Funding

Department of Health CDF/01/017Department of Health NIHR-RP-02-12-015
6 · The paper itself

Abstract

backgroundSelf-monitoring blood pressure (SMBP) is becoming an increasingly prevalent practice in UK primary care, yet there remains little conceptual understanding of why patients with hypertension engage in self-monitoring.

aimTo identify psychological factors or processes prompting the decision to self-monitor blood pressure. DESIGN AND

settingA qualitative study of patients previously participating in a survey study about SMBP from four general practices in the West Midlands.

methodTaped and transcribed in-depth interviews with 16 patients (6 currently monitoring, 2 used to self-monitor, and 8 had never self-monitored). Thematic analysis was undertaken.

resultsThree main themes emerged: 'self' and 'living with hypertension' described the emotional element of living with an asymptomatic condition; 'self-monitoring behaviour and medication' described overall views about self-monitoring, current practice, reasons for monitoring, and the impact on medication adherence; and 'the GP-patient transaction' described the power relations affecting decisions to self-monitor. Self-monitoring was performed by some as a protective tool against the fears of a silent but serious condition, whereas others self-monitor simply out of curiosity. People who self-monitored tended not to discuss this with their nurse or GP, partly due to perceiving minimal or no interest from their clinician about home monitoring, and partly due to fear of being prescribed additional medication.

conclusionThe decision to self-monitor appeared often to be an individual choice with no schedule or systems to integrate it with other medical care. Better recognition by clinicians that patients are self-monitoring, perhaps utilising the results in shared decision-making, might help integrate it into daily practice.

Indexed as

Blood Pressure Monitoring, AmbulatoryPrimary Health CareAgedAged, 80 and overAntihypertensive AgentsHealth Knowledge, Attitudes, PracticeHumansHypertensionInterviews as TopicMaleMiddle AgedQualitative ResearchSelf CareUnited KingdomAntihypertensive Agentshypertensionmotivationprimary carequalitativeself-monitoring

Identifiers

PMID26500326
PMCPMC4617273
OpenAlexW1860192327

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.