Evidence map›Paper›PMID 27266860›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2016

Influence of ethnicity on acceptability of method of blood pressure monitoring: a cross-sectional study in primary care.

Sally Wood, Sheila M Greenfield, M Sayeed Haque, Una Martin, Paramjit S Gill, Jonathan Mant, Mohammed A Mohammed, Gurdip Heer, Amanpreet Johal, Ramandeep Kaur and 2 more

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  12. Realising the potential of home blood pressure monitoring in the community: should HBPM be the default?The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
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  13. Article
  14. Acceptability and psychological impact of out-of-office monitoring to diagnose hypertension: an evaluation of survey data from primary care patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
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  15. Review
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  18. Home blood pressure monitoring in the 21st century.Journal of clinical hypertension (Greenwich, Conn.) · 2018
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  19. Article
  20. 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
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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

12 authors.

Sally Wood
Sheila M Greenfield
M Sayeed Haque
Una Martin
Paramjit S Gill
Jonathan Mant
Mohammed A Mohammed
Gurdip Heer
Amanpreet Johal
Ramandeep Kaur
Claire Schwartz
Richard J McManus

Funding

Department of Health CDF/01/017Department of Health NIHR-RP-02-12-015Department of Health PB-PG-1207-15042
6 · The paper itself

Abstract

backgroundAmbulatory and/or home monitoring are recommended in the UK and the US for the diagnosis of hypertension but little is known about their acceptability.

aimTo determine the acceptability of different methods of measuring blood pressure to people from different minority ethnic groups. DESIGN AND

settingCross-sectional study with focus groups in primary care in the West Midlands.

methodPeople of different ethnicities with and without hypertension were assessed for acceptability of clinic, home, and ambulatory blood pressure measurement using completion rate, questionnaire, and focus groups.

resultsA total of 770 participants were included, who were white British (n = 300), South Asian (n = 241), and African Caribbean (n = 229). White British participants had significantly higher successful completion rates across all monitoring modalities compared with the other ethnic groups, especially for ambulatory monitoring: white British (n = 277, 92% [95% confidence interval [CI] = 89% to 95%]) versus South Asian (n = 171, 71% [95% CI = 65% to 76%], P<0.001) and African Caribbean (n = 188, 82% [95% CI = 77% to 87%], P<0.001), respectively. There were significantly lower acceptability scores for minority ethnic participants across all monitoring methods compared with white British participants. Focus group results highlighted self-monitoring as most acceptable and ambulatory monitoring least acceptable without consistent differences by ethnicity. Clinic monitoring was seen as inconvenient and anxiety provoking but with the advantage of immediate professional input.

conclusionReduced acceptability and completion rates among minority ethnic groups raise important questions for the implementation and interpretation of blood pressure monitoring. Selection of method of blood pressure monitoring should take into account clinical need, patient preference, and potential cultural barriers to monitoring.

Indexed as

Blood Pressure Monitoring, AmbulatoryFocus GroupsPrimary Health CareAmbulatory Care FacilitiesAntihypertensive AgentsBlood PressureCross-Sectional StudiesEnglandEthnicityFemaleHumansHypertensionMaleMiddle AgedPatient Acceptance of Health CarePatient Care ManagementAntihypertensive Agentsblood pressure monitoringethnicityhypertensionpatient satisfactionprimary care

Identifiers

PMID27266860
PMCPMC4979941

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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.