Evidence map›Paper›PMID 27381484›Full record

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

Patients' and clinicians' views on the optimum schedules for self-monitoring of blood pressure: a qualitative focus group and interview study.

Sabrina Grant, James A Hodgkinson, Siobhan L Milner, Una Martin, Alice Tompson, Fd Richard Hobbs, Jonathan Mant, Richard J McManus, Sheila M Greenfield

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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Delineating and clarifying the concept of self-care monitoring: a concept analysis.International journal of qualitative studies on health and well-being · 2023
    Review
  5. Medical Telemonitoring for the Management of Hypertension in Older Patients in Japan.International journal of environmental research and public health · 2023
    Review
  6. Article
  7. Article
  8. Accuracy of blood-pressure monitors owned by patients with hypertension (ACCU-RATE study): a cross-sectional, observational study in central England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Observational
  9. Review
  10. Article
  11. Article
  12. 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
  13. Article
  14. Article
  15. Blood pressure measurement: a call to arms.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
    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

9 authors.

Sabrina GrantPrimary Care Clinical Sciences, Institute of Applied Health Research, College of Medical and Dental Sciences.
James A HodgkinsonPrimary Care Clinical Sciences, Institute of Applied Health Research, College of Medical and Dental Sciences.
Siobhan L MilnerPrimary Care Clinical Sciences, Institute of Applied Health Research, College of Medical and Dental Sciences.
Una MartinClinical Research Support Facility, Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham.
Alice TompsonPrimary Care Health Sciences, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Fd Richard HobbsPrimary Care Health Sciences, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Jonathan MantPrimary Care Unit, Department of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge, Cambridge.
Richard J McManusPrimary Care Health Sciences, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Sheila M GreenfieldPrimary Care Clinical Sciences, Institute of Applied Health Research, College of Medical and Dental Sciences.

Funding

Department of Health CDF/01/017Department of Health NIHR-RP-02-12-015Department of Health WMCLAHRC-2014-1
6 · The paper itself

Abstract

backgroundSelf-monitoring of blood pressure is common but guidance on how it should be carried out varies and it is currently unclear how such guidance is viewed.

aimTo explore patients' and healthcare professionals' (HCPs) views and experiences of the use of different self-monitoring regimens to determine what is acceptable and feasible, and to inform future recommendations. DESIGN AND

settingThirteen focus groups and four HCP interviews were held, with a total of 66 participants (41 patients and 25 HCPs) from primary and secondary care with and without experience of self-monitoring.

methodStandard and shortened self-monitoring protocols were both considered. Focus groups and interviews were recorded, transcribed verbatim, and analysed using the constant comparative method.

resultsPatients generally supported structured schedules but with sufficient flexibility to allow adaptation to individual routine. They preferred a shorter (3-day) schedule to longer (7-day) regimens. Although HCPs could describe benefits for patients of using a schedule, they were reluctant to recommend a specific schedule. Concerns surrounded the use of different schedules for diagnosis and subsequent monitoring. Appropriate education was seen as vital by all participants to enable a self-monitoring schedule to be followed at home.

conclusionThere is not a 'one size fits all approach' to developing the optimum protocol from the perspective of users and those implementing it. An approach whereby patients are asked to complete the minimum number of readings required for accurate blood pressure estimation in a flexible manner seems most likely to succeed. Informative advice and guidance should incorporate such flexibility for patients and professionals alike.

Indexed as

Blood Pressure Monitoring, AmbulatorySelf CareAdultAntihypertensive AgentsAppointments and SchedulesAttitude of Health PersonnelEnglandFeasibility StudiesFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHumansHypertensionInterviews as TopicMaleMiddle AgedAntihypertensive Agentsblood pressurefocus groupshypertensionprimary health caresecondary careself-monitoring

Identifiers

PMID27381484
PMCPMC5072920

What OpenQuestion holds

Textmetadata
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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.