Evidence map›Paper›PMID 28734798›Full record

ArticleJournal of the American Society of Hypertension : JASH2017

Barriers to conducting ambulatory and home blood pressure monitoring during hypertension screening in the United States.

Ian M Kronish, Shia Kent, Nathalie Moise, Daichi Shimbo, Monika M Safford, Robert E Kynerd, Ronan O'Beirne, Alexandra Sullivan, Paul Muntner

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American Society of Hypertension : JASH, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03480217 (Assessing the Effectiveness of a Multifaceted Implementation Strategy to Increase the Uptake of the USPSTF Hypertension Screening Recommendations in an Ambulatory Care Network), which is not on this map. Cited by 79 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 3 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.

NCT03480217 nacompletednot on this mapstarted 2018, after this paper: background citation

Assessing the Effectiveness of a Multifaceted Implementation Strategy to Increase the Uptake of the USPSTF Hypertension Screening Recommendations in an Ambulatory Care Network: a Cluster Randomized Trial

TypeinterventionalSponsorColumbia UniversityRan2018 to 2022Enrolled1,186ConditionsHypertension,Essential, White Coat HypertensionArmsMultifaceted Implementation Strategy, Usual care
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Tailored interventions to address determinants of practice.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Disparities in Blood Pressure Measurement.Current hypertension reports · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Exploring the Challenges of Hypertension Mass Screening Programs: A Scoping Literature Review.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Review
  19. Article
  20. Article

19 more citing papers are in PubMed but not listed here.

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.

Ian M KronishDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA. Electronic address: ik2293@columbia.edu.
Shia KentDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Nathalie MoiseDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Daichi ShimboDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Monika M SaffordDivison of General Internal Medicine, Department of Medicine, Weill-Cornell Medical College, New York, NY, USA; Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Robert E KynerdDepartment of Family and Community Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Ronan O'BeirneDivision of Continuing Medical Education, University of Alabama at Birmingham, Birmingham, AL, USA.
Alexandra SullivanDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Paul MuntnerDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA.

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
Incorporation of a Hypertension Working Group into the Jackson Heart StudyR01HL117323 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEWIS, CORA E, OGEDEGBE, OLUGBENGA G. · 2013 to 2024
$7.2M
Increasing the Uptake of the USPSTF Hypertension Screening Guidelines in Primary Care.R01HS024262 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KRONISH, IAN MATTHEW · 2015 to 2019
$1.2M
Midcareer Investigator Award in Patient-Oriented Research in Human HypertensionK24HL125704 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHIMBO, DAICHI · 2015 to 2019
$573k
AHRQ HHS R01 HS024262NCATS NIH HHS UL1 TR000040NCATS NIH HHS UL1 TR001873NHLBI NIH HHS K24 HL125704NHLBI NIH HHS R01 HL117323
6 · The paper itself

Abstract

In 2015, the US Preventive Services Task Force updated their hypertension recommendations to advise that adults with elevated office blood pressure (BP) undergo out-of-office BP measurement to exclude white coat hypertension before diagnosis. Our goal was to determine the most important barriers to primary care providers' ordering ambulatory and home BP monitoring in the United States. We enrolled 63 primary care providers into nominal group panels in which participants iteratively listed and ranked barriers to ambulatory and home BP monitoring. Top-ranked barriers to ambulatory BP monitoring were challenges in accessing testing, costs of testing, concerns about the willingness or ability of patients to successfully complete tests, and concerns about the accuracy and benefits of testing. Top-ranked barriers to home BP monitoring were concerns about compliance with the correct test protocol, accuracy of tests results, out-of-pocket costs of home BP devices, and time needed to instruct patients on home BP monitoring protocol. Efforts to increase the use of ambulatory and home BP monitoring by primary care providers in the United States should prioritize increasing the financial and personnel resources available for testing and addressing provider concerns about patients' ability to conduct high-quality tests.

Indexed as

Health ExpendituresAdultBlood PressureBlood Pressure Monitoring, AmbulatoryFemaleHealth LiteracyHumansHypertensionMaleMass ScreeningMiddle AgedPatient CompliancePatient Education as TopicPractice Guidelines as TopicPrimary Health CareTime FactorsguidelinesImplementation scienceprevention

Identifiers

PMID28734798
PMCPMC5595651

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.