Evidence map›Paper›PMID 39155625›Full record

ArticleJournal of evaluation in clinical practice2025

Adoption of self-measured blood pressure monitoring in underserved communities: Program evaluation in primary care.

Maureen Shields, Iridian Guzman, Jackie Rouse, Alvia Siddiqi, Mark J Pletcher, Rasha Khatib

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. 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

6 authors.

Maureen ShieldsAdvocate Aurora Research Institute, Milwaukee, Wisconsin, USA.ORCID 0009-0009-9781-7511
Iridian GuzmanAdvocate Aurora Research Institute, Milwaukee, Wisconsin, USA.
Jackie RouseAdvocate Health, Milwaukee, Wisconsin, USA.
Alvia SiddiqiAdvocate Health, Milwaukee, Wisconsin, USA.
Mark J PletcherDepartment of Epidemiology and Biostatistics, University of California, San Francisco, California, USA.
Rasha KhatibAdvocate Aurora Research Institute, Milwaukee, Wisconsin, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleSelf-measured blood pressure (SMBP) monitoring is crucial for hypertension management, yet its adoption, particularly among disadvantaged populations, remains low. 'Love Your Heart' is a quality improvement program providing free standard SMBP devices to hypertensive patients, aiming to enhance adoption and assess its impact on blood pressure control. AIMS AND

objectivesThis study evaluates the 'Love Your Heart' program's implementation success through assessing adoption rates and exploring changes in systolic blood pressure (SBP) among participants. We aim to understand factors influencing adoption and potential benefits of SMBP monitoring in a diverse, socially disadvantaged patient population.

methodsWe retrospectively evaluated the 'Love Your Heart' program using electronic health records (EHR) at a primary care site in Chicago. Adult patients with hypertension were enroled in the 6-month program, which included education sessions and free SMBP devices. Adoption was measured by participation in program components, and changes in SBP were analysed based on adoption status. Statistical analyses were conducted using SAS software, adhering to STROBE reporting guidelines.

resultsOf 621 eligible patients, 104 participated, with 83 included in the evaluation. Despite all participants receiving free SMBP devices, adoption rates were modest, with only 7% sharing readings with the care team. However, patients who received device instructions demonstrated greater decreases in SBP compared to those who did not. Although not statistically significant, clinically meaningful decreases in SBP were observed among adopters.

conclusionThe 'Love Your Heart' program highlights the challenges of promoting SMBP monitoring among disadvantaged patient populations. While providing free devices addresses access barriers, low reporting to the care team suggests the need for further support mechanisms. Future research should explore strategies to enhance SMBP adoption and integration into clinical care, particularly in settings lacking automated data transmission systems.

Indexed as

Blood Pressure Monitoring, AmbulatoryHypertensionMedically Underserved AreaPrimary Health CareAdultAgedChicagoElectronic Health RecordsFemaleHumansMaleMiddle AgedProgram EvaluationQuality ImprovementRetrospective StudiesVulnerable Populationsevaluationhealthcareprimary care

Identifiers

PMID39155625
PMCPMC11938407

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Registered trials

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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.