title: Self-blood-pressure monitoring--a questionnaire study: response, requirement, training, support-group popularity and recommendations.
abstract: The objective of this study was to survey hypertensive patients' response to, requirement for and training in self-blood pressure monitoring (SBPM). A total of 222 hypertensives were invited to complete a questionnaire even when not participating in the project. Questions supplied information on demographics, monitoring frequency, convenience of attending the surgery, monitor ownership and preference for and ease of self-monitoring. Comments supplied qualitative data. Training group questionnaires supplied similar data as well as SBPM data before and after training. Of 133 respondents, a higher educated, younger, wider age range wanted to participate (76; 57.2%) and tended to self-monitor. However, only an increase in further education (FE) was associated with an increased probability of participation and inclination to self-monitor in the multivariate analyses. A positive relationship exists between age and frequency in both groups. About a sixth of respondents own monitors and ownership is correlated to FE. Although most patients found it convenient to visit the surgery, the percentage finding it convenient was lower in patients attending training sessions than in the original survey, possibly indicating that independence is important for SBPM. Younger, higher-educated patients tended to self-monitor although FE was again the significant factor. Training increased preference for the idea of SBPM, prospective monitor ownership (64.8% of non-owners) and self-monitoring intention (76.1%). Patients found recording card listed cardiovascular disease (CVD) risks valuable and 69.6% (32) wanted to establish a support group. Comments and interviews indicated haphazard knowledge, routines and uncertainty about SBPM. A standardised procedure including patient assessment, SBPM protocol and lifestyle education is needed for SBPM to be successful.
authors.affiliation: Patient Involvement Task Force, Glossopdale Primary Care Sub-Group, Hadfield Clinic, Hadfield, Glossop, Derbyshire, UK. margaret.j.tyson@1988.alumni.man.ac.uk
authors.forename: M J
authors.initials: MJ
authors.lastname: Tyson
authors.forename: P
authors.initials: P
authors.lastname: McElduff
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001795:Blood Pressure Determination / Q000379:methods / Q000639:trends*; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods / Q000639:trends; D015924:Blood Pressure Monitors / Q000592:standards; D003625:Data Collection; D005260:Female; D005544:Forecasting; D006287:Health Planning Guidelines; D006801:Humans; D006973:Hypertension / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods*; D012648:Self Care / Q000639:trends*; D012657:Self-Help Groups; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D006113:United Kingdom