title: Factors associated with probability of patient rejecting a repeat 24 h ambulatory blood pressure monitoring, despite recommendation by the physician.
abstract: OBJECTIVE
  The aim of our study was to find out factors associated with patient acceptance of repeat 24 h ambulatory blood pressure monitoring (ABPM) using the Mobil-O-Graph ambulatory blood pressure monitor.
  
  
  METHODS
  Six hundred and fifty patients had ABPM performed between July 1999 and Oct 2000. Following 24 h ABPM patients were asked to complete 13-item questionnaire.
  
  
  RESULTS
  Ninety-five percent of the patients were willing to have 24 h ABPM repeated. There was no relation to patient's refusal to further ABPM with gender, age, height, weight, BMI, arm circumference, clinic blood pressure or 24 h ABPM profile. Patients were unlikely to have 24 h ABPM repeated if they found the monitor heavy and cumbersome (68%), if the monitor interfered with sleep (45%), or if they were so disturbed by the 24 h ABPM that they considered switching the monitor off (93%).
  
  
  CONCLUSIONS
  Most patients were willing to have repeat ABPM using the Mobil-O-Graph and reported few problems with monitor noise, heaviness and interference with sleep. These factors however still remain significant and need more technological attention and innovation from the manufacturers.
authors: Chesterfield and North Derbyshire Hypertension Clinic, Chesterfield and North Derbyshire Royal Hospital NHS Trust, Chesterfield, UK.
authors: Lindsey
authors: L
authors: Elliot
authors: Pervaiz
authors: P
authors: Iqbal
mesh_terms: D000368:Aged; D018660:Blood Pressure Monitoring, Ambulatory / Q000009:adverse effects / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D012890:Sleep; D012893:Sleep Wake Disorders / Q000209:etiology; D011795:Surveys and Questionnaires; D016312:Treatment Refusal / Q000523:psychology*