title: Uneven Accuracy of Home Blood Pressure Measurement: A Multicentric Survey.
abstract: Home blood pressure monitoring (HBPM) is increasingly commonly performed, but the concordance between patient HBPM measurement technique and prevailing recommendations has not been well-assessed according to the literature. The authors performed a multicentric survey to evaluate the degree of patients' adherence to current recommendations on HBPM, and investigate potential predictors of a higher-quality self-measurement. A structured questionnaire was administered to 725 Italian outpatient hypertensive patients (mean age, 52.2±14.4 years). Overall, ≥10 recommended procedures were followed by 52.8% of the participants; only 1.0% followed all recommendations. A total of 49.7% of participants rested for ≥5 minutes before the measurement, 36.8% recorded BP more than once in each measurement session, and 34.3% used a chair or bed saddle to support their back. Less than 40% of the patients received some form of training by health professionals. After multivariate analysis, patients receiving/reading instructions showed higher-quality HBPM (P<.01). The accuracy of HBPM needs to be improved, and more efforts should be devoted to provide patient training on HBPM, especially on the less-frequently followed recommendations.
authors.affiliation: Department of Medicine and Aging Sciences, University of Chieti, Chieti, Italy.|Local Health Unit of Pescara, Pescara, Italy.
authors.forename: Maria Elena
authors.initials: ME
authors.lastname: Flacco
authors.affiliation: Department of Medicine and Aging Sciences, University of Chieti, Chieti, Italy.|Local Health Unit of Pescara, Pescara, Italy.|CeSI Biotech, Chieti, Italy.|Regional Healthcare Agency of Abruzzo, Pescara, Italy.
authors.forename: Lamberto
authors.identifier: http://orcid.org/0000-0002-8129-9344
authors.initials: L
authors.lastname: Manzoli
authors.affiliation: Department of Medicine and Aging Sciences, University of Chieti, Chieti, Italy.|CeSI Biotech, Chieti, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Bucci
authors.affiliation: CeSI Biotech, Chieti, Italy.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Capasso
authors.affiliation: Department of Medicine and Aging Sciences, University of Chieti, Chieti, Italy.
authors.forename: Dania
authors.initials: D
authors.lastname: Comparcini
authors.affiliation: Department of Medicine and Aging Sciences, University of Chieti, Chieti, Italy.
authors.forename: Valentina
authors.initials: V
authors.lastname: Simonetti
authors.affiliation: Department of Public Health, University of Turin, Turin, Italy.
authors.forename: Maria Rosaria
authors.initials: MR
authors.lastname: Gualano
authors.affiliation: Department of Medicine and Aging Sciences, University of Chieti, Chieti, Italy.
authors.forename: Manuela
authors.initials: M
authors.lastname: Nocciolini
authors.affiliation: Local Health Unit of Pescara, Pescara, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: D'Amario
authors.affiliation: Department of Medicine and Aging Sciences, University of Chieti, Chieti, Italy.|Local Health Unit of Lanciano-Vasto-Chieti, Chieti, Italy.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Cicolini
mesh_terms: D000328:Adult; D000368:Aged; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods / Q000592:standards*; D005260:Female; D017408:Guidelines as Topic; D006306:Health Surveys; D006801:Humans; D007022:Hypotension / Q000175:diagnosis* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010349:Patient Compliance / Q000706:statistics & numerical data