Review: self monitoring interventions modestly reduce diastolic blood pressure (BP) but do not improve BP control in hypertension
Q How effective are various models of care for improving blood pressure (BP) control in patients with hypertension?
Medline and EMBASE/Excerpta Medica (2000 to November 2002), Cochrane Library (Issue 3, 2002); hand searches of references of retrieved articles; and experts.
Study selection and assessment:
randomised controlled trials (RCTs) in any language that included patients ⩾18 years of age with primary hypertension (treated or not currently treated with BP lowering drugs) in a primary care, outpatient, or community setting; and compared self monitoring, patient education, physician education, health professional (nurse or pharmacist) led care, protocol driven care (organisational interventions to improve delivery of care), or appointment reminders with no intervention or usual care. Study quality was assessed based on randomisation procedure, allocation concealment, blinding, and follow up.
mean systolic blood pressure (SBP) or diastolic blood pressure (DBP), control of BP, and patient …