Self-monitoring in hypertension: A web-based survey of primary care physicians

McManus, RJ; Wood, S; Bray, EP; Glasziou, P; Hayen, A; Heneghan, C; Mant, J; Padfield, P; Potter, JF; Hobbs, FDR

Self-monitoring in hypertension: A web-based survey of primary care physicians

McManus, RJ Wood, S Bray, EP Glasziou, P Hayen, A

Heneghan, C Mant, J Padfield, P Potter, JF Hobbs, FDR

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Publication Type:: Journal Article
Citation:: Journal of Human Hypertension, 2014, 28 (2), pp. 123 - 127
Issue Date:: 2014-01-01

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Field	Value	Language
dc.contributor.author	McManus, RJ	en_US
dc.contributor.author	Wood, S	en_US
dc.contributor.author	Bray, EP	en_US
dc.contributor.author	Glasziou, P	en_US
dc.contributor.author	Hayen, A https://orcid.org/0000-0003-4046-8030	en_US
dc.contributor.author	Heneghan, C	en_US
dc.contributor.author	Mant, J	en_US
dc.contributor.author	Padfield, P	en_US
dc.contributor.author	Potter, JF	en_US
dc.contributor.author	Hobbs, FDR	en_US
dc.date.available	2013-02-14	en_US
dc.date.issued	2014-01-01	en_US
dc.identifier.citation	Journal of Human Hypertension, 2014, 28 (2), pp. 123 - 127	en_US
dc.identifier.issn	0950-9240	en_US
dc.identifier.uri	http://hdl.handle.net/10453/118318
dc.description.abstract	Although self-monitoring of blood pressure is common among people with hypertension, little is known about how general practitioners (GPs) use such readings. This survey aimed to ascertain current views and practice on self-monitoring of UK primary care physicians. An internet-based survey of UK GPs was undertaken using a provider of internet services to UK doctors. The hyperlink to the survey was opened by 928 doctors, and 625 (67%) GPs completed the questionnaire. Of them, 557 (90%) reported having patients who self-monitor, 191 (34%) had a monitor that they lend to patients, 171 (31%) provided training in self-monitoring for their patients and 52 (9%) offered training to other GPs. Three hundred and sixty-seven GPs (66%) recommended at least two readings per day, and 416 (75%) recommended at least 4 days of monitoring at a time. One hundred and eighty (32%) adjusted self-monitored readings to take account of lower pressures in out-of-office settings, and 10/5 mm Hg was the most common adjustment factor used. Self-monitoring of blood pressure was widespread among the patients of responding GPs. Although the majority used appropriate schedules of measurement, some GPs suggested much more frequent home measurements than usual. Further, interpretation of home blood pressure was suboptimal, with only a minority recognising that values for diagnosis and on-treatment target are lower than those for clinic measurement. Subsequent national guidance may improve this situation but will require adequate implementation.	en_US
dc.relation.ispartof	Journal of Human Hypertension	en_US
dc.relation.isbasedon	10.1038/jhh.2013.54	en_US
dc.subject.classification	Cardiovascular System & Hematology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Hypertension	en_US
dc.subject.mesh	Blood Pressure Determination	en_US
dc.subject.mesh	Self Care	en_US
dc.subject.mesh	Health Care Surveys	en_US
dc.subject.mesh	Attitude of Health Personnel	en_US
dc.subject.mesh	Blood Pressure	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Health Knowledge, Attitudes, Practice	en_US
dc.subject.mesh	Internet	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Patient Education as Topic	en_US
dc.subject.mesh	Practice Patterns, Physicians'	en_US
dc.subject.mesh	Predictive Value of Tests	en_US
dc.subject.mesh	Primary Health Care	en_US
dc.subject.mesh	Reproducibility of Results	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.subject.mesh	United Kingdom	en_US
dc.title	Self-monitoring in hypertension: A web-based survey of primary care physicians	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	28	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	28	en_US

Abstract:

Although self-monitoring of blood pressure is common among people with hypertension, little is known about how general practitioners (GPs) use such readings. This survey aimed to ascertain current views and practice on self-monitoring of UK primary care physicians. An internet-based survey of UK GPs was undertaken using a provider of internet services to UK doctors. The hyperlink to the survey was opened by 928 doctors, and 625 (67%) GPs completed the questionnaire. Of them, 557 (90%) reported having patients who self-monitor, 191 (34%) had a monitor that they lend to patients, 171 (31%) provided training in self-monitoring for their patients and 52 (9%) offered training to other GPs. Three hundred and sixty-seven GPs (66%) recommended at least two readings per day, and 416 (75%) recommended at least 4 days of monitoring at a time. One hundred and eighty (32%) adjusted self-monitored readings to take account of lower pressures in out-of-office settings, and 10/5 mm Hg was the most common adjustment factor used. Self-monitoring of blood pressure was widespread among the patients of responding GPs. Although the majority used appropriate schedules of measurement, some GPs suggested much more frequent home measurements than usual. Further, interpretation of home blood pressure was suboptimal, with only a minority recognising that values for diagnosis and on-treatment target are lower than those for clinic measurement. Subsequent national guidance may improve this situation but will require adequate implementation.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/118318