Effect of home blood pressure telemonitoring with self-care support on uncontrolled systolic hypertension in diabetics

Alexander G. Logan, M. Jane Irvine, Warren J. McIsaac, A. Tislér, Peter G. Rossos, Anthony Easty, Denice S. Feig, Joseph A. Cafazzo

Research output: Contribution to journalArticle

83 Citations (Scopus)

Abstract

Lowering blood pressure reduces cardiovascular risk, yet hypertension is poorly controlled in diabetic patients. In a pilot study we demonstrated that a home blood pressure telemonitoring system, which provided self-care messages on the smartphone of hypertensive diabetic patients immediately after each reading, improved blood pressure control. Messages were based on care paths defined by running averages of transmitted readings. The present study tests the system's effectiveness in a randomized, controlled trial in diabetic patients with uncontrolled systolic hypertension. Of 244 subjects screened for eligibility, 110 (45%) were randomly allocated to the intervention (n=55) or control (n=55) group, and 105 (95.5%) completed the 1-year outcome visit. In the intention-to-treat analysis, mean daytime ambulatory systolic blood pressure, the primary end point, decreased significantly only in the intervention group by 9.1±15.6 mmHg (SD; P

Original languageEnglish
Pages (from-to)51-57
Number of pages7
JournalHypertension
Volume60
Issue number1
DOIs
Publication statusPublished - Jul 2012

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Self Care
Blood Pressure
Hypertension
Reading
Intention to Treat Analysis
Randomized Controlled Trials

Keywords

  • Blood pressure
  • Depression
  • Diabetes mellitus
  • Home blood pressure
  • Hypertension
  • Self-care

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Effect of home blood pressure telemonitoring with self-care support on uncontrolled systolic hypertension in diabetics. / Logan, Alexander G.; Jane Irvine, M.; McIsaac, Warren J.; Tislér, A.; Rossos, Peter G.; Easty, Anthony; Feig, Denice S.; Cafazzo, Joseph A.

In: Hypertension, Vol. 60, No. 1, 07.2012, p. 51-57.

Research output: Contribution to journalArticle

Logan, Alexander G. ; Jane Irvine, M. ; McIsaac, Warren J. ; Tislér, A. ; Rossos, Peter G. ; Easty, Anthony ; Feig, Denice S. ; Cafazzo, Joseph A. / Effect of home blood pressure telemonitoring with self-care support on uncontrolled systolic hypertension in diabetics. In: Hypertension. 2012 ; Vol. 60, No. 1. pp. 51-57.
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