Use of home blood pressure monitoring by hypertensive patients in primary care: Survey of a practice-based research network cohort

Abstract

Using a survey of a cohort of primary carepatients, the authors determined the proportioncurrently using home blood pressure monitoring(HBPM) and calculated odds ratios (ORs) of factorsassociated with such use. Overall, 530 questionnaireswere received (80% response rate);35.2% of respondents reported that their doctorhad recommended HBPM (95% confidenceinterval [CI], 31.1-39.3), and 43.1% reportedcurrently using HBPM (95% CI, 38.8-47.3).Compared with patients younger than 45 years,hypertensive patients older than 65 years weremore likely to be using HBPM (OR, 2.53; 95%CI, 1.20-5.33). Those with a history of stroke/transient ischemic attack were also more likelyto use HBPM (OR, 2.06; 95% CI, 1.00-4.24).Compared with patients with a level of hypertensionknowledge <10th percentile, thosewith a knowledge level >90th percentile weremore likely to use HBPM (OR, 1.96; 95% CI,1.08-3.56). The factor most strongly associatedwith use of HBPM was recalling a doctor'srecommendation to do so (OR, 7.93; 95%CI, 4.96-12.7). J Clin Hypertens (Greenwich).2008;10:280-286. © 2008 Le Jacq.