Effectiveness of home blood pressure monitoring among low-income adults in rural appalachia

Abstract

Context: High blood pressure (BP) is a common chronic condition in the United States. For many people, BP control through pharmacologic intervention alone is not effective at maintaining a healthy BP. Team-based, patient-focused care and homebased BP monitoring in addition to pharmacologic interventions have been shown to be effective for controlling BP. Objective: To determine the effectiveness of the hypertension management program at the Heritage Community Clinic in Athens, Ohio. Methods: Medical records of 43 patients who took part in the hypertension management program were retrospectively reviewed and included clinical data such as age, sex, BP, body mass index, comorbidities, family history, and demographic information. In addition to standard pharmacologic interventions, the program provided equipment for at-home BP monitoring, education on behavior and lifestyle modification, and 5 follow-up visits. Data from the 5 follow-up visits were analyzed. Results: Linear mixed-effects regression models of BP suggested that the visit factor was significantly associated with BP (P