A new study has found that only 48 per cent of people aged 50 to 80 who take blood pressure medications or have a health condition that’s affected by hypertension regularly check their blood pressure at home or other places. Meanwhile, around 62 per cent say a healthcare provider encouraged them to perform such checks. The second group of people were three and a half times more likely to do so than those who didn’t recall getting such a recommendation.
Past research has shown that regular home monitoring can help with blood pressure control and that better control can mean a reduced risk of death, cardiovascular events including strokes and heart attacks, and cognitive impairment and dementia. The findings are published in JAMA Network Open by a team from Michigan Medicine, the University of Michigan’s academic medical centre.
The poll, based at the U-M Institute for Healthcare Policy and Innovation and supported by Michigan Medicine and AARP, asked adults aged 50 to 80 about their chronic health conditions, blood pressure monitoring outside of clinic settings, and interactions with health providers about blood pressure. Study authors Mellanie V. Springer, M.D., M.S., of the Michigan Medicine Department of Neurology, and Deborah Levine, M.D., M.P.H., of the Department of Internal Medicine, worked with the NPHA team to develop the poll questions and analyse the findings.
The data in the new paper come from the 1,247 respondents who said they were either taking medication to control their blood pressure or had a chronic health condition that requires blood pressure control - specifically, a history of stroke, coronary heart disease, congestive heart failure, diabetes, chronic kidney disease or hypertension.
Of them, 55 per cent said they own a blood pressure monitor, though some said they don't ever use it. Among those who do use it, there was wide variation in how often they checked their pressure - and only about half said they share their readings with a health provider. But those who own a monitor were more than 10 times more likely to check their blood pressure outside of health care settings than those who don't own one.
The authors note that blood pressure monitoring is associated with lower blood pressure and is cost-effective. They say that the results suggest that protocols should be developed to educate patients about the importance of self-blood pressure monitoring and sharing readings with clinicians.
