Self-monitoring blood pressure in hypertension, patient and provider perspectives: a systematic review and thematic synthesis

Research output: Contribution to journalReview articlepeer-review

Authors

  • Lisa Hinton
  • Jamie Hartmann-Boyce
  • Nia W. Roberts
  • Niklas Bobrovitz
  • Richard J. McManus

Colleges, School and Institutes

External organisations

  • University of Oxford

Abstract

Objective

To systematically review the qualitative evidence for patient and clinician perspectives on self-measurement of blood pressure (SMBP) in the management of hypertension focussing on: how SMBP was discussed in consultations; the motivation for patients to start self-monitoring; how both patients and clinicians used SMBP to promote behaviour change; perceived barriers and facilitators to SMBP use by patients and clinicians. 

Methods

Medline, Embase, PsycINFO, Cinahl, Web of Science, SocAbs were searched for empirical qualitative studies that met the review objectives. Reporting of included studies was assessed using the COREQ framework. All relevant data from results/findings sections of included reports were extracted, coded inductively using thematic analysis, and overarching themes across studies were abstracted. 

Results

Twelve studies were included in the synthesis involving 358 patients and 91 clinicians. Three major themes are presented: interpretation, attribution and action; convenience and reassurance v anxiety and uncertainty; and patient autonomy and empowerment improve patient-clinician alliance. 

Conclusions

SMBP was successful facilitating the interaction in consultations about hypertension, bridging a potential gap in the traditional patient-clinician relationship. 

Practice implications

Uncertainty could be reduced by providing information specifically about how to interpret SMBP, what variation is acceptable, adjustment for home-clinic difference, and for patients what they should be concerned about and how to act.

Details

Original languageEnglish
Pages (from-to)210-219
Number of pages10
JournalPatient Education and Counseling
Volume99
Issue number2
Early online date28 Aug 2015
Publication statusPublished - Feb 2016

Keywords

  • hypertension, qualitative, self-monitoring

ASJC Scopus subject areas