Self-monitoring in hypertension: A web-based survey of primary care physicians

R. J. McManus, S. Wood, E. P. Bray, P. Glasziou, A. Hayen, C. Heneghan, J. Mant, P. Padfield, J. F. Potter, F. D R Hobbs

Research output: Contribution to journalArticleResearchpeer-review

19 Citations (Scopus)

Abstract

Although self-monitoring of blood pressure is common among people with hypertension, little is known about how general practitioners (GPs) use such readings. This survey aimed to ascertain current views and practice on self-monitoring of UK primary care physicians. An internet-based survey of UK GPs was undertaken using a provider of internet services to UK doctors. The hyperlink to the survey was opened by 928 doctors, and 625 (67%) GPs completed the questionnaire. Of them, 557 (90%) reported having patients who self-monitor, 191 (34%) had a monitor that they lend to patients, 171 (31%) provided training in self-monitoring for their patients and 52 (9%) offered training to other GPs. Three hundred and sixty-seven GPs (66%) recommended at least two readings per day, and 416 (75%) recommended at least 4 days of monitoring at a time. One hundred and eighty (32%) adjusted self-monitored readings to take account of lower pressures in out-of-office settings, and 10/5 mm Hg was the most common adjustment factor used. Self-monitoring of blood pressure was widespread among the patients of responding GPs. Although the majority used appropriate schedules of measurement, some GPs suggested much more frequent home measurements than usual. Further, interpretation of home blood pressure was suboptimal, with only a minority recognising that values for diagnosis and on-treatment target are lower than those for clinic measurement. Subsequent national guidance may improve this situation but will require adequate implementation.

Original languageEnglish
Pages (from-to)123-127
Number of pages5
JournalJournal of Human Hypertension
Volume28
Issue number2
DOIs
Publication statusPublished - 2014

Fingerprint

Primary Care Physicians
General Practitioners
Hypertension
Reading
Ambulatory Blood Pressure Monitoring
Internet
Physiologic Monitoring
Surveys and Questionnaires
Appointments and Schedules
Blood Pressure
Pressure

Cite this

McManus, R. J., Wood, S., Bray, E. P., Glasziou, P., Hayen, A., Heneghan, C., ... Hobbs, F. D. R. (2014). Self-monitoring in hypertension: A web-based survey of primary care physicians. Journal of Human Hypertension, 28(2), 123-127. https://doi.org/10.1038/jhh.2013.54
McManus, R. J. ; Wood, S. ; Bray, E. P. ; Glasziou, P. ; Hayen, A. ; Heneghan, C. ; Mant, J. ; Padfield, P. ; Potter, J. F. ; Hobbs, F. D R. / Self-monitoring in hypertension : A web-based survey of primary care physicians. In: Journal of Human Hypertension. 2014 ; Vol. 28, No. 2. pp. 123-127.
@article{1da29eb2e3324248b8c1033f37cd8107,
title = "Self-monitoring in hypertension: A web-based survey of primary care physicians",
abstract = "Although self-monitoring of blood pressure is common among people with hypertension, little is known about how general practitioners (GPs) use such readings. This survey aimed to ascertain current views and practice on self-monitoring of UK primary care physicians. An internet-based survey of UK GPs was undertaken using a provider of internet services to UK doctors. The hyperlink to the survey was opened by 928 doctors, and 625 (67{\%}) GPs completed the questionnaire. Of them, 557 (90{\%}) reported having patients who self-monitor, 191 (34{\%}) had a monitor that they lend to patients, 171 (31{\%}) provided training in self-monitoring for their patients and 52 (9{\%}) offered training to other GPs. Three hundred and sixty-seven GPs (66{\%}) recommended at least two readings per day, and 416 (75{\%}) recommended at least 4 days of monitoring at a time. One hundred and eighty (32{\%}) adjusted self-monitored readings to take account of lower pressures in out-of-office settings, and 10/5 mm Hg was the most common adjustment factor used. Self-monitoring of blood pressure was widespread among the patients of responding GPs. Although the majority used appropriate schedules of measurement, some GPs suggested much more frequent home measurements than usual. Further, interpretation of home blood pressure was suboptimal, with only a minority recognising that values for diagnosis and on-treatment target are lower than those for clinic measurement. Subsequent national guidance may improve this situation but will require adequate implementation.",
author = "McManus, {R. J.} and S. Wood and Bray, {E. P.} and P. Glasziou and A. Hayen and C. Heneghan and J. Mant and P. Padfield and Potter, {J. F.} and Hobbs, {F. D R}",
year = "2014",
doi = "10.1038/jhh.2013.54",
language = "English",
volume = "28",
pages = "123--127",
journal = "Journal of Human Hypertension",
issn = "0950-9240",
publisher = "Nature Publishing Group",
number = "2",

}

McManus, RJ, Wood, S, Bray, EP, Glasziou, P, Hayen, A, Heneghan, C, Mant, J, Padfield, P, Potter, JF & Hobbs, FDR 2014, 'Self-monitoring in hypertension: A web-based survey of primary care physicians' Journal of Human Hypertension, vol. 28, no. 2, pp. 123-127. https://doi.org/10.1038/jhh.2013.54

Self-monitoring in hypertension : A web-based survey of primary care physicians. / McManus, R. J.; Wood, S.; Bray, E. P.; Glasziou, P.; Hayen, A.; Heneghan, C.; Mant, J.; Padfield, P.; Potter, J. F.; Hobbs, F. D R.

In: Journal of Human Hypertension, Vol. 28, No. 2, 2014, p. 123-127.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Self-monitoring in hypertension

T2 - A web-based survey of primary care physicians

AU - McManus, R. J.

AU - Wood, S.

AU - Bray, E. P.

AU - Glasziou, P.

AU - Hayen, A.

AU - Heneghan, C.

AU - Mant, J.

AU - Padfield, P.

AU - Potter, J. F.

AU - Hobbs, F. D R

PY - 2014

Y1 - 2014

N2 - Although self-monitoring of blood pressure is common among people with hypertension, little is known about how general practitioners (GPs) use such readings. This survey aimed to ascertain current views and practice on self-monitoring of UK primary care physicians. An internet-based survey of UK GPs was undertaken using a provider of internet services to UK doctors. The hyperlink to the survey was opened by 928 doctors, and 625 (67%) GPs completed the questionnaire. Of them, 557 (90%) reported having patients who self-monitor, 191 (34%) had a monitor that they lend to patients, 171 (31%) provided training in self-monitoring for their patients and 52 (9%) offered training to other GPs. Three hundred and sixty-seven GPs (66%) recommended at least two readings per day, and 416 (75%) recommended at least 4 days of monitoring at a time. One hundred and eighty (32%) adjusted self-monitored readings to take account of lower pressures in out-of-office settings, and 10/5 mm Hg was the most common adjustment factor used. Self-monitoring of blood pressure was widespread among the patients of responding GPs. Although the majority used appropriate schedules of measurement, some GPs suggested much more frequent home measurements than usual. Further, interpretation of home blood pressure was suboptimal, with only a minority recognising that values for diagnosis and on-treatment target are lower than those for clinic measurement. Subsequent national guidance may improve this situation but will require adequate implementation.

AB - Although self-monitoring of blood pressure is common among people with hypertension, little is known about how general practitioners (GPs) use such readings. This survey aimed to ascertain current views and practice on self-monitoring of UK primary care physicians. An internet-based survey of UK GPs was undertaken using a provider of internet services to UK doctors. The hyperlink to the survey was opened by 928 doctors, and 625 (67%) GPs completed the questionnaire. Of them, 557 (90%) reported having patients who self-monitor, 191 (34%) had a monitor that they lend to patients, 171 (31%) provided training in self-monitoring for their patients and 52 (9%) offered training to other GPs. Three hundred and sixty-seven GPs (66%) recommended at least two readings per day, and 416 (75%) recommended at least 4 days of monitoring at a time. One hundred and eighty (32%) adjusted self-monitored readings to take account of lower pressures in out-of-office settings, and 10/5 mm Hg was the most common adjustment factor used. Self-monitoring of blood pressure was widespread among the patients of responding GPs. Although the majority used appropriate schedules of measurement, some GPs suggested much more frequent home measurements than usual. Further, interpretation of home blood pressure was suboptimal, with only a minority recognising that values for diagnosis and on-treatment target are lower than those for clinic measurement. Subsequent national guidance may improve this situation but will require adequate implementation.

UR - http://www.scopus.com/inward/record.url?scp=84891866458&partnerID=8YFLogxK

U2 - 10.1038/jhh.2013.54

DO - 10.1038/jhh.2013.54

M3 - Article

VL - 28

SP - 123

EP - 127

JO - Journal of Human Hypertension

JF - Journal of Human Hypertension

SN - 0950-9240

IS - 2

ER -