What are the basic self-monitoring components for cardiovascular risk management?

Alison M. Ward, Carl Heneghan, Rafael Perera, Dan Lasserson, David Nunan, David Mant, Paul Glasziou

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Abstract

Background: Self-monitoring is increasingly recommended as a method of managing cardiovascular disease. However, the design, implementation and reproducibility of the self-monitoring interventions appear to vary considerably. We examined the interventions included in systematic reviews of self-monitoring for four clinical problems that increase cardiovascular disease risk. Methods. We searched Medline and Cochrane databases for systematic reviews of self-monitoring for: heart failure, oral anticoagulation therapy, hypertension and type 2 diabetes. We extracted data using a pre-specified template for the identifiable components of the interventions for each disease. Data was also extracted on the theoretical basis of the education provided, the rationale given for the self-monitoring regime adopted and the compliance with the self-monitoring regime by the patients. Results. From 52 randomized controlled trials (10,388 patients) we identified four main components in self-monitoring interventions: education, self-measurement, adjustment/adherence and contact with health professionals. Considerable variation in these components occurred across trials and conditions, and often components were poorly described. Few trials gave evidence-based rationales for the components included and self-measurement regimes adopted. Conclusions. The components of self-monitoring interventions are not well defined despite current guidelines for self-monitoring in cardiovascular disease management. Few trials gave evidence-based rationales for the components included and self-measurement regimes adopted. We propose a checklist of factors to be considered in the design of self-monitoring interventions which may aid in the provision of an evidence-based rationale for each component as well as increase the reproducibility of effective interventions for clinicians and researchers.

Original languageEnglish
Article number105
JournalBMC Medical Research Methodology
Volume10
DOIs
Publication statusPublished - 2010
Externally publishedYes

Fingerprint

Risk Management
Cardiovascular Diseases
Education
Physiologic Monitoring
Disease Management
Checklist
Type 2 Diabetes Mellitus
Randomized Controlled Trials
Heart Failure
Research Personnel
Databases
Guidelines
Hypertension
Health
Therapeutics

Cite this

Ward, Alison M. ; Heneghan, Carl ; Perera, Rafael ; Lasserson, Dan ; Nunan, David ; Mant, David ; Glasziou, Paul. / What are the basic self-monitoring components for cardiovascular risk management?. In: BMC Medical Research Methodology. 2010 ; Vol. 10.
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abstract = "Background: Self-monitoring is increasingly recommended as a method of managing cardiovascular disease. However, the design, implementation and reproducibility of the self-monitoring interventions appear to vary considerably. We examined the interventions included in systematic reviews of self-monitoring for four clinical problems that increase cardiovascular disease risk. Methods. We searched Medline and Cochrane databases for systematic reviews of self-monitoring for: heart failure, oral anticoagulation therapy, hypertension and type 2 diabetes. We extracted data using a pre-specified template for the identifiable components of the interventions for each disease. Data was also extracted on the theoretical basis of the education provided, the rationale given for the self-monitoring regime adopted and the compliance with the self-monitoring regime by the patients. Results. From 52 randomized controlled trials (10,388 patients) we identified four main components in self-monitoring interventions: education, self-measurement, adjustment/adherence and contact with health professionals. Considerable variation in these components occurred across trials and conditions, and often components were poorly described. Few trials gave evidence-based rationales for the components included and self-measurement regimes adopted. Conclusions. The components of self-monitoring interventions are not well defined despite current guidelines for self-monitoring in cardiovascular disease management. Few trials gave evidence-based rationales for the components included and self-measurement regimes adopted. We propose a checklist of factors to be considered in the design of self-monitoring interventions which may aid in the provision of an evidence-based rationale for each component as well as increase the reproducibility of effective interventions for clinicians and researchers.",
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What are the basic self-monitoring components for cardiovascular risk management? / Ward, Alison M.; Heneghan, Carl; Perera, Rafael; Lasserson, Dan; Nunan, David; Mant, David; Glasziou, Paul.

In: BMC Medical Research Methodology, Vol. 10, 105, 2010.

Research output: Contribution to journalArticleResearchpeer-review

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