Patient Experiences With Blood Pressure Measurement Methods for Hypertension Diagnosis: Qualitative Findings From the BP-CHECK Study.

Autor:	Hansell LD; Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave Suite 1360 Seattle, WA 98101-1466, United States., Hsu CW; Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave Suite 1360 Seattle, WA 98101-1466, United States., Munson SA; Human Centered Design & Engineering, University of Washington, Seattle, WA 98195, United States., Margolis KL; HealthPartners Institute, Bloomington, MN 55425, United States., Thompson MJ; Department of Family Medicine, University of Washington, Seattle, WA 98195, United States., Ehrlich KJ; Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave Suite 1360 Seattle, WA 98101-1466, United States., Hall YN; VA Puget Sound Health Care System, Seattle, WA 98108, United States.; Kidney Research Institute, University of Washington, Seattle, WA, 98195, United States., Anderson ML; Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave Suite 1360 Seattle, WA 98101-1466, United States., Evers SC; Georgia State University, Atlanta, GA 30302, United States., Marcus-Smith MS; Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave Suite 1360 Seattle, WA 98101-1466, United States., McClure JB; Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave Suite 1360 Seattle, WA 98101-1466, United States.; Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA 91101, United States., Green BB; Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave Suite 1360 Seattle, WA 98101-1466, United States.; Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA 91101, United States.
Jazyk:	angličtina
Zdroj:	American journal of hypertension [Am J Hypertens] 2024 Oct 14; Vol. 37 (11), pp. 868-875.
DOI:	10.1093/ajh/hpae088
Abstrakt:	Background: Out-of-office blood pressure (BP) measurement is recommended when making a new hypertension diagnosis. In practice, however, hypertension is primarily diagnosed using clinic BP. The study objective was to understand patient attitudes about accuracy and patient-centeredness regarding hypertension diagnostic methods. Methods: Qualitative study within a randomized controlled diagnostic study conducted between May 2017 and March 2019 comparing the accuracy and acceptability of BP measurement methods among patients in an integrated healthcare delivery system. All participants completed 24-hour ambulatory blood pressure monitoring (ABPM), plus either clinic BP, home BP monitoring (HBPM), or kiosk BP diagnostic testing. Qualitative interviewees (aged 31-76 years, n = 35) were recruited from the main study. Results: Participants who completed HBPM found it to be comfortable and low burden, and believed it produced accurate results. Participants in the clinic arm described clinic measurements as inconvenient. Participants in the kiosk arm overall did not favor kiosks due to concerns about accuracy and privacy. Participants described ABPM as the most accurate method due to repeated measurements over the 24-hour period in real-world contexts, but many found it uncomfortable and disruptive. Participants also noted methods that involved repeated measures such as HBPM and ABPM particularly influenced their understanding of whether or not they had hypertension. Conclusions: Hypertension diagnostic methods that include more BP measurements help patients gain a deeper understanding of BP variability and the lower reliability of infrequent measurements in the clinic. These findings warrant implementing strategies to enhance out-of-office BP diagnostic testing in primary care. Clinical Trials Registration: Trial number NCT03130257. (© The Author(s) 2024. Published by Oxford University Press on behalf of American Journal of Hypertension, Ltd. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.)
Databáze:	MEDLINE
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