The accuracy of self-reported blood pressure in the Medication adherence Improvement Support App For Engagement-Blood Pressure (MedISAFE-BP) trial: Implications for pragmatic trials
| Autor: | Julie C Lauffenburger, Shefali Kumar, Nancy Haff, Kyle Morawski, Niteesh K. Choudhry, Nudrat Noor, Jessie L. Juusola, Roya Ghazinouri |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty MEDLINE Medication adherence Blood Pressure 030204 cardiovascular system & hematology Medication Adherence 03 medical and health sciences 0302 clinical medicine Internal medicine Diabetes mellitus Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Hypertension diagnosis Exercise business.industry Patient Selection Age Factors Blood Pressure Determination Odds ratio Middle Aged medicine.disease Pragmatic trial Mobile Applications Data Accuracy Clinical trial Blood pressure Logistic Models Hypertension Female Self Report Smartphone Cardiology and Cardiovascular Medicine business |
| Zdroj: | American heart journal. 220 |
| ISSN: | 1097-6744 |
| Popis: | Self-report of health conditions and behaviors is one potential strategy to increase the pace of enrollment into pragmatic clinical trials. In this study, we assessed the accuracy of self-reported poorly controlled hypertension among adults in the community who were screened for participation in the MedISAFE-BP trial. Of individuals who self-reported poorly controlled hypertension using the online trial enrollment platform, 64% had a systolic blood pressure less than 140 mm Hg when measured at home. Although we identified several characteristics associated with accurate self-report including older age (odds ratio [OR] 1.02 per year, 95% CI 1.01-1.03), diabetes (OR 1.59, 95% CI 1.17-2.14), and low health activation (OR 1.56 95% CI 1.17-2.07), we were unable to identify patients for whom self-reported hypertension would be a reliable method for their inclusion in a pragmatic trial. |
| Databáze: | OpenAIRE |
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