Publication Looks at Effectiveness and Cost of Self-Measured Blood Pressure Monitoring

CDC’s Division for Heart Disease and Stroke Prevention and The Community Guide recently co-authored an article in the American Journal of Preventive Medicine about self-measured blood pressure monitoring interventions. The paper, now available through The Community Guide website, describes results from a systematic economic review that evaluated how certain intervention aspects contribute to effectiveness, intervention cost, and intervention cost per unit of effectiveness.

Shantharam SS, Mahalingam M, Rasool A, et al. Systematic review of self-measured blood pressure monitoring with support: intervention effectiveness and cost. American Journal of Preventive Medicine 2022;62(2):285−98.

The Community Preventive Services Task Force (CPSTF) recommends self-measured blood pressure (SMBP) monitoring interventions when used alone and when combined with additional support to improve blood pressure outcomes in patients with high blood pressure. Additional support may include patient counseling, educational sessions, or access to web-based tools.

The systematic review included 22 studies. Results showed the type of additional support offered to patients was not associated with differences in cost and cost per unit of effectiveness. Simple technologies such as interactive phone systems, smartphones, and websites that allowed patients and providers to interact as needed were associated with lower costs and cost per unit of effectiveness.

What is Self-Measured Blood Pressure Monitoring (SMBP)?

SMBP monitoring interventions support and promote the use of personal blood pressure measurement devices in the management and treatment of high blood pressure. Program staff train patients to use validated, and usually automated, blood pressure measurement devices on a regular basis in familiar settings, usually their homes.

Patients share blood pressure readings with their healthcare providers during clinic visits, by telephone, or electronically. These measurements are monitored and used in treatment decisions to improve blood pressure control.

SMBP monitoring interventions may be implemented within team-based care or additional support that includes the following:

One-on-one patient counseling on medications and health behavior changes (e.g., diet and exercise)
Educational sessions on high blood pressure and blood pressure self-management
Access to web-based tools (i.e., electronic refill requests, text or email reminders, or secure provider messaging)

For More Information

The Community Guide: Heart Disease and Stroke Prevention

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Article in @AmJPrevMed from @CDCHeart_Stroke and #TheCommunity Guide describes systematic review evidence on the effectiveness and cost of intervention aspects for self-measured blood pressure monitoring. Read the article: https://www.thecommunityguide.org/sites/default/files/publications/hdsp-ajpm-ecrev-smbp.pdf
Self-measured blood pressure monitoring interventions that use simple technologies such as interactive phone systems, smartphones, and websites are associated with lower costs. @AmJPrevMed article available on #TheCommunityGuide website: https://www.thecommunityguide.org/sites/default/files/publications/hdsp-ajpm-ecrev-smbp.pdf

CDC researchers recently co-authored an article in the American Journal of Preventive Medicine about self-measured blood pressure monitoring interventions. The paper, now available from The Community Guide website, describes results from a systematic economic review that evaluated how certain intervention aspects contribute to effectiveness, intervention cost, and intervention cost per unit of effectiveness. https://www.thecommunityguide.org/sites/default/files/publications/hdsp-ajpm-ecrev-smbp.pdf

We encourage you to share these materials with your colleagues and constituents. If you do, please e-mail us at communityguide@cdc.gov with audience information (e.g., who, approximate size), and if possible, a copy of/link to your communication materials.

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The Community Guide

The Guide to Community Preventive Services (The Community Guide) is a website that is a collection of all the evidence-based findings and recommendations of the Community Preventive Services Task Force.

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