Open AccessHome BP Monitoring Using a Telemonitoring System is Effective for Controlling BP in a Remote Island in Japan
Author(s) -
Kaihara Toshiki,
Eguchi Kazuo,
Kario Kazuomi
Publication year - 2014
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12421
Subject(s) - medicine
The purpose of this study was to assess whether a home blood pressure ( HBP ) telemonitoring system could improve BP control and overcome the problems of HBP monitoring in a remote location. The authors enrolled 60 subjects and randomized them to either a Telemonitoring group or a Control group. The outcomes were changes in HBP level, adherence to HBP monitoring, and visual analog scale ( VAS; score 0–100) as a measure of the motivation to perform HBP measurements. The reductions in morning systolic BP (−5.5±0.9 mm Hg vs 0.7±0.7 mm Hg, P <.001) and evening systolic BP (−4.6±1.0 mm Hg vs 1.0±1.1 mm Hg, P <.001) and the change in VAS (12.8±3.3 vs −1.6±2.2, P =.001) were significantly greater in the Telemonitoring group than in the Control group. The measure of the adherence to HBP monitoring tended to be better ( P =.064) in the Telemonitoring group than in the Control group. These results indicate that an HBP telemonitoring system would be a beneficial healthcare measure in remote geographical locations.