Shields Maureen, Guzman Iridian, Rouse Jackie, Siddiqi Alvia, Pletcher Mark J, Khatib Rasha
Advocate Aurora Research Institute, Milwaukee, Wisconsin, USA.
Advocate Health, Milwaukee, Wisconsin, USA.
J Eval Clin Pract. 2025 Mar;31(2):e14130. doi: 10.1111/jep.14130. Epub 2024 Aug 18.
Self-measured blood pressure (SMBP) monitoring is crucial for hypertension management, yet its adoption, particularly among disadvantaged populations, remains low. 'Love Your Heart' is a quality improvement program providing free standard SMBP devices to hypertensive patients, aiming to enhance adoption and assess its impact on blood pressure control.
This study evaluates the 'Love Your Heart' program's implementation success through assessing adoption rates and exploring changes in systolic blood pressure (SBP) among participants. We aim to understand factors influencing adoption and potential benefits of SMBP monitoring in a diverse, socially disadvantaged patient population.
We retrospectively evaluated the 'Love Your Heart' program using electronic health records (EHR) at a primary care site in Chicago. Adult patients with hypertension were enroled in the 6-month program, which included education sessions and free SMBP devices. Adoption was measured by participation in program components, and changes in SBP were analysed based on adoption status. Statistical analyses were conducted using SAS software, adhering to STROBE reporting guidelines.
Of 621 eligible patients, 104 participated, with 83 included in the evaluation. Despite all participants receiving free SMBP devices, adoption rates were modest, with only 7% sharing readings with the care team. However, patients who received device instructions demonstrated greater decreases in SBP compared to those who did not. Although not statistically significant, clinically meaningful decreases in SBP were observed among adopters.
The 'Love Your Heart' program highlights the challenges of promoting SMBP monitoring among disadvantaged patient populations. While providing free devices addresses access barriers, low reporting to the care team suggests the need for further support mechanisms. Future research should explore strategies to enhance SMBP adoption and integration into clinical care, particularly in settings lacking automated data transmission systems.
自我测量血压（SMBP）监测对于高血压管理至关重要，但其采用率，尤其是在弱势群体中，仍然很低。“关爱你的心脏”是一项质量改进计划，为高血压患者提供免费的标准SMBP设备，旨在提高采用率并评估其对血压控制的影响。
本研究通过评估采用率和探索参与者收缩压（SBP）的变化来评估“关爱你的心脏”计划的实施成功情况。我们旨在了解影响采用率的因素以及SMBP监测在多样化、社会弱势群体中的潜在益处。
我们在芝加哥的一个初级保健机构使用电子健康记录（EHR）对“关爱你的心脏”计划进行了回顾性评估。患有高血压的成年患者参加了为期6个月的计划，该计划包括教育课程和免费的SMBP设备。通过参与计划组成部分来衡量采用情况，并根据采用状态分析SBP的变化。使用SAS软件进行统计分析，遵循STROBE报告指南。
在621名符合条件的患者中，104名参与，83名纳入评估。尽管所有参与者都获得了免费的SMBP设备，但采用率适中，只有7%的人与护理团队分享读数。然而，接受设备使用说明的患者与未接受的患者相比，SBP下降幅度更大。尽管没有统计学意义，但在采用者中观察到SBP有临床意义的下降。
“关爱你的心脏”计划凸显了在弱势群体中推广SMBP监测的挑战。虽然提供免费设备解决了获取障碍，但向护理团队报告率低表明需要进一步的支持机制。未来的研究应探索提高SMBP采用率并将其纳入临床护理的策略，特别是在缺乏自动数据传输系统的环境中。
