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Systematic Review of Self-Measured Blood Pressure Monitoring With Support: Intervention Effectiveness and Cost
Sharada S Shantharam1, Mallika Mahalingam2, Aysha Rasool2
1IHRC, Inc., Atlanta, Georgia; Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
American Journal of Preventive Medicine
|October 23, 2021
Summary
Self-measured blood pressure monitoring with support effectively controls blood pressure. Simple technologies like phone systems and websites, with as-needed provider interaction, offer the best cost-effectiveness for this intervention.
Area of Science:
- Health Economics
- Cardiovascular Health
- Health Services Research
Background:
- Self-measured blood pressure monitoring with support is a proven method for managing hypertension.
- Understanding the economic aspects of these interventions is crucial for widespread implementation.
Purpose of the Study:
- To systematically review the effectiveness and cost-effectiveness of self-measured blood pressure monitoring with support.
- To identify intervention characteristics that influence cost and effectiveness.
Main Methods:
- A systematic economic review of 22 studies published up to March 2021.
- Inclusion criteria focused on blood pressure change and intervention cost, excluding specific conditions.
- Analysis of patient characteristics and intervention features impacting outcomes.
Main Results:
- No significant difference in cost or cost-effectiveness based on the type of support.
- Lower costs and better cost-effectiveness were associated with simple technologies (phone, smartphone, web).
- Interventions with only as-needed provider interaction were more cost-effective.
Conclusions:
- Simple technological support and minimal provider contact optimize the cost-effectiveness of self-measured blood pressure monitoring.
- This review provides valuable insights for both research and practical implementation of blood pressure management strategies.
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