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Updated: Jul 28, 2025

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Risk reduction intervention for raised blood pressure (REVERSE): protocol for a mixed-methods feasibility study.

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Summary

This study assesses the feasibility of blood pressure self-monitoring for individuals with pre-hypertension. Results will guide future trials on managing elevated blood pressure through lifestyle changes.

Keywords:
Blood PressureFeasibility StudiesPrehypertensionPrimary PreventionRisk FactorsSelf Care

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Area of Science:

  • Cardiovascular Health
  • Preventive Medicine
  • Health Services Research

Background:

  • Pre-hypertension affects 40% of adults, increasing cardiovascular disease risk.
  • Current management emphasizes lifestyle modification over medication.
  • Self-monitoring blood pressure may empower individuals to manage risk and modify behaviors.

Purpose of the Study:

  • To determine the feasibility of blood pressure self-monitoring for people with pre-hypertension.
  • To assess the acceptability of self-monitoring among patients and healthcare professionals.
  • To gather data informing the design of future clinical trials.

Main Methods:

  • Prospective, non-randomised feasibility study using a mixed-methods approach.
  • 114 participants recruited from general practices, pharmacies, and community providers.
  • 6-month home blood pressure self-monitoring with questionnaires at baseline, 6, and 12 months.
  • Follow-up interviews and focus groups with participants and healthcare professionals.
  • Cost-analysis and cost-benefit analysis conducted.

Main Results:

  • Primary outcomes focus on willingness to engage, acceptability of self-monitoring, and study processes.
  • Secondary outcomes will inform future trial design.
  • Data collection includes quantitative (questionnaires) and qualitative (interviews, focus groups) methods.

Conclusions:

  • The study will provide crucial insights into the practical implementation of blood pressure self-monitoring for pre-hypertension.
  • Findings will guide the development of effective interventions for cardiovascular risk reduction.
  • Results will be disseminated through publications and professional feedback.