Table 1. Characteristics of the included studies.
Lead author(s) [Ref] Country, Year |
Study | Setting | Self-monitoring | Number of readings / session | Co-interventions | Pre-defined level | Comparison | Home target (mmHg) | Clinic target (mmHg) | Baseline BP ±SD mmHg | No. randomised | Data available | No. 6M | No. 12M | No. 18M |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Halme/ Kantola [41] Finland, 2005 |
HOMER | Primary care | Daily for 1 week every 2 months | 2 | None | 1 | Usual care | 135/80 | 140/85 | 157/93±18/8 | 269 | 231 | 170 | N/A | N/A |
McManus [24] UK 2005 |
TASMINH | Primary care | Monthly in GP practice waiting room | 2 | None | 1 | Usual care | 140/85 140/80 DM |
140/85 140/80 DM |
156/88±15/7 | 441 | 440 | 413 | 401 | N/A |
Bosworth [26] US, 2007 |
HINTS | Primary care | 3 days per week | 1 | Behavioural intervention | 3 | Usual care | 135/85 135/80 DM |
140/90 135/80 DM |
129/77±18/13 | 593 | 591 | 535 | 523 | N/A |
Or meds management | 4 | 130/78±19/14 | |||||||||||||
Or both | 4 | 128/77±19/13 | |||||||||||||
Verberk [25] Netherlands, 2007 |
HOMERUS | Primary care and outpatients | 1 week per month, then 1 week every 2 months | 3 | None | 1 | Usual care with monthly clinic visits then 2 monthly | 140/90 | 140/90 | 164/96±17/10 | 517 | 517 | N/A | 434 | N/A |
Green [42] US, 2008 |
eBP | Primary care and outpatients | 2 days per week | 2 | Website and email | 2 | Usual care | 135/85 | 140/90 | 151/89±12/9 | 778 | 778 | N/A | 730 | N/A |
+/- web-based pharmacist management | 4 | 151/89±12/9 | |||||||||||||
Bosworth [27] US, 2009 |
TCYB | Primary care | 3 days per week | 1 | None | 1 | Usual care | 135/85 | 140/90 | 125/71±16/10 | 636 (476 applicable) | 446 | 383 | 350 | 324 |
Or behavioural interventions, education, and support | 4 | 130/80 DM | 130/80 DM | 125/71±18/11 | |||||||||||
Parati & Omboni [33] Italy, 2009 |
TeleBPcare | Primary Care | 3 days per week | 2 | Telemonitoring | 2 | Usual care | 135/85 | 140/90 | 146/88±12/8 | 329 | 298 | 298 | N/A | N/A |
Godwin [43] Canada, 2010 |
Primary Care | At least weekly | 1 | None | 1 | Usual care | 135/85 | 140/90 | 144/81±18/11 | 552 | 458 | 458 | 458 | N/A | |
Earle [23] UK, 2010 |
Community (recruited through a hospital site) | Weekly | 1 | Blood glucose testing, text/app system with feedback from clinicians | 4 | Usual care | 140/90 | 140/90 | 131/77±17/10 | 137 | 126 | 126 | N/A | N/A | |
McManus [36] UK, 2010 |
TASMINH2 | Primary care | Daily for the first week of each month | 2 | Telemonitoring and self- titration | 3 | Usual care | 130/85 130/75 DM |
140/90 140/80 DM |
152/85±12/9 | 527 | 527 | 480 | 480 | N/A |
Hebert [40] US, 2011 |
Outpatients and primary care | Variable | Not clear | None | 1 | Usual care | 140/90 | 153/86 16/13 | 416 | 416 | N/A | N/A | 286 | ||
Or nurse support | 4 | 130/80DM | 153/86 18/13 | ||||||||||||
Wakefield [31] US, 2011 |
Primary care | Daily | 1 | Low-intensity management algorithm | 2 | Usual care | 135/85 | 135/85 | 135/72±18/11 | 302 | 300 | 268 | 261* | N/A | |
High-intensity algorithm | 3 | 130/80 DM | 130/80 DM | 136/74±19/11 | |||||||||||
Bove [44] US, 2013 |
HTN | Primary care and outpatients | 2 days per week | Not clear | Telemonitoring | 2 | Usual care | 140/90 | 155/88±15/11 | 241 | 235 | 202 | N/A | N/A | |
Kerry [39] UK, 2013 |
Community (recruited from stroke services) | Daily in week 1, then 1 day per week | 3 | Nurse-led telephone support | 2 | Usual care | 130/80 | 140/85 | 138/74±21/12 | 381 | 381 | 352 | 334 | N/A | |
Magid [50] US, 2013 |
Primary care | 3 days per week | 1 | Patient education and BP reporting; or patient education, BP reporting, and pharmacist management | 4 | Usual care | 135/85 125/75 DM/CKD |
140/90 130/80 DM/ CKD |
147/15±89/10 | 338 | 326 | 326 | N/A | N/A | |
Margolis [37] US, 2013 |
Hyperlink | Primary care | 3 days per week | 2 | Telemonitoring and pharmacist management | 4 | Usual care | 135/85 125/75 DM/CKD |
140/90 130/80 DM/CKD |
148/85±13/12 | 450 | 450 | 403 | 388 | 370 |
McKinstry [45] UK, 2013 |
HITS | Primary care | Daily in week 1, then at least 1 day per week thereafter | 2 | Optional automated telemonitoring | 2 | Usual care | 135/85 | 140/90 | 153/91±15/11 | 401 | 401 | 374 | N/A | N/A |
Parati [32] Italy, 2013 |
TeleBPMET | Primary care | 3 days per week | 2 | Telemonitoring | 2 | Usual care | 135/85 | 140/90 | 147/90±12/8 | 252 | 182 | 181 | 179 | N/A |
Green [51] US, 2014 |
eCare | At least 1 day per week for 2 months, then 1 day per fortnight for 2 months, then monthly | 2 | Dietician with BP plan and visits (weekly for 2 months, fortnightly for 2 months, then monthly) | 4 | Usual care | 135/85 | 140/90 | 150/92±12/9 | 101 | 101 | 90 | N/A | N/A | |
Leiva [46] Spain, 2014 |
Adherencia | Primary care | Weekly, with morning and afternoon readings | 3 | Motivational interview, pillbox reminder, family support, BP and medication reminder form, and pharmacist review | 3 | Usual care | 135/85 | 140/90 and 130/80 for DM or CKD | 156/84±15/11 | 221 | 215 | N/A | 215 | N/A |
McManus [35] UK 2014 |
TASMIN-SR | Primary care | Daily for the first week of each month | 2 | Self-management | 3 | Usual care | 120/75 | 130/80 ST | 144/80±13/10 | 552 | 450 | 439 | 450 | N/A |
Ogedegbe [34] US, 2014 |
CAATCH | Primary care | 3 days per week | 1 | Education, lifestyle, and behavioural support | 3 | Usual care | 151/91±17/10 | 1,039 | 997 | 610 | 691 | N/A | ||
Stewart [48] Australia, 2014 |
HAPPy | Primary care | Several readings per week | 1 | Pharmacist management with motivational interviewing, medication review, education, and optional refill reminders | 4 | Usual care | 140/90 and 130/80 for DM and CKD | 140/90 and 130/80 for DM and CKD | 141/84±20/11 | 395 | 391 | 351 | N/A | N/A |
Yi [47] US, 2015 |
Primary care | As prescribed by their doctor | Variable | Educational material on hypertension | 1 | Usual care | 140/90 or 130/80 DM or CKD | 140/90 or 130/80 DM or CKD | 152/83±16/11 | 900 | 828 | 529 | N/A | N/A | |
Parati (unpublished study) Italy |
AUPRES | Primary care | 3 days per week | 3 | 1 | Usual care | 135/85 | 140/90 | 154/95±15/8 | 407 | 407 | 407 | 407 | 407 |
Summary information of included studies. Differences between number randomised and data available for Godwin (2010) and McManus (2014) are due to the use of complete case data only. The difference observed in Bosworth (2009) results from the removal of the behavioural intervention arm and patients with missing baseline BP data. Abbreviations: BP, blood pressure; CKD, chronic kidney disease; DM, diabetes mellitus; GP, general practitioner; M, months; ST, self-tested BP.
*Participants self-monitored for 6 months; follow-up data collected at 12 months.