Table 3.
Barriers and corresponding facilitators to patients’ successful participation in HBPM
| Barriers | Facilitators |
|---|---|
| Concerns about reliability of testing | None reported |
| “You take [your blood pressure] first thing in the morning before you supposedly have, have stress. And the end of the day, maybe I had a lousy day running around… Any machine that I have to do something at home like that, I, I always wonder how reliable these home – at home testing is.”—Focus Group 4 (English) | |
| Lack of desire to initiate HBPM readings | None reported |
| “I don’t think I would want to do it…Many people wouldn’t want to do that themselves.”—Focus Group 3 (Spanish) | |
| Concerns about testing forgetfulness | Encourage alarm use |
| “I would forget.”—Focus Group 1 (English) | “I would put that alarm on…I could do it in the evening it would be a time that I know for sure I’m already at home…And then I would, I would do it there.”—Focus Group 1 (English) |
| Lack of knowledge about testing protocol | Have provider teach and patient demonstrate proper technique |
| “There will be people that won’t know how to do it.”—Focus Group 2 (Spanish) | “The doctor should show you and they…should even…have you do it. See whether you’re doing it right.”—Focus Group 4 (English) |
| “Where does it go on my arm?”—Focus Group 4 (English) | |
| Issues about cost of testing | Future use of device |
| “You’re asking… people to buy it [who] might not have high blood pressure issues. So they spend, they spend a lot of money on something they might [need].”—Focus Group 1 (English) | “For the future you know you have it there. Sometimes…you might… want to just monitor [your]self here and there.”—Focus Group 1 (English) |
| “I wouldn’t buy [a home BP monitor]…I can go to Duane Reade [pharmacy], and it [doesn’t] cost me anything.”—Focus Group 4 (English) | “When someone is present in your home that has problems with blood pressure… you can give first aid.”—Focus Group 2 (Spanish) |
Abbreviation: HBPM, home blood pressure monitoring.