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. 2018 May 18;31(8):919–927. doi: 10.1093/ajh/hpy062

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.