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. 2012 Mar 5;14(4):222–227. doi: 10.1111/j.1751-7176.2012.00599.x

Table III.

 Effect With and Without Modifiers on (A) SBP and (B) DBP Readings by Site Personnel and Trained Observer With Bias

Effect Modification Difference Between Site Personnel and Trained Observer Effect Modification (Bias)
Effect modifier With effect (not per‐protocol) Without effect (per protocol) Unadjusted Adjusted
(A)
Non–bare arm (sleeve) 6.56 (3.21–9.91) 1.68 (−1.10 to 4.45) 4.88 (0.53–9.23) P=.028 4.25 (−0.85 to 9.35) P=.103
Feet not flat 3.42 (0.13–6.70) 6.95 (3.44–10.46) −3.54 (−8.34 to 1.27) P=.149 −2.82 (−8.13 to 2.50) P=.299
Conversation 5.99 (2.62–9.36) 2.22 (−0.80 to 5.24) 3.77 (−0.75 to 8.29) P=.102 3.31 (−1.94 to 8.57) P=.216
Arm/cuff not at heart level 6.21 (1.52–10.90) 3.58 (1.05–6.12) 2.62 (−2.71 to 7.96) P=.335 1.32 (−5.83 to 8.47) P=.717
Legs crossed 3.39 (−1.86 to 8.65) 4.10 (1.63–6.57) −0.71 (−6.51, 5.10) P=.811 −0.47 (−7.74 to 6.80) P=.899
(B)
Non–bare arm (sleeve) −2.25 (−4.57 to 0.07) −2.25 (−4.17 to −0.33) −0.004 (−3.02 to 3.01) P=.998 1.41 (−2.73 to 5.55) P=.504
Feet not flat −1.63 (−4.04 to 0.79) −3.67 (−6.24 to −1.09) 2.04 (−1.49, 5.57) P=.261 2.56 (−1.66 to 6.79) P=.231
Conversation −1.86 (−4.21 to 0.48) −2.31 (−4.41 to −0.21) 0.45 (−2.71 to 3.60) P=.781 −0.12 (−4.30 to 4.05) P=.954
Arm/cuff not at heart level −2.01 (−5.18 to 1.17) −2.25 (−3.96 to −0.54) 0.24 (−3.37 to 3.84) P=.897 −1.87 (−7.50 to3.76) P=.526
Legs crossed −0.14 (−3.65 to 3.37) −2.83 (−4.47 to −1.18) 2.69 (−1.19 to 6.56) P=.174 2.77 (−2.97 to 8.51) P=.345

Abbreviations: DBP, diastolic blood pressure; SBP, systolic blood pressure. Factors that were not included in the effect modification analyses: inadequate rest time (all but 2 patients had <1 minute rest time), arm circumference measurement (0 for site personnel), and nonambient temperatures (11).