Use of a blood pressure log is associated with improved blood pressure medication adherence in a predominately racial/ethnic minority sample.

IF 1.2 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Blood Pressure Monitoring Pub Date : 2025-06-01 DOI:10.1097/MBP.0000000000000748

Wing Hang Lau, Eric Lam, Joshua Fogel, Hanna Ghanayem, Chris Elsayad, Anjum Maqbool, Vas Vilma

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引用次数: 0

Abstract

Background: Blood pressure (BP) control is often challenging. We study whether a pictorial BP log is associated with improved adherence to medical management and BP control.

Method: A sample of mostly Blacks and Hispanics with uncontrolled hypertension were either provided with a pictorial log ( n = 75) or recommended to complete a log to record their BP ( n = 75). The primary outcome was bringing any BP log to a subsequent follow-up visit. Secondary outcomes were BP values, BP control, and adherence to antihypertensive medication.

Results: The pictorial log-provided group had a significantly greater percentage than the no log-provided group for bringing a log to a visit within 6 months (53.3 versus 8.0%, P < 0.001). The pictorial log-provided had a significantly ( P = 0.03) greater mean reduction of diastolic BP ( M = -5.2, SD = 10.98) than the no log-provided group ( M = -1.0, SD = 9.95). There were no significant differences in BP control or adherence to antihypertensive medication between the groups. Improved adherence to antihypertensive medication was observed in patients who were adherent to bringing any BP log to a visit (odds ratio: 4.59, 95% confidence interval:1.16-18.10, P = 0.03).

Conclusion: Pictorial logs were associated with bringing such logs to subsequent visits and for reduced diastolic BP. However, pictorial logs were not associated with improved BP control or adherence to antihypertensive medication but rather any log was associated with greater adherence to antihypertensive medication. We recommend the use of BP logs of any type for successful BP management.

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在以种族/少数民族为主的样本中，使用血压日志与改善血压药物依从性相关。

背景：血压（BP）控制通常具有挑战性。我们研究图像血压日志是否与改善医疗管理和血压控制的依从性有关。方法：选取高血压未得到控制的黑人和西班牙裔患者为研究对象，提供一份图像日志（n = 75）或建议他们完成一份记录血压的日志（n = 75）。主要结果是在随后的随访中带来任何血压记录。次要结局是血压值、血压控制和抗高血压药物的依从性。结果：在6个月内，提供图片日志的组携带日志的比例明显高于不提供日志的组（53.3%比8.0%,P < 0.001）。图片原木组舒张压平均降低（M = -5.2, SD = 10.98）显著高于无原木组（M = -1.0, SD = 9.95）（P = 0.03）。两组患者在血压控制和抗高血压药物依从性方面无显著差异。就诊时携带血压记录的患者对降压药物的依从性提高（优势比：4.59,95%可信区间：1.16-18.10,P = 0.03）。结论：图像日志与将这些日志带到后续就诊和降低舒张压有关。然而，图像日志与血压控制的改善或抗高血压药物的依从性无关，相反，任何日志都与抗高血压药物的更强依从性有关。我们建议使用任何类型的BP日志来成功管理BP。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Blood Pressure Monitoring 医学-外周血管病

CiteScore

2.00

自引率

7.70%

发文量

110

审稿时长

>12 weeks

期刊介绍： Blood Pressure Monitoring is devoted to original research in blood pressure measurement and blood pressure variability. It includes device technology, analytical methodology of blood pressure over time and its variability, clinical trials - including, but not limited to, pharmacology - involving blood pressure monitoring, blood pressure reactivity, patient evaluation, and outcomes and effectiveness research. This innovative journal contains papers dealing with all aspects of manual, automated, and ambulatory monitoring. Basic and clinical science papers are considered although the emphasis is on clinical medicine. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.