Self-Measured Blood Pressure Monitoring for High Blood Pressure

This trial aims to determine whether self-monitoring blood pressure at home, with or without pharmacist assistance, can better control high blood pressure in older adults. It targets individuals with multiple ongoing health conditions who are not in nursing homes or hospice care. Patients with high blood pressure readings over the past six months and who plan to remain with their current healthcare provider for the next two years may be suitable candidates. The trial will track changes in blood pressure and assess how managing treatment impacts daily life. As an unphased trial, this study offers a unique opportunity to contribute to research that could enhance blood pressure management for many.

The trial information does not specify whether you need to stop taking your current medications. It seems likely that you can continue your medications, as the study focuses on self-measured blood pressure monitoring.

Research has shown that checking blood pressure at home is generally safe and helpful, allowing individuals to manage high blood pressure more easily. Studies suggest that involving a pharmacist can enhance this process. As a result, people can control their blood pressure more effectively without major side effects.

For example, when individuals use home blood pressure monitoring with a pharmacist's assistance, many experience a reduction in blood pressure. This method is safe and effective for most people. Pharmacists can provide advice and regular check-ins to ensure everything proceeds smoothly.

Researchers are excited about the trial of self-measured blood pressure monitoring (SMBP) with clinical pharmacist support because it empowers patients to take an active role in managing their high blood pressure. Unlike standard treatments that rely heavily on clinic visits and physician-led management, this approach integrates pharmacists who provide personalized support and guidance. This unique combination offers a more tailored approach to blood pressure management, potentially improving adherence to treatment plans and leading to better health outcomes. By involving pharmacists, patients can gain a deeper understanding of their condition and how to manage it effectively, which is a promising step towards more patient-centered care.

Research has shown that checking blood pressure at home, with support from healthcare professionals, can effectively lower blood pressure in individuals with hypertension. This trial assigns participants to different arms to evaluate the effectiveness of self-measured blood pressure (SMBP) monitoring. One arm involves SMBP with conventional clinical support, while another includes SMBP with clinical pharmacist support. Results tend to improve further when a pharmacist is involved. Monitoring blood pressure at home, combined with online communication and pharmacist support, has been shown to help manage high blood pressure. A nationwide program led by community pharmacists, which encourages home blood pressure monitoring, has also successfully controlled high blood pressure. These findings suggest that involving a pharmacist in home monitoring could be especially beneficial for older adults with multiple health issues.²⁴⁶⁷⁸