Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Measuring and Managing Blood Pressure in a Primary Care Setting: A Pragmatic Implementation Study

John Doane, Jenni Buu, M. Jason Penrod, Michelle Bischoff, Molly B. Conroy and Barry Stults
The Journal of the American Board of Family Medicine May 2018, 31 (3) 375-388; DOI: https://doi.org/10.3122/jabfm.2018.03.170450
John Doane
From the Department of General Internal Medicine, School of Medicine, University of Utah, Salt Lake City,UT (JD, MJP, MB, MBC, BS); Pharmacy Primary Care Services, University of Utah Health, Salt Lake City (JB).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jenni Buu
From the Department of General Internal Medicine, School of Medicine, University of Utah, Salt Lake City,UT (JD, MJP, MB, MBC, BS); Pharmacy Primary Care Services, University of Utah Health, Salt Lake City (JB).
PharmD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
M. Jason Penrod
From the Department of General Internal Medicine, School of Medicine, University of Utah, Salt Lake City,UT (JD, MJP, MB, MBC, BS); Pharmacy Primary Care Services, University of Utah Health, Salt Lake City (JB).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michelle Bischoff
From the Department of General Internal Medicine, School of Medicine, University of Utah, Salt Lake City,UT (JD, MJP, MB, MBC, BS); Pharmacy Primary Care Services, University of Utah Health, Salt Lake City (JB).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Molly B. Conroy
From the Department of General Internal Medicine, School of Medicine, University of Utah, Salt Lake City,UT (JD, MJP, MB, MBC, BS); Pharmacy Primary Care Services, University of Utah Health, Salt Lake City (JB).
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Barry Stults
From the Department of General Internal Medicine, School of Medicine, University of Utah, Salt Lake City,UT (JD, MJP, MB, MBC, BS); Pharmacy Primary Care Services, University of Utah Health, Salt Lake City (JB).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    1. Myers MG
    . The great myth of office blood pressure measurement. J Hypertens 2012;30:1894–8.
    OpenUrlCrossRefPubMedWeb of Science
  2. 2.↵
    1. Myers MG,
    2. Godwin M,
    3. Dawes M,
    4. Kiss A,
    5. Tobe SW,
    6. Kaczorowski J
    . Measurement of blood pressure in the office: Recognizing the problem and proposing the solution. Hypertension 2010;55:195–200.
    OpenUrlCrossRef
  3. 3.↵
    1. Powers BJ,
    2. Olsen MK,
    3. Smith VA,
    4. Woolson RF,
    5. Bosworth HB,
    6. Oddone EZ
    . Measuring blood pressure for decision making and quality reporting: Where and how many measures? Ann Intern Med 2011;154:781–8.
    OpenUrlCrossRefPubMed
  4. 4.↵
    1. Gorostidi M,
    2. Vinyoles E,
    3. Banegas JR,
    4. de la Sierra A
    . Prevalence of white-coat and masked hypertension in national and international registries. Hypertens Res 2015;38:1–7.
    OpenUrlCrossRefPubMed
  5. 5.↵
    1. Piper MA,
    2. Evans CV,
    3. Burda BU,
    4. Margolis KL,
    5. O'Connor E,
    6. Whitlock EP
    . Diagnostic and predictive accuracy of blood pressure screening methods with consideration of rescreening intervals: A systematic review for the U.S. Preventive Services Task Force. Ann Intern Med 2015;162:192–204.
    OpenUrlCrossRefPubMed
  6. 6.↵
    The National Heart Foundation of Australia. Guideline for the diagnosis and management of hypertension in adults—2016. Melbourne, Australia: The National Heart Foundation of Australia; 2016.
  7. 7.↵
    1. Leung AA,
    2. Daskalopoulou SS,
    3. Dasgupta K,
    4. et al
    . Hypertension Canada's 2017 guidelines for diagnosis, risk assessment, prevention, and treatment of hypertension in adults. Can J Cardiol 2017;33:557–76.
    OpenUrl
  8. 8.↵
    1. Whelton PK,
    2. Carey RM,
    3. Aronow WS,
    4. et al
    . 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: A report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. J Am Coll Cardiol 2017 [Epub ahead of print].
  9. 9.↵
    1. Blacher J,
    2. Halimi JM,
    3. Hanon O,
    4. et al
    . Management of hypertension in adults: The 2013 French society of hypertension guidelines. Fundam Clin Pharmacol 2014;28:1–9.
    OpenUrlCrossRefPubMed
  10. 10.↵
    1. Krause T,
    2. Lovibond K,
    3. Caulfield M,
    4. McCormack T,
    5. Williams B,
    6. Group GD
    . Management of hypertension: Summary of NICE guidance. BMJ 2011;343:d4891.
    OpenUrlFREE Full Text
  11. 11.↵
    1. Siu AL
    . Screening for high blood pressure in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2015;163:778–86.
    OpenUrlCrossRefPubMed
  12. 12.↵
    1. Shimbo D,
    2. Kent ST,
    3. Diaz KM,
    4. et al
    . The use of ambulatory blood pressure monitoring among Medicare beneficiaries in 2007–2010. J Am Soc Hypertens 2014;8:891–7.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Woolsey S,
    2. Brown B,
    3. Ralls B,
    4. Friedrichs M,
    5. Stults B
    . Diagnosing hypertension in primary care clinics according to current guidelines. J Am Board Fam Med 2017;30:170–7.
    OpenUrlAbstract/FREE Full Text
  14. 14.↵
    1. Kronish IM,
    2. Kent S,
    3. Moise N,
    4. et al
    . Barriers to conducting ambulatory and home blood pressure monitoring during hypertension screening in the United States. J Am Soc Hypertens 2017;11:573–80.
    OpenUrl
  15. 15.↵
    1. Kent ST,
    2. Shimbo D,
    3. Huang L,
    4. et al
    . Rates, amounts, and determinants of ambulatory blood pressure monitoring claim reimbursements among Medicare beneficiaries. J Am Soc Hypertens 2014;8:898–908.
    OpenUrlCrossRefPubMed
  16. 16.↵
    1. Ostchega Y,
    2. Zhang G,
    3. Kit BK,
    4. Nwankwo T
    . Factors associated with home blood pressure monitoring among US adults: National Health and Nutrition Examination Survey, 2011–2014. Am J Hypertens 2017;30:1126–32.
    OpenUrl
  17. 17.↵
    1. Tirabassi J,
    2. Fang J,
    3. Ayala C
    . Attitudes of primary care providers and recommendations of home blood pressure monitoring—DocStyles, 2010. J Clin Hypertens (Greenwich) 2013;15:224–9.
    OpenUrlPubMed
  18. 18.↵
    1. Milani RV,
    2. Lavie CJ,
    3. Bober RM,
    4. Milani AR,
    5. Ventura HO
    . Improving hypertension control and patient engagement using digital tools. Am J Med 2017;130:14–20.
    OpenUrl
  19. 19.↵
    1. Margolis KL,
    2. Asche SE,
    3. Bergdall AR,
    4. et al
    . Effect of home blood pressure telemonitoring and pharmacist management on blood pressure control: A cluster randomized clinical trial. JAMA 2013;310:46–56.
    OpenUrlCrossRefPubMedWeb of Science
  20. 20.↵
    1. McManus RJ,
    2. Mant J,
    3. Haque MS,
    4. et al
    . Effect of self-monitoring and medication self-titration on systolic blood pressure in hypertensive patients at high risk of cardiovascular disease: The TASMIN-SR randomized clinical trial. JAMA 2014;312:799–808.
    OpenUrlCrossRefPubMedWeb of Science
  21. 21.↵
    1. Omboni S,
    2. Gazzola T,
    3. Carabelli G,
    4. Parati G
    . Clinical usefulness and cost effectiveness of home blood pressure telemonitoring: Meta-analysis of randomized controlled studies. J Hypertens 2013;31:455–67; discussion 467–8.
    OpenUrlCrossRefPubMed
  22. 22.↵
    1. Tucker KL,
    2. Sheppard JP,
    3. Stevens R,
    4. et al
    . Self-monitoring of blood pressure in hypertension: A systematic review and individual patient data meta-analysis. PLoS Med 2017;14:e1002389.
    OpenUrl
  23. 23.↵
    1. Ringrose JS,
    2. Polley G,
    3. McLean D,
    4. Thompson A,
    5. Morales F,
    6. Padwal R
    . An assessment of the accuracy of home blood pressure monitors when used in device owners. Am J Hypertens 2017;30:683–9.
    OpenUrl
  24. 24.↵
    1. Ruzicka M,
    2. Akbari A,
    3. Bruketa E,
    4. Kayibanda JF,
    5. Baril C,
    6. Hiremath S
    . How accurate are home blood pressure devices in use? A cross-sectional study. PLoS One 2016;11:e0155677.
    OpenUrl
  25. 25.↵
    1. Levy J,
    2. Gerber LM,
    3. Wu X,
    4. Mann SJ
    . Nonadherence to recommended guidelines for blood pressure measurement. J Clin Hypertens (Greenwich) 2016;18:1157–61.
    OpenUrl
  26. 26.↵
    1. Flacco ME,
    2. Manzoli L,
    3. Bucci M,
    4. et al
    . Uneven accuracy of home blood pressure measurement: A multicentric survey. J Clin Hypertens (Greenwich) 2015;17:638–43.
    OpenUrl
  27. 27.↵
    1. Milot JP,
    2. Birnbaum L,
    3. Larochelle P,
    4. et al
    . Unreliability of home blood pressure measurement and the effect of a patient-oriented intervention. Can J Cardiol 2015;31:658–63.
    OpenUrlCrossRefPubMed
  28. 28.↵
    1. Logan AG,
    2. Dunai A,
    3. McIsaac WJ,
    4. Irvine MJ,
    5. Tisler A
    . Attitudes of primary care physicians and their patients about home blood pressure monitoring in Ontario. J Hypertens 2008;26:446–52.
    OpenUrlCrossRefPubMedWeb of Science
  29. 29.↵
    1. Boivin JM,
    2. Tsou-Gaillet TJ,
    3. Fay R,
    4. Dobre D,
    5. Rossignol P,
    6. Zannad F
    . Influence of the recommendations on the implementation of home blood pressure measurement by French general practitioners: A 2004–2009 longitudinal survey. J Hypertens 2011;29:2105–15.
    OpenUrlCrossRefPubMed
  30. 30.↵
    1. Myers MG
    . Automated office blood pressure—The preferred method for recording blood pressure. J Am Soc Hypertens 2016;10:194–6.
    OpenUrl
  31. 31.↵
    1. Jegatheswaran J,
    2. Ruzicka M,
    3. Hiremath S,
    4. Edwards C
    . Are automated blood pressure monitors comparable to ambulatory blood pressure monitors? A systematic review and meta-analysis. Can J Cardiol 2017;33:644–52.
    OpenUrl
  32. 32.↵
    1. Myers MG
    . A short history of automated office blood pressure—15 years to SPRINT. J Clin Hypertens (Greenwich) 2016;18:721–4.
    OpenUrl
  33. 33.↵
    1. Gabb GM,
    2. Mangoni AA,
    3. Anderson CS,
    4. et al
    . Guideline for the diagnosis and management of hypertension in adults—2016. Med J Aust 2016;205:85–9.
    OpenUrl
  34. 34.↵
    1. Pickering TG,
    2. Hall JE,
    3. Appel LJ,
    4. et al
    . Recommendations for blood pressure measurement in humans and experimental animals: Part 1: blood pressure measurement in humans: A statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension 2005;45:142–61.
    OpenUrlCrossRefPubMed
  35. 35.↵
    TRUE Consortium. Recommended standards for assessing blood pressure in human research where blood pressure or hypertension is a major focus. Kidney Int Rep 2017;2:733–8.
    OpenUrl
  36. 36.↵
    1. White WB,
    2. Anwar YA
    . Evaluation of the overall efficacy of the Omron office digital blood pressure HEM-907 monitor in adults. Blood Press Monit 2001;6:107–10.
    OpenUrlCrossRefPubMedWeb of Science
  37. 37.↵
    1. Cushman WC,
    2. Evans GW,
    3. Byington RP,
    4. et al
    . Effects of intensive blood-pressure control in type 2 diabetes mellitus. N Engl J Med 2010;362:1575–85.
    OpenUrlCrossRefPubMedWeb of Science
  38. 38.↵
    SPRINT Research Group. A randomized trial of intensive versus standard blood-pressure control. N Engl J Med 2015;2015:2103–16.
    OpenUrl
  39. 39.↵
    1. Pickering TG,
    2. Miller NH,
    3. Ogedegbe G,
    4. Krakoff LR,
    5. Artinian NT,
    6. Goff D
    . Call to action on use and reimbursement for home blood pressure monitoring: A joint scientific statement from the American Heart Association, American Society Of Hypertension, and Preventive Cardiovascular Nurses Association. Hypertension 2008;52:10–29.
    OpenUrlCrossRef
  40. 40.↵
    1. Sharman JE,
    2. Howes FS,
    3. Head GA,
    4. et al
    . Home blood pressure monitoring: Australian expert consensus statement. J Hypertens 2015;33:1721–8.
    OpenUrlCrossRefPubMed
  41. 41.↵
    1. Niiranen TJ,
    2. Asayama K,
    3. Thijs L,
    4. et al
    . Optimal number of days for home blood pressure measurement. Am J Hypertens 2014;28:595–603.
    OpenUrl
  42. 42.↵
    1. Niiranen TJ,
    2. Johansson JK,
    3. Reunanen A,
    4. Jula AM
    . Optimal schedule for home blood pressure measurement based on prognostic data: The Finn-Home Study. Hypertension 2011;57:1081–6.
    OpenUrlCrossRef
  43. 43.↵
    1. Takahashi H,
    2. Yokoi T,
    3. Yoshika M
    . Validation of the OMRON M6 Comfort (HEM-7321-E) upper arm blood pressure monitor, in oscillometry mode, for clinic use and self measurement in a general population, according to the European Society of Hypertension International Protocol revision. 2010. [Internet]. Dublin, UK: dablEducational Trust; 2014 Jan 22, p. 4.
  44. 44.↵
    1. Imai Y,
    2. Otsuka K,
    3. Kawano Y,
    4. et al
    . Japanese society of hypertension (JSH) guidelines for self-monitoring of blood pressure at home. Hypertens Res 2003;26:771–82.
    OpenUrlCrossRefPubMedWeb of Science
  45. 45.↵
    1. Franklin SS,
    2. Thijs L,
    3. Hansen TW,
    4. O'Brien E,
    5. Staessen JA
    . White-coat hypertension: New insights from recent studies. Hypertension 2013;62:982–7.
    OpenUrlCrossRef
  46. 46.↵
    1. Green BB,
    2. Cook AJ,
    3. Ralston JD,
    4. et al
    . Effectiveness of home blood pressure monitoring, Web communication, and pharmacist care on hypertension control: A randomized controlled trial. JAMA 2008;299:2857–67.
    OpenUrlCrossRefPubMedWeb of Science
  47. 47.↵
    1. Magid DJ,
    2. Olson KL,
    3. Billups SJ,
    4. Wagner NM,
    5. Lyons EE,
    6. Kroner BA
    . A pharmacist-led, American Heart Association Heart360 Web-enabled home blood pressure monitoring program. Circ Cardiovasc Qual Outcomes 2013;6:157–63.
    OpenUrlAbstract/FREE Full Text
  48. 48.↵
    1. DeAlleaume L,
    2. Parnes B,
    3. Zittleman L,
    4. et al
    . Success in the Achieving CARdiovascular Excellence in Colorado (A CARE) home blood pressure monitoring program: A report from the Shared Networks of Colorado Ambulatory Practices and Partners (SNOCAP). J Am Board Fam Med 2015;28:548–55.
    OpenUrlAbstract/FREE Full Text
  49. 49.↵
    1. Fletcher BR,
    2. Hinton L,
    3. Hartmann-Boyce J,
    4. Roberts NW,
    5. Bobrovitz N,
    6. McManus RJ
    . Self-monitoring blood pressure in hypertension, patient and provider perspectives: A systematic review and thematic synthesis. Patient Educ Couns 2016;99:210–9.
    OpenUrlPubMed
  50. 50.↵
    1. Kerr EA,
    2. Zikmund-Fisher BJ,
    3. Klamerus ML,
    4. Subramanian U,
    5. Hogan MM,
    6. Hofer TP
    . The role of clinical uncertainty in treatment decisions for diabetic patients with uncontrolled blood pressure. Ann Intern Med 2008;148:717–727.
    OpenUrlCrossRefPubMedWeb of Science
  51. 51.↵
    American Medical Association/Johns Hopkins Medicine. Self-measured blood pressure monitoring program: Engaging patients in self-measurement. Available from: www.stepsforward.org/Static/images/modules/8/downloadable/SMBP%20monitoring%20program.pdf.
  52. 52.↵
    British Hypertension Society. Home blood pressure monitoring. 2014. Available from: http://bhsoc.org/resources/hbpm.
  53. 53.↵
    1. Sharman JE,
    2. Howes F,
    3. Head GA,
    4. et al
    . How to measure home blood pressure: Recommendations for healthcare professionals and patients. Aust Fam Physician 2016;45:31–4.
    OpenUrlPubMed
  54. 54.↵
    1. Nunan D,
    2. Thompson M,
    3. Heneghan CJ,
    4. Perera R,
    5. McManus RJ,
    6. Ward A
    . Accuracy of self-monitored blood pressure for diagnosing hypertension in primary care. J Hypertens 2015;33:755–62; discussion 762.
    OpenUrlCrossRefPubMed
  55. 55.↵
    1. Zhang L,
    2. Li Y,
    3. Wei FF,
    4. et al
    . Strategies for classifying patients based on office, home, and ambulatory blood pressure measurement. Hypertension 2015;65:1258–65.
    OpenUrlCrossRef
  56. 56.↵
    1. Shimbo D,
    2. Abdalla M,
    3. Falzon L,
    4. Townsend RR,
    5. Muntner P
    . Studies comparing ambulatory blood pressure and home blood pressure on cardiovascular disease and mortality outcomes: A systematic review. J Am Soc Hypertens 2016;10:224–34, e217.
    OpenUrl
  57. 57.↵
    1. Shimada K,
    2. Kario K,
    3. Kushiro T,
    4. et al
    . Prognostic significance of on-treatment home and clinic blood pressure for predicting cardiovascular events in hypertensive patients in the HONEST study. J Hypertens 2016;34:1520–7.
    OpenUrl
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 31 (3)
The Journal of the American Board of Family Medicine
Vol. 31, Issue 3
May-June 2018
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Measuring and Managing Blood Pressure in a Primary Care Setting: A Pragmatic Implementation Study
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
6 + 5 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Measuring and Managing Blood Pressure in a Primary Care Setting: A Pragmatic Implementation Study
John Doane, Jenni Buu, M. Jason Penrod, Michelle Bischoff, Molly B. Conroy, Barry Stults
The Journal of the American Board of Family Medicine May 2018, 31 (3) 375-388; DOI: 10.3122/jabfm.2018.03.170450

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Measuring and Managing Blood Pressure in a Primary Care Setting: A Pragmatic Implementation Study
John Doane, Jenni Buu, M. Jason Penrod, Michelle Bischoff, Molly B. Conroy, Barry Stults
The Journal of the American Board of Family Medicine May 2018, 31 (3) 375-388; DOI: 10.3122/jabfm.2018.03.170450
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Acknowledgments
    • Appendix 1
    • Appendix 2
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Advancing the Science of Implementation in Primary Health Care
  • Google Scholar

More in this TOC Section

  • Identifying and Addressing Social Determinants of Health with an Electronic Health Record
  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
  • A Pilot Comparison of Clinical Data Collection Methods Using Paper, Electronic Health Record Prompt, and a Smartphone Application
Show more Original Research

Similar Articles

Keywords

  • Blood Pressure
  • Hypertension
  • Implementation Science
  • Personal Satisfaction
  • Primary Health Care
  • Surveys and Questionnaires

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire