The role of home blood pressure telemonitoring in managing hypertensive populations.

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2013-08

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Abstract

Hypertension is a common chronic disease affecting nearly one-third of the United States population. Many interventions have been designed to help patients manage their hypertension. With the evolving climate of healthcare, rapidly developing technology, and emphasis on delivering patient-centered care, home-based blood pressure telemonitoring is a promising tool to help patients achieve optimal blood pressure (BP) control. Home-based blood pressure telemonitoring is associated with reductions in blood pressure values and increased patient satisfaction. However, additional research is needed to understand cost-effectiveness and long-term clinical outcomes of home-based BP monitoring. We review key interventional trials involving home based BP monitoring, with special emphasis placed on studies involving additionally behavioral modification and/or medication management. Furthermore, we discuss the role of home-based blood pressure telemonitoring within the context of the patient-centered medical home and the evolving role of technology.

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10.1007/s11906-013-0351-6

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Zullig, Leah L, S Dee Melnyk, Karen Goldstein, Ryan J Shaw and Hayden B Bosworth (2013). The role of home blood pressure telemonitoring in managing hypertensive populations. Current hypertension reports, 15(4). pp. 346–355. 10.1007/s11906-013-0351-6 Retrieved from https://hdl.handle.net/10161/30035.

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Scholars@Duke

Zullig

Leah L Zullig

Professor in Population Health Sciences

Leah L. Zullig, PhD, MPH is a health services researcher and an implementation scientist. She is a Professor in the Duke Department of Population Health Sciences and an investigator with the Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT) at the Durham Veterans Affairs Health Care System. Dr. Zullig’s overarching research interests address three domains: improving cancer care delivery and quality; promoting cancer survivorship and chronic disease management; and improving medication adherence. Throughout these three area of foci Dr. Zullig uses an implementation science lens with the goal of providing equitable care for all by implementing evidence-based practices in a variety of health care environments. She has authored over 150 peer-reviewed publications. 

Dr. Zullig completed her BS in Health Promotion, her MPH in Public Health Administration, and her PhD in Health Policy.

Areas of expertise: Implementation Science, Health Measurement, Health Policy, Health Behavior, Telehealth, and Health Services Research

Goldstein

Karen M. Goldstein

Associate Professor of Medicine

Dr. Goldstein's research interests include women's health, cardiovascular risk reduction, evidence synthesis methodology and peer support.

Shaw

Ryan Shaw

Associate Professor in the School of Nursing

Ryan Shaw is at the forefront of integrating patient-generated health data and emerging technologies into novel care delivery models. Using a health equity lens, his research focuses on data from wearables, sensors, and devices that enhance patient care and interact with electronic health records (EHRs). His innovative work has attracted funding from institutions like the US National Institutes of Health (NIH) and the National Science Foundation (NSF).

As the Director of Duke University School of Nursing's Health Innovation Lab, located adjacent to Duke Hospital, he oversees a space for entrepreneurship, product development and testing, and modeling care delivery processes. Additionally, he teaches classes in health informatics and research methods, and mentors students to become the next generation of health scientists and clinicians.

Dr. Shaw's work is shaping the future of healthcare through the integration of technology and patient-centered data in nursing practice.

He currently co-leads two NIH-funded clinical trials:
EXTEND (Grant R01NR019594): extend.nursing.duke.edu
Log2lose (Grant U24HL150227): log2lose.com


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