Journal of Telemedicine and Telecare · 2003 · 20 citations · 2 references
MedicinePharmacologyPharmacotherapyCardiovascular PharmacotherapyClinical PharmacologyPharmaceutical ComplianceBlood Pressure ControlBlood Pressure ManagementCardiovascular MonitoringHypertension ControlHypertension ManagementPatient AdherenceAdherence To Antihypertensive TherapyAntihypertensive TreatmentBlood PressureBlood Pressure MonitoringHome Blood Pressure MonitoringHome Blood Pressure TelemonitoringLong-term EffectivenessTelemonitoring
Home monitoring of blood pressure and self-reported drug administration were investigated. Fifty hypertensive patients used a home telemonitoring service for a year. An average of 39% reported that they had followed their prescribed drug intake. Long-term treatment effectiveness was measured as the change in the weekly average morning systolic blood pressure (SBP). Sixteen patients showed a decrease in SBP, 21 no change and 13 a rise in SBP. There was a significant relationship between reported drug intake and variation in daily blood pressure. Groups differed in the magnitude of this effect. Compared with other groups, the difference (3.4 mmHg) between morning and evening SBP was greatest (and significant) in the patients whose blood pressure decreased during the study. Self-reported data using remote home monitoring reveals considerable differences in patterns of compliance with prescribed treatment as well as in the effectiveness of the drug regime.
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