A Cross-sectional study on awareness and factors influencing use of Home Blood Pressure Monitoring

Abstract

Background

Home blood pressure monitoring (HBPM), whether guided by patients or clinicians, is increasingly acknowledged

as an effective method for improving blood pressure control in hypertension. Compared to clinic measurements,

HBPM offers more reproducible readings and better predicts cardiovascular mortality. Additional benefits include

convenience, the ability to take repeated readings over time, reduced white coat effect, and enhanced patient

involvement in managing their condition.

Objective

To assess the awareness gap regarding home blood pressure monitoring interventions among hypertensive

individuals and factors influencing it.

Methods

A cross-sectional study was conducted among 235 adults >18 years of age adult patients attending field practice

area of tertiary care center for a period of 1 year amongst who are diagnosed as hypertensives on regular treatment

for at least three months. Pré-designed, pre-tested, Pré-validated questionnaire was used. Data was collected on

various parameters, including gender, education, socioeconomic status, cost of the blood pressure (BP) apparatus,

awareness regarding home blood pressure monitoring (HBPM), and proficiency or lack of training in performing

HBPM.The collected data were entered in excel and analyzed using Microsoft Office 365. Categorical variables were

assessed for statistical significance using the chi-square test. Permission was taken from Institutional Ethics

Committee.

Results

Among the 235 participants, 18.3% had been diagnosed with hypertension for less than six months, 16.2% for six

months to one year, and the majority, 65.5%, for more than one year. In terms of healthcare preference, 30% opted

for government facilities, while 70% chose private ones. Regarding home blood pressure monitoring (HBPM), 107

participants were aware of it, but only 59 reported actually using it. The most common reason for not using HBPM,

cited by 38.3% was a lack of knowledge on how to operate the device. Additionally, 28.1% felt it was necessary, and

8.5% identified the cost of the equipment as a barrier.

Conclusion

Home blood pressure monitoring (HBPM) is an effective tool for managing hypertension, offering more reliable

readings than clinic measurements and better predicting cardiovascular risk. It also provides convenience,

minimizes white coat effect, allows repeated measurements, and promotes patient engagement.