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Feasibility and Methodology of a Pilot Free Blood Pressure Monitoring and Follow-Up Program at Two Free Clinics.
Mikos, Georgios; Yu, Brian; Balbin, Jessica; Martinez-Reyes, Laisha; Tang, Jonathan M; Lieu, Brandon Nguyen; Tran, Edward; Xue, Athena; Lee, Jiwoo; Wary, Neil; Franke, Camryn; Panyanouvong, Nicholas; Chaclan, Melody J; Chang, Tony H; Chen, Crystal; Guo, Michaela Y; Harvell, Kelly; Horan, Rose; Johnson, Nicole A; Kim, Audrey; Liu, Eric; Liu, Linda; Nuñez-Perez, Pablo; Quig, Madison; Sanyal, Anushka; Sharma, Krishna; Wang, Iris; Wang, Kelly; Filsoof, Amy; Charon, Mina; Montacute, Tamara; Singh, Baldeep.
Afiliação
  • Mikos G; School of Medicine, Stanford University, Stanford, CA, USA.
  • Yu B; School of Medicine, Stanford University, Stanford, CA, USA.
  • Balbin J; School of Medicine, Stanford University, Stanford, CA, USA.
  • Martinez-Reyes L; School of Medicine, Stanford University, Stanford, CA, USA.
  • Tang JM; School of Medicine, Stanford University, Stanford, CA, USA.
  • Lieu BN; School of Medicine, Stanford University, Stanford, CA, USA.
  • Tran E; School of Medicine, Stanford University, Stanford, CA, USA.
  • Xue A; School of Medicine, Stanford University, Stanford, CA, USA.
  • Lee J; School of Medicine, Stanford University, Stanford, CA, USA.
  • Wary N; School of Medicine, Stanford University, Stanford, CA, USA.
  • Franke C; School of Medicine, Stanford University, Stanford, CA, USA.
  • Panyanouvong N; School of Medicine, Stanford University, Stanford, CA, USA.
  • Chaclan MJ; School of Medicine, Stanford University, Stanford, CA, USA.
  • Chang TH; School of Medicine, Stanford University, Stanford, CA, USA.
  • Chen C; School of Medicine, Stanford University, Stanford, CA, USA.
  • Guo MY; School of Medicine, Stanford University, Stanford, CA, USA.
  • Harvell K; School of Medicine, Stanford University, Stanford, CA, USA.
  • Horan R; School of Medicine, Stanford University, Stanford, CA, USA.
  • Johnson NA; School of Medicine, Stanford University, Stanford, CA, USA.
  • Kim A; School of Medicine, Stanford University, Stanford, CA, USA.
  • Liu E; School of Medicine, Stanford University, Stanford, CA, USA.
  • Liu L; School of Medicine, Stanford University, Stanford, CA, USA.
  • Nuñez-Perez P; School of Medicine, Stanford University, Stanford, CA, USA.
  • Quig M; School of Medicine, Stanford University, Stanford, CA, USA.
  • Sanyal A; School of Medicine, Stanford University, Stanford, CA, USA.
  • Sharma K; School of Medicine, Stanford University, Stanford, CA, USA.
  • Wang I; School of Medicine, Stanford University, Stanford, CA, USA.
  • Wang K; School of Medicine, Stanford University, Stanford, CA, USA.
  • Filsoof A; School of Medicine, Stanford University, Stanford, CA, USA.
  • Charon M; School of Medicine, Stanford University, Stanford, CA, USA.
  • Montacute T; School of Medicine, Stanford University, Stanford, CA, USA.
  • Singh B; School of Medicine, Stanford University, Stanford, CA, USA.
J Prim Care Community Health ; 15: 21501319241278836, 2024.
Article em En | MEDLINE | ID: mdl-39269685
ABSTRACT

BACKGROUND:

Hypertension affects approximately 1 in 2 adults in the US. Home blood pressure (BP) monitoring programs are effective in the diagnosis and management of hypertension. Free clinics serve as an integral safety net for millions of uninsured and economically disadvantaged patients in the US. The feasibility and effects of a free home BP monitoring and follow-up program in a free clinic setting is not well characterized.

METHODS:

This was a prospective study of the implementation of a pilot BP monitoring and follow-up program between March 2021 and August 2023 at 2 free clinics in the San Francisco Bay Area. A total of 78 hypertensive patients were enrolled in the program and given a free BP monitor. We surveyed via telephone the change in systolic and diastolic BPs and BP monitor use and comfort at 3 weeks. Volunteers in clinic roles involved in the BP monitoring program were surveyed to assess their time spent and perceptions of the program.

RESULTS:

Of the 78 patients, 37 provided responses to the 3-week survey. A total of 36 of 37 (97%) patients reported using their BP monitor. A total of 35 patients reported using it at least once a week (95%), with the majority reporting at least four uses a week (68%). A total of 36 patients (97%) planned on continuing to use their BP monitor. At 3 weeks, the mean systolic and diastolic BP changed by -6.40 mmHg (95% CI, -10.8 to -2.01 mmHg; P = .00577) and -2.72 mmHg (95% CI, -5.62 to 0.188 mmHg; P = .0657), respectively. The time commitment for this program ranged from 130 ± 51 min for program leaders to 16 ± 14 min per week for patient-facing roles. All volunteer roles (patient-facing, phone follow-up, program leaders) expressed that they had a clear understanding of their responsibilities in the program (median 4 on Likert scale, IQR 3-5).

CONCLUSION:

Home BP monitoring and follow-up is feasible to implement in free clinics, resulting in high rates of patient engagement among respondents. Our findings suggest that home BP monitoring and follow-up programs may be beneficial in vulnerable patient populations.
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Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Estudos de Viabilidade / Monitorização Ambulatorial da Pressão Arterial / Hipertensão Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: J Prim Care Community Health Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Estudos de Viabilidade / Monitorização Ambulatorial da Pressão Arterial / Hipertensão Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: J Prim Care Community Health Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos