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- Title
Comparison of Acceptability of Traditional and Novel Blood Pressure Measurement Methods.
- Authors
Lindroos, Annika S.; Jula, Antti M.; Puukka, Pauli J.; Kantola, Ilkka; Salomaa, Veikko; Juhanoja, Eeva; Sivén, Sam; Jousilahti, Pekka; Niiranen, Teemu J.
- Abstract
BACKGROUND Blood pressure (BP) monitor technology has developed significantly over the past years with the introduction of smaller and quieter home and ambulatory monitors that can both measure BP at night. The acceptability of different BP measurement methods using modern monitors is currently unknown. The purpose of this study was to compare patients' acceptability of traditional and novel BP measurement methods using up-to-date monitors. METHODS A population sample of 223 participants underwent 4 office measurements on 2 occasions, a 24-hour ambulatory monitoring and 4 home measurements on 7 consecutive days with home nighttime (homenight) measurements on 2 nights. The acceptability of each method was evaluated with a questionnaire. Analysis of variance with post hoc Bonferroni correction was used to compare mean acceptability scores. RESULTS Mean acceptability score, with a lower score indicating better acceptability, decreased from ambulatory (3.11 ± 0.93) to home-night (2.74 ± 0.81) to home (2.20 ± 0.70) to office (1.95 ± 0.63) measurements (P < 0.001 for all between-method comparisons). The largest betweenmethod differences were observed in comfort of use and disturbance of everyday activities (P < 0.001). 73.1%, 31.8%, 1.3%, and 2.2% rated office, home, home-night, and ambulatory measurements as the most acceptable method, respectively. CONCLUSIONS In the general population and under a research setting, office BP measurement was the method most preferred by the participants while home measurement was the second most preferred. Home-night measurement was slightly more preferred than ambulatory monitoring. However, before home-night BP measurement can be widely promoted as an alternative method for measuring nighttime BP, more evidence of its prognostic significance is needed.
- Subjects
AMBULATORY blood pressure monitoring; BLOOD pressure measurement; BLOOD pressure; HYPERTENSION; MEASUREMENT; BONFERRONI correction
- Publication
American Journal of Hypertension, 2016, Vol 29, Issue 6, p679
- ISSN
0895-7061
- Publication type
Article
- DOI
10.1093/ajh/hpv167