PT  - JOURNAL ARTICLE
AU  - Sabrina Grant
AU  - James A Hodgkinson
AU  - Siobhan L Milner
AU  - Una Martin
AU  - Alice Tompson
AU  - FD Richard Hobbs
AU  - Jonathan Mant
AU  - Richard J McManus
AU  - Sheila M Greenfield
TI  - Patients’ and clinicians’ views on the optimum schedules for self-monitoring of blood pressure: a qualitative focus group and interview study
AID  - 10.3399/bjgp16X686149
DP  - 2016 Nov 01
TA  - British Journal of General Practice
PG  - e819--e830
VI  - 66
IP  - 652
4099  - http://bjgp.org/content/66/652/e819.short
4100  - http://bjgp.org/content/66/652/e819.full
SO  - Br J Gen Pract2016 Nov 01; 66
AB  - Background Self-monitoring of blood pressure is common but guidance on how it should be carried out varies and it is currently unclear how such guidance is viewed.Aim To explore patients’ and healthcare professionals’ (HCPs) views and experiences of the use of different self-monitoring regimens to determine what is acceptable and feasible, and to inform future recommendations.Design and setting Thirteen focus groups and four HCP interviews were held, with a total of 66 participants (41 patients and 25 HCPs) from primary and secondary care with and without experience of self-monitoring.Method Standard and shortened self-monitoring protocols were both considered. Focus groups and interviews were recorded, transcribed verbatim, and analysed using the constant comparative method.Results Patients generally supported structured schedules but with sufficient flexibility to allow adaptation to individual routine. They preferred a shorter (3-day) schedule to longer (7-day) regimens. Although HCPs could describe benefits for patients of using a schedule, they were reluctant to recommend a specific schedule. Concerns surrounded the use of different schedules for diagnosis and subsequent monitoring. Appropriate education was seen as vital by all participants to enable a self-monitoring schedule to be followed at home.Conclusion There is not a ‘one size fits all approach’ to developing the optimum protocol from the perspective of users and those implementing it. An approach whereby patients are asked to complete the minimum number of readings required for accurate blood pressure estimation in a flexible manner seems most likely to succeed. Informative advice and guidance should incorporate such flexibility for patients and professionals alike.