BMJ : British medical journal
-
Randomized Controlled Trial Multicenter Study
Telemonitoring based service redesign for the management of uncontrolled hypertension: multicentre randomised controlled trial.
To determine if an intervention consisting of telemonitoring and supervision by usual primary care clinicians of home self measured blood pressure and optional patient decision support leads to clinically important reductions in daytime systolic and diastolic ambulatory blood pressure in patients with uncontrolled blood pressure. ⋯ Supported self monitoring by telemonitoring is an effective method for achieving clinically important reductions in blood pressure in patients with uncontrolled hypertension in primary care settings. However, it was associated with increase in use of National Health Service resources. Further research is required to determine if the reduction in blood pressure is maintained in the longer term and if the intervention is cost effective.
-
Randomized Controlled Trial
Implementation of self management support for long term conditions in routine primary care settings: cluster randomised controlled trial.
To determine the effectiveness of an intervention to enhance self management support for patients with chronic conditions in UK primary care. ⋯ An intervention to enhance self management support in routine primary care did not add noticeable value to existing care for long term conditions. The active components required for effective self management support need to be better understood, both within primary care and in patients' everyday lives.