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. 2022 Sep-Oct;37(5):475-481.
doi: 10.1097/JCN.0000000000000927. Epub 2022 Apr 23.

Implementation of an At-home Blood Pressure Measurement Protocol in a Hypertension Management Clinical Trial During the COVID-19 Pandemic

Implementation of an At-home Blood Pressure Measurement Protocol in a Hypertension Management Clinical Trial During the COVID-19 Pandemic

Hailey N Miller et al. J Cardiovasc Nurs. 2022 Sep-Oct.

Abstract

Background: The Dietary Approaches to Stop Hypertension eating plan is an evidence-based treatment of hypertension; however, adherence to the Dietary Approaches to Stop Hypertension is low. To improve adherence to the Dietary Approaches to Stop Hypertension among adults with hypertension, we designed Nourish, a 2-arm, 12-month randomized controlled trial. The COVID-19 pandemic necessitated a change from in-person to remotely delivered visits, requiring substantial protocol modifications to measure blood pressure accurately and safely for secondary outcome data.

Purpose: The purpose of this article is to describe the implementation of an at-home blood pressure measurement protocol for the Nourish trial.

Conclusion: Our investigator team and study staff developed and implemented a robust and feasible blood pressure measurement protocol to be executed within an at-home format.

Clinical implications: The described blood pressure measurement protocol provides a framework for use in future clinical trials and clinical settings in which a remote visit is preferred or required.

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Conflict of interest statement

The authors have no conflicts of interests to disclose.

Figures

Figure 1.
Figure 1.
Nourish At-Home Blood Pressure (BP) Measurement Protocol

References

    1. Ostchega Y, Fryar CD, Nwankwo T, Nguyen DT. Hypertension Prevalence Among Adults Aged 18 and Over: United States, 2017–2018. NCHS Data Brief. 2020;(364):1–8. - PubMed
    1. Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task. Hypertens (Dallas, Tex 1979). 2018;71(6):1269–1324. doi:10.1161/HYP.0000000000000066 - DOI - PubMed
    1. Svetkey LP, Simons-Morton D, Vollmer WM, et al. Effects of dietary patterns on blood pressure: subgroup analysis of the Dietary Approaches to Stop Hypertension (DASH) randomized clinical trial. Arch Intern Med. 1999;159(3):285–293. doi:10.1001/archinte.159.3.285 - DOI - PubMed
    1. Appel LJ, Moore TJ, Obarzanek E, et al. A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med. 1997;336(16):1117–1124. doi:10.1056/NEJM199704173361601 - DOI - PubMed
    1. National Heart L and BI. DASH Eating Plan. https://www.nhlbi.nih.gov/health-topics/dash-eating-plan. Accessed October 19, 2021.

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