Patient Engagement With Home Blood Pressure Monitoring

How well do patients participate in guideline-recommended home blood pressure (BP) monitoring as part of a remote hypertension management program?In this cohort study from an academic health system, 3390 patients with uncontrolled hypertension were enrolled in a BP management program and received free devices, education, and personalized support. However, 1107 patients (32.7%) recorded no BP readings, and nearly half did not meet the program’s minimum measurement threshold.Patient engagement with home BP monitoring is low, revealing a critical disconnect between guideline recommendations and real-world measurements, which highlights the need for more accessible, less burdensome monitoring solutions.

Corresponding Author: Naomi D. L. Fisher, MD, Division of Endocrinology, Diabetes and Hypertension, Brigham and Women’s Hospital, 221 Longwood Ave, Boston, MA 02115 (nfisher@bwh.harvard.edu).

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