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Primary care doctors’ views on self-monitoring of blood pressure and self-titration among patients with uncontrolled hypertension in Spain. The ADAMPA trial focus group study.
BACKGROUND: Despite the increased use of blood pressure (BP) monitoring devices at home, the hypertension of more than 50% of European patients remains uncontrolled. Nevertheless, the self-management of BP, through the combination of home monitoring of BP with self-titration, could be anaccessible a...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Royal College of General Practitioners
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7606147/ https://www.ncbi.nlm.nih.gov/pubmed/32816741 http://dx.doi.org/10.3399/bjgpopen20X101062 |
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author | Marco-Moreno, Irene Martínez-Ibañez, Patricia Avelino-Hidalgo, Eugenia Bellot-Pujalte, Laura Barreira-Franch, Ignacio Martínez-Ibañez, Lucia Escrig-Veses, Marina Giménez-Loreiro, Margarita Bóveda-García, María Calleja-del-Ser, Mercedes Hurtado, Isabel García-Sempere, Aníbal Rodríguez-Bernal, Clara L Peiró, Salvador Sanfélix-Genovés, José Sanfelix-Gimeno, Gabriel |
author_facet | Marco-Moreno, Irene Martínez-Ibañez, Patricia Avelino-Hidalgo, Eugenia Bellot-Pujalte, Laura Barreira-Franch, Ignacio Martínez-Ibañez, Lucia Escrig-Veses, Marina Giménez-Loreiro, Margarita Bóveda-García, María Calleja-del-Ser, Mercedes Hurtado, Isabel García-Sempere, Aníbal Rodríguez-Bernal, Clara L Peiró, Salvador Sanfélix-Genovés, José Sanfelix-Gimeno, Gabriel |
author_sort | Marco-Moreno, Irene |
collection | PubMed |
description | BACKGROUND: Despite the increased use of blood pressure (BP) monitoring devices at home, the hypertension of more than 50% of European patients remains uncontrolled. Nevertheless, the self-management of BP, through the combination of home monitoring of BP with self-titration, could be anaccessible and effective tool for improving hypertension control in the primary care setting. The ADAMPA study is a trial with participants randomised to BP self-management (BPSM) with self-titration of antihypertensive medication or to usual care, in a population of patients with poorly controlled hypertension. AIM: To explore the views and attitudes of primary care doctors participating in the ADAMPA trial regarding BPSM with self-titration. DESIGN & SETTING: A focus group study took place with primary care doctors participating in the ADAMPA trial, which was carried out in one health district of the Valencia Health System in Spain. METHOD: Nine primary care doctors participating in the ADAMPA trial were included in the focus group. Three researchers (two using manual methods and one using NVivo software) independently conducted a content analysis, reading the transcripts, identifying, classifying, and coding the contents, and developing a conceptual scheme based on these topics. RESULTS: Participating doctors clearly support home BP monitoring (HBPM), the setting of individual BP targets, and incorporating patient readings into decision-making. They consider it an investment to educate patients for medication self-adjustment and estimate that an important proportion of their patients are potential candidates for hypertension self-management with medication self-titration. However, they show important divergences regarding the role of nursing in BP control. CONCLUSION: Primary care doctors participating in the ADAMPA trial feel comfortable with BPSM with self-titration, and would consider extending its use (or the use of some components, such as BP target setting) to other patients with hypertension outside the trial. |
format | Online Article Text |
id | pubmed-7606147 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Royal College of General Practitioners |
record_format | MEDLINE/PubMed |
spelling | pubmed-76061472020-11-09 Primary care doctors’ views on self-monitoring of blood pressure and self-titration among patients with uncontrolled hypertension in Spain. The ADAMPA trial focus group study. Marco-Moreno, Irene Martínez-Ibañez, Patricia Avelino-Hidalgo, Eugenia Bellot-Pujalte, Laura Barreira-Franch, Ignacio Martínez-Ibañez, Lucia Escrig-Veses, Marina Giménez-Loreiro, Margarita Bóveda-García, María Calleja-del-Ser, Mercedes Hurtado, Isabel García-Sempere, Aníbal Rodríguez-Bernal, Clara L Peiró, Salvador Sanfélix-Genovés, José Sanfelix-Gimeno, Gabriel BJGP Open Research BACKGROUND: Despite the increased use of blood pressure (BP) monitoring devices at home, the hypertension of more than 50% of European patients remains uncontrolled. Nevertheless, the self-management of BP, through the combination of home monitoring of BP with self-titration, could be anaccessible and effective tool for improving hypertension control in the primary care setting. The ADAMPA study is a trial with participants randomised to BP self-management (BPSM) with self-titration of antihypertensive medication or to usual care, in a population of patients with poorly controlled hypertension. AIM: To explore the views and attitudes of primary care doctors participating in the ADAMPA trial regarding BPSM with self-titration. DESIGN & SETTING: A focus group study took place with primary care doctors participating in the ADAMPA trial, which was carried out in one health district of the Valencia Health System in Spain. METHOD: Nine primary care doctors participating in the ADAMPA trial were included in the focus group. Three researchers (two using manual methods and one using NVivo software) independently conducted a content analysis, reading the transcripts, identifying, classifying, and coding the contents, and developing a conceptual scheme based on these topics. RESULTS: Participating doctors clearly support home BP monitoring (HBPM), the setting of individual BP targets, and incorporating patient readings into decision-making. They consider it an investment to educate patients for medication self-adjustment and estimate that an important proportion of their patients are potential candidates for hypertension self-management with medication self-titration. However, they show important divergences regarding the role of nursing in BP control. CONCLUSION: Primary care doctors participating in the ADAMPA trial feel comfortable with BPSM with self-titration, and would consider extending its use (or the use of some components, such as BP target setting) to other patients with hypertension outside the trial. Royal College of General Practitioners 2020-08-19 /pmc/articles/PMC7606147/ /pubmed/32816741 http://dx.doi.org/10.3399/bjgpopen20X101062 Text en Copyright © 2020, The Authors https://creativecommons.org/licenses/by/4.0/ This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Research Marco-Moreno, Irene Martínez-Ibañez, Patricia Avelino-Hidalgo, Eugenia Bellot-Pujalte, Laura Barreira-Franch, Ignacio Martínez-Ibañez, Lucia Escrig-Veses, Marina Giménez-Loreiro, Margarita Bóveda-García, María Calleja-del-Ser, Mercedes Hurtado, Isabel García-Sempere, Aníbal Rodríguez-Bernal, Clara L Peiró, Salvador Sanfélix-Genovés, José Sanfelix-Gimeno, Gabriel Primary care doctors’ views on self-monitoring of blood pressure and self-titration among patients with uncontrolled hypertension in Spain. The ADAMPA trial focus group study. |
title | Primary care doctors’ views on self-monitoring of blood pressure and self-titration among patients with uncontrolled hypertension in Spain. The ADAMPA trial focus group study. |
title_full | Primary care doctors’ views on self-monitoring of blood pressure and self-titration among patients with uncontrolled hypertension in Spain. The ADAMPA trial focus group study. |
title_fullStr | Primary care doctors’ views on self-monitoring of blood pressure and self-titration among patients with uncontrolled hypertension in Spain. The ADAMPA trial focus group study. |
title_full_unstemmed | Primary care doctors’ views on self-monitoring of blood pressure and self-titration among patients with uncontrolled hypertension in Spain. The ADAMPA trial focus group study. |
title_short | Primary care doctors’ views on self-monitoring of blood pressure and self-titration among patients with uncontrolled hypertension in Spain. The ADAMPA trial focus group study. |
title_sort | primary care doctors’ views on self-monitoring of blood pressure and self-titration among patients with uncontrolled hypertension in spain. the adampa trial focus group study. |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7606147/ https://www.ncbi.nlm.nih.gov/pubmed/32816741 http://dx.doi.org/10.3399/bjgpopen20X101062 |
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