The accuracy of self-reported blood pressure in the Medication adherence Improvement Support App For Engagement-Blood Pressure (MedISAFE-BP) trial: Implications for pragmatic trials.

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ID: 68292
2019
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Abstract
Self-report of health conditions and behaviors is one potential strategy to increase the pace of enrollment into pragmatic clinical trials. In this study, we assessed the accuracy of self-reported poorly controlled hypertension among adults in the community who were screened for participation in the MedISAFE-BP trial. Of individuals who self-reported poorly controlled hypertension using the online trial enrollment platform, 64% had a systolic blood pressure less than 140 mm Hg when measured at home. Although we identified several characteristics associated with accurate self-report including older age (odds ratio [OR] 1.02 per year, 95% CI 1.01-1.03), diabetes (OR 1.59, 95% CI 1.17-2.14), and low health activation (OR 1.56 95% CI 1.17-2.07), we were unable to identify patients for whom self-reported hypertension would be a reliable method for their inclusion in a pragmatic trial.
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haff2019theamerican Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Haff, Nancy;Lauffenburger, Julie C;Morawski, Kyle;Ghazinouri, Roya;Noor, Nudrat;Kumar, Shefali;Juusola, Jessie;Choudhry, Niteesh K;
Journal american heart journal
Year 2019
DOI
S0002-8703(19)30300-X
URL
Keywords
canada intercultural health migrant health occupational health physician–patient relations primary care qualitative methods rural health and medicine agricultural farm workers

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