Effectiveness of home blood pressure telemonitoring: a systematic review and meta-analysis of randomised controlled studies
Abstract
To summarise evidence about the effectiveness of home blood pressure telemonitoring (HBPT) and identify the key components of intervention. We comprehensively searched PubMed, EMBASE and the Cochrane Library for relevant studies. The authors were contacted for additional information. Two authors independently extracted the data and assessed the risk of bias. 46 randomised controlled trials including a total of 13 875 cases were identified. Compared with usual care, HBPT improved office systolic blood pressure (BP) and diastolic BP by 3.99 mm Hg (95% confidence interval (CI): 5.06-2.93; P<0.001) and 1.99 mm Hg (95% CI: -2.60 to -1.39; P<0.001), respectively. A larger proportion of patients achieved BP normalisation in the intervention group (relative risk (RR): 1.16; 95% CI: 1.08-1.25; P<0.001). For HBPT plus additional support (including counselling, education, behavioural management, medication management with decision, adherence contracts and so on) versus HBPT alone (or plus less intense additional support), the mean changes in systolic and diastolic BP were 2.44 mm Hg (95% Cl, 4.88 to 0.00 mm Hg; P=0.05) and 1.12 mm Hg (95% CI, -2.34 to 0.1 mm Hg; P=0.07), respectively. For those surrogate outcomes, low-strength evidence failed to show difference. In subgroup analysis, high strength evidence supported a lower BP with HBPT that lasted for 6 or 12 months and was accompanied with counselling support from study personnel. HBPT can improve BP control in the hypertensive patients. It may be more efficacious when a proactive additional support is provided during the intervention process.
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HBPT may help to avoid unnecessary office visits.
“This may help to avoid unnecessary office visits [109–111]”
Home blood pressure telemonitoring was associated with greater reductions in both office and 24-hour ambulatory blood pressure.
“Two meta-analyses of RCTs revealed that home BP telemonitoring was associated with greater reductions in both office as well as 24-hour ambulatory BP. 54,55”
Cites
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823 · see citing works
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859 · see citing works
Wang, G., Ma, R., Qiao, G., Wada, K., Aizawa, Y., & Satoh, T. (2015) · Integrative Medicine International · doi:10.1159/000368408 · Cited by 18,759 · see citing works
Green, B. B. (2008) · JAMA · doi:10.1001/jama.299.24.2857 · Cited by 653 · see citing works
Margolis, K. L., Asche, S. E., Bergdall, A. R., Dehmer, S. P., Groen, S. E., Kadrmas, H. M., Kerby, T. J., Klotzle, K. J., Maciosek, M. V., Michels, R. D., et al. (2013) · JAMA · doi:10.1001/jama.2013.6549 · Cited by 591 · see citing works
McManus, R., Mant, J., Bray, E., Holder, R., Jones, M. I., Greenfield, S., Kaambwa, B., Banting, M., Bryan, S., Little, P., et al. (2010) · The Lancet · doi:10.1016/s0140-6736(10)60964-6 · Cited by 552 · see citing works
Impact of Resistance Training on Blood Pressure and Other Cardiovascular Risk Factors
Cornelissen, V., Fagard, R. H., Coeckelberghs, E., & Vanhees, L. (2011) · Hypertension · doi:10.1161/hypertensionaha.111.177071 · Cited by 548 · see citing works
Friedman, R. H. (1996) · American Journal of Hypertension · doi:10.1016/0895-7061(95)00353-3 · Cited by 506 · see citing works
Pickering, T., Miller, N., Ogedegbe, G., Krakoff, L., Artinian, N., & Goff, D. (2008) · HYPERTENSION · doi:10.1161/hypertensionaha.107.189010 · Cited by 460 · see citing works
McManus, R. J., Mant, J., Haque, M. S., Bray, E. P., Bryan, S., Greenfield, S. M., Jones, M. I., Jowett, S., Little, P., Penaloza, C., et al. (2014) · JAMA · doi:10.1001/jama.2014.10057 · Cited by 408 · see citing works
Shea, S., Weinstock, R. S., Teresi, J. A., Palmas, W., Starren, J. B., Cimino, J. J., Lai, A. M., Field, L., Morin, P. C., Goland, R., et al. (2009) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m3157 · Cited by 375 · see citing works
Uhlig, K., Patel, K., Ip, S., Kitsios, G. D., & Balk, E. M. (2013) · Annals of Internal Medicine · doi:10.7326/0003-4819-159-3-201308060-00008 · Cited by 368 · see citing works
Web-Based Care Management in Patients With Poorly Controlled Diabetes
McMahon, G. T., Gomes, H. E., Hohne, S. H., Hu, T. M.-J., Levine, B. A., & Conlin, P. R. (2005) · Diabetes Care · doi:10.2337/diacare.28.7.1624 · Cited by 319 · see citing works
Ambulatory Blood Pressure and Mortality: A Population-Based Study
Hansen, T. W., Jeppesen, J., Rasmussen, S., Ibsen, H., & Torp-Pedersen, C. (2005) · Hypertension · doi:10.1161/01.hyp.0000160402.39597.3b · Cited by 317 · see citing works
Omboni, S., Gazzola, T., Carabelli, G., & Parati, G. (2013) · Journal of Hypertension · doi:10.1097/hjh.0b013e32835ca8dd · Cited by 313 · see citing works
Home Blood Pressure Management and Improved Blood Pressure Control
Bosworth, H. B. (2011) · Archives of Internal Medicine · doi:10.1001/archinternmed.2011.276 · Cited by 253 · see citing works
Home Monitoring Service Improves Mean Arterial Pressure in Patients with Essential Hypertension
Rogers, M. A. M., Small, D. I., Buchan, D. A., Butch, C. A., Stewart, C. M., Krenzer, B. E., & Husovsky, H. L. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-134-11-200106050-00008 · Cited by 246 · see citing works
Logan, A. G., Irvine, M. J., McIsaac, W. J., Tisler, A., Rossos, P. G., Easty, A., Feig, D. S., & Cafazzo, J. A. (2012) · Hypertension · doi:10.1161/hypertensionaha.111.188409 · Cited by 210 · see citing works
McKinstry, B., Hanley, J., Wild, S., Pagliari, C., Paterson, M., Lewis, S., Sheikh, A., Krishan, A., Stoddart, A., & Padfield, P. (2013) · BMJ · doi:10.1136/bmj.f3030 · Cited by 199 · see citing works
Home Blood Pressure Monitoring
Soghikian, K., Casper, S. M., FIREMAN, B. H., Hunkeler, E. M., Hurley, L. B., Tekawa, I. S., & VOGT, T. M. (1992) · Medical Care · doi:10.1097/00005650-199209000-00009 · Cited by 188 · see citing works
Wakefield, B. J., Holman, J. E., Ray, A. L., Scherubel, M., Adams, M. R., Hillis, S. L., & Rosenthal, G. E. (2011) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2010.0176 · Cited by 174 · see citing works
Home blood pressure monitoring. Effect on use of medical services and medical care costs.
Soghikian, K., Casper, S. M., FIREMAN, B. H., Hunkeler, E. M., Hurley, L. B., Tekawa, I. S., & VOGT, T. M. (1992) · PubMed · Cited by 174 · see citing works
Piette, J. D., Datwani, H., Gaudioso, S., Foster, S. M., Westphal, J., Perry, W., Rodríguez-Saldaña, J., Mendoza-Avelares, M. O., & Marinec, N. (2012) · Telemedicine and e-Health · doi:10.1089/tmj.2011.0271 · Cited by 172 · see citing works
Parati, G., Omboni, S., Albini, F., Piantoni, L., Giuliano, A., Revera, M., Illyes, M., & Mancia, G. (2009) · Journal of Hypertension · doi:10.1097/hjh.0b013e3283163caf · Cited by 166 · see citing works
Artinian, N. T., Washington, O. G. M., & Templin, T. (2001) · Heart & Lung · doi:10.1067/mhl.2001.112684 · Cited by 162 · see citing works
A Ubiquitous Chronic Disease Care system using cellular phones and the internet
Yoo, H. J., Park, M. S., Kim, T. N., Yang, S. J., Cho, G. J., Hwang, T. G., Baik, S. H., Choi, D. S., Park, G. H., & Choi, K. M. (2009) · Diabetic Medicine · doi:10.1111/j.1464-5491.2009.02732.x · Cited by 161 · see citing works
Contreras, E. M., Claros, N. M., Gil-Guillén, V. F., Wichmann, M. D. L. F.-V., Casado-Martínez, J. J., Pablos, J. L. M.-D., Figueras, M., Galera, J., & Serra, A. (2005) · Journal of Hypertension · doi:10.1097/01.hjh.0000198023.53859.a2 · Cited by 159 · see citing works
Magid, D. J., Olson, K. L., Billups, S. J., Wagner, N. M., Lyons, E. E., & Kroner, B. A. (2013) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.112.968172 · Cited by 158 · see citing works
Bond, G. E., Burr, R. L., Wolf, F. M., Price, M. J., McCurry, S. M., & Teri, L. L. (2007) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2006.0057 · Cited by 121 · see citing works
Artinian, N. T., Flack, J. M., Nordstrom, C. K., Hockman, E. M., Washington, O. G. M., Jen, K. C., & Fathy, M. (2007) · Nursing Research · doi:10.1097/01.nnr.0000289501.45284.6e · Cited by 120 · see citing works
Park, M.-J., Kim, H., & Kim, K. S. (2009) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2009.06.004 · Cited by 113 · see citing works
Reducing Blood Pressure With Internet-Based Interventions: A Meta-analysis
Liu, S., Dunford, S. D., Leung, Y. W., Brooks, D., Thomas, S. G., Eysenbach, G., & Nolan, R. P. (2013) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2013.02.007 · Cited by 113 · see citing works
A multimodal blood pressure control intervention in 3 healthcare systems.
Magid, D. J., Ho, P. M., Olson, K. L., Brand, D. W., Welch, L. K., Snow, K. E., Lambert‐Kerzner, A., Plomondon, M. E., & Havranek, E. P. (2011) · PubMed · Cited by 95 · see citing works
Rifkin, D. E., Abdelmalek, J. A., Miracle, C. M., Low, C. L., Barsotti, R., Rios, P., Stepnowsky, C. J., & Agha, Z. (2012) · Blood Pressure Monitoring · doi:10.1097/mbp.0b013e32835d126c · Cited by 93 · see citing works
Rinfret, S., Lussier, M., Peirce, A. P., Duhamel, F., Cossette, S., Lalonde, L., Tremblay, C., Guertin, M., LeLorier, J., Turgeon, J., et al. (2009) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.108.823765 · Cited by 88 · see citing works
Telecare is a valuable tool for hypertension management, a systematic review and meta-analysis
Verberk, W. J., Kessels, A. G. H., & Thien, T. A. (2011) · Blood Pressure Monitoring · doi:10.1097/mbp.0b013e328346e092 · Cited by 87 · see citing works
Managing hypertension in urban underserved subjects using telemedicine—A clinical trial
Bové, A. A., Homko, C. J., Santamore, W. P., Kashem, M. A., Kerper, M. M., & Elliott, D. J. (2013) · American Heart Journal · doi:10.1016/j.ahj.2013.01.004 · Cited by 79 · see citing works
Madsen, L. B., Kirkegaard, P., & Pedersen, E. B. (2008) · Blood Pressure · doi:10.1080/08037050801915468 · Cited by 79 · see citing works
Park, M.-J., & Kim, H. (2012) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2011.12.011 · Cited by 75 · see citing works
Carrasco, M., Salvador, C. H., Sagredo, P., Marquez-Montes, J., de Mingo, M. A. G., Fragua, J. A., Rodriguez, M. C., García-Olmos, L., López, F. J. G., Carrero, A. M., et al. (2008) · IEEE Transactions on Information Technology in Biomedicine · doi:10.1109/titb.2008.926429 · Cited by 72 · see citing works
Neumann, C. L., Menne, J., Rieken, E. M., Fischer, N., Weber, M., Haller, H. G., & Schulz, E. G. (2011) · Journal of Human Hypertension · doi:10.1038/jhh.2010.119 · Cited by 60 · see citing works
Role of home blood pressure telemonitoring in hypertension management
Parati, G., & Omboni, S. (2010) · Blood Pressure Monitoring · doi:10.1097/mbp.0b013e328340c5e4 · Cited by 58 · see citing works
Kim, Y.-N., Shin, D. G., Park, S., & Lee, C. H. (2015) · Hypertension Research · doi:10.1038/hr.2015.32 · Cited by 57 · see citing works
Earle, K. A., Istepanian, R. S. H., Zitouni, K., Sungoor, A., & Tang, B. (2010) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2009.0090 · Cited by 57 · see citing works
Goulis, D. G., Giaglis, G. D., Boren, S. A., Lekka, I., Bontis, E., Balas, E. A., Maglaveras, N., & Avramides, A. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802773 · Cited by 54 · see citing works
Efficacy of a Weight-Loss Website Based on Positive Deviance
Kraschnewski, J. L., Stuckey, H. L., Rovniak, L. S., Lehman, E. B., Reddy, M. C., Poger, J. M., Kephart, D. K., Coups, E. J., & Sciamanna, C. (2011) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2011.08.012 · Cited by 53 · see citing works
Self-Blood Pressure Monitoring in an Urban, Ethnically Diverse Population
Yi, S. S., Tabaei, B. P., Angell, S. Y., Rapin, A., Buck, M. D., Pagano, W., Maselli, F. J., Simmons, A., & Chamany, S. (2015) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.114.000950 · Cited by 51 · see citing works
McDoniel, S. O., Wolskee, P. J., & Shen, J. (2009) · Patient Education and Counseling · doi:10.1016/j.pec.2009.07.034 · Cited by 46 · see citing works
Green, B. B., Anderson, M. L., Cook, A. J., Catz, S. L., Fishman, P. A., McClure, J. B., & Reid, R. J. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2013.11.009 · Cited by 44 · see citing works
Improving Blood Pressure Control: Results of Home-based Post-acute Care Interventions
Pezzin, L. E., Feldman, P. H., Mongoven, J. M., McDonald, M. V., Gerber, L. M., & Peng, T. R. (2010) · Journal of General Internal Medicine · doi:10.1007/s11606-010-1525-4 · Cited by 43 · see citing works
Thiboutot, J. P., Sciamanna, C., Falkner, B. E., Kephart, D. K., Stuckey, H. L., Adelman, A., Curry, W. J., & Lehman, E. B. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2298 · Cited by 40 · see citing works
Hageman, P. A., Pullen, C., Hertzog, M., & Boeckner, L. (2014) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-014-0148-2 · Cited by 36 · see citing works
Hanley, J., Fairbrother, P., Krishan, A., McCloughan, L., Padfield, P., Paterson, M., Pinnock, H., Sheikh, A., Sudlow, C., Todd, A., et al. (2015) · Trials · doi:10.1186/s13063-015-0628-y · Cited by 35 · see citing works
Istepanian, R. S. H., Sungoor, A., & Earle, K. (2009) · doi:10.1109/iembs.2009.5334580 · Cited by 27 · see citing works
Mail Education Is as Effective as In‐Class Education in Hypertensive Korean Patients
Kim, M. T., Kim, E. Y., Han, H., Jeong, S., Lee, J. E., Park, H. J., Kim, K. B., & Hill, M. N. (2008) · Journal of Clinical Hypertension · doi:10.1111/j.1751-7176.2008.07571.x · Cited by 26 · see citing works
Madsen, L. B., Kirkegaard, P., & Pedersen, E. B. (2008) · Blood Pressure · doi:10.1080/08037050802433701 · Cited by 22 · see citing works
Varis, J., & Kantola, I. M. (2010) · Blood Pressure · doi:10.3109/08037051003718457 · Cited by 14 · see citing works
E-counseling as an emerging preventive strategy for hypertension
Nolan, R. P., Liu, S., & Payne, A. Y. M. (2014) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000080 · Cited by 10 · see citing works
Bowen, M. E., Bosworth, H. B., & Roumie, C. L. (2013) · Journal of Clinical Hypertension · doi:10.1111/jch.12172 · Cited by 9 · see citing works
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Jones, D. W., Ferdinand, K. C., Taler, S. J., Johnson, H. M., Shimbo, D., Abdalla, M., Altieri, M. M., Bansal, N., Bello, N. A., Bress, A. P., et al. (2025) · JACC · doi:10.1016/j.jacc.2025.05.007 · Cited by 280 · see citing works
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- Authors
- Duan, Y., Xie, Z., Dong, F., Wu, Z., Lin, Z., Sun, N., & Xu, J.
- Affiliations
- General Hospital of Guangzhou Military Command (CN)
- Guangzhou University of Chinese Medicine (CN)
- Guangdong Pharmaceutical University (CN)
- Corresponding author
- Xie, Z
- Venue
- Journal of Human Hypertension
- Published
- 2017-03-23
- Volume
- 31
- Issue
- 7
- Pages
- 427-437
- ISSN
- 0950-9240 (ISSN-L)
- 1476-5527
- OpenAlex
- W2600945132
- Cited by
- 154
- References
- 60
- Citations by year
- 2026: 8 · 2025: 13 · 2024: 16 · 2023: 21 · 2022: 24 · 2021: 27 · 2020: 24 · 2019: 15 · 2018: 6
- FWCI
- 1.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Human Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- home blood pressure telemonitoring, hypertension, blood pressure control, systolic blood pressure, diastolic blood pressure, additional support, counseling, medication adherence, behavior management
- MeSH terms
- Blood Pressure, Humans, Hypertension, Telemetry, Randomized Controlled Trials as Topic, Blood Pressure Monitoring, Ambulatory
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