Evidence map›Paper›PMID 34415946›Full record

ArticlePloS one2021

Physician perceived barriers and facilitators for self-measured blood pressure monitoring- a qualitative study.

Saahith Gondi, Shellie Ellis, Mallika Gupta, Edward Ellerbeck, Kimber Richter, Jeffrey Burns, Aditi Gupta

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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  8. Factors impacting electronic patient-generated data use in safety-net systems: a qualitative study.Journal of the American Medical Informatics Association : JAMIA · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Saahith GondiDepartment of Biology, Wake Forest University, Winston-Salem, NC, United States of America.
Shellie EllisDepartment of Population Health, University of Kansas Medical Center, Kansas City, KS, United States of America.
Mallika GuptaDivision of Nephrology and Hypertension, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, United States of America.
Edward EllerbeckDepartment of Population Health, University of Kansas Medical Center, Kansas City, KS, United States of America.
Kimber RichterDepartment of Population Health, University of Kansas Medical Center, Kansas City, KS, United States of America.
Jeffrey BurnsDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS, United States of America.
Aditi GuptaDivision of Nephrology and Hypertension, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, United States of America.ORCID 0000-0002-6286-802X
University of Kansas Medical Center · USWake Forest University · US

Funding

Using Integrated Omics to Identify Dysfunctional Genetic Mechanisms Influencing Schizophrenia and Sleep DisturbancesP20GM130423 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI ANDREW K. GODWIN, Steven Allan Soper · 2019 to 2026
$21.5M
Cognitive Impairment in End Stage Renal DiseaseK23AG055666 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI GUPTA, ADITI · 2017 to 2022
$1.2M
Remote Monitoring and Virtual Collaborative Care for Hypertension Control to Prevent Cognitive DeclineR61AG068483 · NIA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BURNS, JEFFREY MURRAY, GUPTA, ADITI · 2020 to 2020
$761k
NIA NIH HHS K23 AG055666NIA NIH HHS R61 AG068483NIGMS NIH HHS P20 GM130423
6 · The paper itself

Abstract

introductionImproving hypertension management is a national priority that can decrease morbidity and mortality. Evidence-based hypertension management guidelines advocate self-measured BP (SMBP), but widespread implementation of SMBP is lacking. The purpose of this study was to describe the perspective of primary care physicians (PCPs) on SMBP to identify the barriers and facilitators for implementing SMBP.

methodsWe collected data from PCPs from a large health system using semi-structured interviews based on the Theoretical Domains Framework (TDF). Responses were recorded, transcribed, and qualitatively analyzed into three overarching TDF domains based on the Behavior Change Wheel (BCW): 1) Motivation 2) Opportunity and 3) Capabilities. The sample size was based on theme saturation.

resultsAll 17 participating PCPs believed that SMBP is a useful, but underutilized tool. Although individual practices varied, most physicians felt that the increased data points from SMBP allowed for better hypertension management. Most felt that overcoming existing barriers would be difficult, but identified several facilitators: physician support of SMBP, the possibility of having other trained health professionals to assist with SMBP and patient education; improving patient engagement and empowerment with SMBP, and the interest of the health system in using technology to improve hypertension management.

conclusionPCPs believe that SMBP can improve hypertension management. There are numerous barriers and facilitators for implementing SMBP. Successful implementation in clinical practice will require implementation strategies targeted at increasing patient acceptability and reducing physician workload. This may need a radical change in the current methods of managing hypertension.

Indexed as

Health Knowledge, Attitudes, PracticeBlood Pressure DeterminationBlood Pressure Monitoring, AmbulatoryFemaleHumansHypertensionMaleMiddle AgedPhysicians, Primary CareQualitative ResearchWorkload

Identifiers

PMID34415946
PMCPMC8378703
OpenAlexW3194973702

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.