BMJ 2002;325:258-259 ( 3 August )

Primary care

Comparison of acceptability of and preferences for different methods of measuring blood pressure in primary care

Paul Little, MRC clinician scientist ^a, Jane Barnett, research nurse ^a, Lucy Barnsley, medical student ^a, Jean Marjoram, practice nurse ^b, Alex Fitzgerald-Barron, general practitioner ^c, David Mant, professor ^a. 

^aCommunity Clinical Sciences Division (Primary Medical Care Group), Faculty of Medicine, Health and Biological Sciences, Southampton University, Aldermoor Health Centre, Southampton SO16 5ST, ^b Nightingale Surgery, Greatwell Drive, Romsey SO51 7QN, ^c St Clements Surgery, Winchester SO23 8AD

Correspondence to: P Little psl3@soton.ac.uk

Primary care p 254

The first 150 words of the full text of this article appear below.

Blood pressure is probably the most common measurement used in clinical practice and the most common reason for initiation of long term treatment. Recent guidelines for the use of ambulatory monitoring of blood pressure recommend its use in both initial diagnosis (before starting treatment) and assessing control.¹ If ambulatory monitoring is to be used more often we need evidence about its acceptability. Anecdotal reports of its acceptability exist, ^{2 3} and one large study found that the major drawback was sleep disturbance.⁴ It is not clear if patients regard such inconvenience and disturbance as worth while to obtain accurate readings or what patients feel about the alternatives. One study of home blood pressure monitoring suggested that patients found it acceptable.⁵ No study has yet explored the main issues for patients about the acceptability of the different methods of measuring blood pressure or compared the acceptability of all the available methods.

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