{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:21:01Z","timestamp":1792110061009,"version":"4.4.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2018,5,18]],"date-time":"2018-05-18T00:00:00Z","timestamp":1526601600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,7,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>BACKGROUND<\/jats:title>\n                  <jats:p>Guidelines recommend that patients with newly elevated office blood pressure undergo ambulatory blood pressure monitoring (ABPM) or home blood pressure monitoring (HBPM) to rule-out white coat hypertension before being diagnosed with hypertension. We explored patients\u2019 perspectives of the barriers and facilitators to undergoing ABPM or HBPM.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Focus groups were conducted with twenty English- and Spanish-speaking individuals from underserved communities in New York City. Two researchers analyzed transcripts using a conventional content analysis to identify barriers and facilitators to participation in ABPM and HBPM.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Participants described favorable attitudes toward testing including readily understanding white coat hypertension, agreeing with the rationale for out-of-office testing, and believing that testing would benefit patients. Regarding ABPM, participants expressed concerns over the representativeness of the day the test was performed and the intrusiveness of the frequent readings. Regarding HBPM, participants expressed concerns over the validity of the monitoring method and the reliability of home blood pressure devices. For both tests, participants noted that out-of-pocket costs may deter patient participation and felt that patients would require detailed information about the test itself before deciding to participate. Participants overwhelmingly believed that out-of-office testing benefits outweighed testing barriers, were confident that they could successfully complete either testing if recommended by their provider, and described the rationale for their testing preference.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Participants identified dominant barriers and facilitators to ABPM and HBPM testing, articulated testing preferences, and believed that they could successfully complete out-of-office testing if recommended by their provider.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ajh\/hpy062","type":"journal-article","created":{"date-parts":[[2018,5,16]],"date-time":"2018-05-16T03:11:08Z","timestamp":1526440268000},"page":"919-927","source":"Crossref","is-referenced-by-count":64,"title":["Patient Barriers and Facilitators to Ambulatory and Home Blood Pressure Monitoring: A Qualitative Study"],"prefix":"10.1093","volume":"31","author":[{"given":"Eileen J","family":"Carter","sequence":"first","affiliation":[{"name":"Columbia University School of Nursing, New York, New York, USA"},{"name":"New York-Presbyterian Hospital, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Moise","sequence":"additional","affiliation":[{"name":"Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmela","family":"Alc\u00e1ntara","sequence":"additional","affiliation":[{"name":"Columbia University School of Social Work, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra M","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian M","family":"Kronish","sequence":"additional","affiliation":[{"name":"Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2018,5,18]]},"reference":[{"key":"2022101717470131200_CIT0001","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1001\/jama.1988.03720020027031","article-title":"How common is white coat hypertension","volume":"259","author":"Pickering","year":"1988","journal-title":"JAMA"},{"key":"2022101717470131200_CIT0002","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1097\/HJH.0000000000000832","article-title":"White-coat hypertension and cardiovascular events: a meta-analysis","volume":"34","author":"Briasoulis","year":"2016","journal-title":"J Hypertens"},{"key":"2022101717470131200_CIT0003","volume-title":"Hypertension in Adults: Diagnosis and Management","author":"National Institute for Health and Care Excellence"},{"key":"2022101717470131200_CIT0004","article-title":"Final Update Summary: High Blood Pressure in Adults: Screening"},{"key":"2022101717470131200_CIT0005","doi-asserted-by":"crossref","first-page":"192","DOI":"10.7326\/M14-1539","article-title":"Diagnostic and predictive accuracy of blood pressure screening methods with consideration of rescreening intervals: a systematic review for the U.S. Preventive Services Task Force","volume":"162","author":"Piper","year":"2015","journal-title":"Ann Intern Med"},{"key":"2022101717470131200_CIT0006","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1111\/j.1751-7176.2012.00698.x","article-title":"First Thomas Pickering memorial lecture*: ambulatory blood pressure measurement is essential for the management of hypertension","volume":"14","author":"O\u2019Brien","year":"2012","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"2022101717470131200_CIT0007","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1007\/s11906-017-0792-4","article-title":"An update on masked hypertension","volume":"19","author":"Anstey","year":"2017","journal-title":"Curr Hypertens Rep"},{"key":"2022101717470131200_CIT0008","article-title":"2017 ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","author":"Whelton","year":"2017","journal-title":"Hypertension"},{"key":"2022101717470131200_CIT0009","article-title":"2017 ACC\/AHA\/AAPA\/ABC\/ACPM\/AGS\/APhA\/ASH\/ASPC\/NMA\/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","author":"Whelton","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"2022101717470131200_CIT0010","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1016\/j.jash.2014.09.015","article-title":"The use of ambulatory blood pressure monitoring among Medicare beneficiaries in 2007\u20132010","volume":"8","author":"Shimbo","year":"2014","journal-title":"J Am Soc Hypertens"},{"key":"2022101717470131200_CIT0011","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1093\/ajh\/hpt054","article-title":"Home blood pressure monitoring and hypertension status among US adults: the National Health and Nutrition Examination Survey (NHANES), 2009\u20132010","volume":"26","author":"Ostchega","year":"2013","journal-title":"Am J Hypertens"},{"key":"2022101717470131200_CIT0012","first-page":"194","article-title":"Prevalence of masked hypertension among US adults with nonelevated clinic blood pressure","volume":"185","author":"Wang","year":"2017","journal-title":"Am J Epidemiol"},{"key":"2022101717470131200_CIT0013","doi-asserted-by":"crossref","first-page":"691","DOI":"10.7326\/M15-1270","article-title":"Role of ambulatory and home blood pressure monitoring in clinical practice: a narrative review","volume":"163","author":"Shimbo","year":"2015","journal-title":"Ann Intern Med"},{"key":"2022101717470131200_CIT0014","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/j.jash.2017.06.012","article-title":"Barriers to conducting ambulatory and home blood pressure monitoring during hypertension screening in the United States","volume":"11","author":"Kronish","year":"2017","journal-title":"J Am Soc Hypertens"},{"key":"2022101717470131200_CIT0015","doi-asserted-by":"crossref","first-page":"573","DOI":"10.7326\/0003-4819-158-8-201304160-00001","article-title":"Patient-centered decision making and health care outcomes: an observational study","volume":"158","author":"Weiner","year":"2013","journal-title":"Ann Intern Med"},{"key":"2022101717470131200_CIT0016","author":"Centers for Medicare and Medicaid Services","year":"2017"},{"key":"2022101717470131200_CIT0017","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1001\/jamainternmed.2013.6172","article-title":"How patient centered are medical decisions? Results of a national survey","volume":"173","author":"Fowler","year":"2013","journal-title":"JAMA Intern Med"},{"key":"2022101717470131200_CIT0018","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1111\/j.1745-7599.2008.00360.x","article-title":"Patient-centered care and adherence: definitions and applications to improve outcomes","volume":"20","author":"Robinson","year":"2008","journal-title":"J Am Acad Nurse Pract"},{"key":"2022101717470131200_CIT0019","first-page":"CD001431","article-title":"Decision aids for people facing health treatment or screening decisions","volume":"10","author":"Stacey","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"2022101717470131200_CIT0020","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1370\/afm.818","article-title":"Evaluative criteria for qualitative research in health care: controversies and recommendations","volume":"6","author":"Cohen","year":"2008","journal-title":"Ann Fam Med"},{"key":"2022101717470131200_CIT0021","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1136\/bmj.311.7000.299","article-title":"Qualitative research. Introducing focus groups","volume":"311","author":"Kitzinger","year":"1995","journal-title":"BMJ"},{"key":"2022101717470131200_CIT0022","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1111\/j.1365-2648.2004.03186.x","article-title":"Focus group interviews as a data collecting strategy","volume":"48","author":"McLafferty","year":"2004","journal-title":"J Adv Nurs"},{"key":"2022101717470131200_CIT0023","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three approaches to qualitative content analysis","volume":"15","author":"Hsieh","year":"2005","journal-title":"Qual Health Res"},{"key":"2022101717470131200_CIT0024","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1093\/ajh\/hpx101","article-title":"Factors associated with home blood pressure monitoring among US adults: National Health and Nutrition Examination Survey, 2011\u20132014","volume":"30","author":"Ostchega","year":"2017","journal-title":"Am J Hypertens"},{"key":"2022101717470131200_CIT0025","doi-asserted-by":"crossref","first-page":"e1813","DOI":"10.1097\/MD.0000000000001813","article-title":"Implementation of out-of-office blood pressure monitoring in the Netherlands: from clinical guidelines to patients\u2019 adoption of innovation","volume":"94","author":"Carrera","year":"2015","journal-title":"Medicine (Baltimore)"},{"key":"2022101717470131200_CIT0026","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1097\/HJH.0b013e3282f2fdd4","article-title":"Attitudes of primary care physicians and their patients about home blood pressure monitoring in Ontario","volume":"26","author":"Logan","year":"2008","journal-title":"J Hypertens"},{"key":"2022101717470131200_CIT0027","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1111\/j.1751-7176.2011.00582.x","article-title":"Regular use of a home blood pressure monitor by hypertensive adults\u2014HealthStyles, 2005 and 2008","volume":"14","author":"Ayala","year":"2012","journal-title":"J Clin Hypertens"},{"key":"2022101717470131200_CIT0028","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1111\/jch.12059","article-title":"Attitudes of primary care providers and recommendations of home blood pressure monitoring\u2014DocStyles, 2010","volume":"15","author":"Tirabassi","year":"2013","journal-title":"J Clin Hypertens"},{"key":"2022101717470131200_CIT0029","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1186\/1471-2288-11-59","article-title":"Tolerability of the Oscar 2 ambulatory blood pressure monitor among research participants: a cross-sectional repeated measures study","volume":"11","author":"Viera","year":"2011","journal-title":"BMC Med Res Methodol"},{"key":"2022101717470131200_CIT0030","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1097\/00126097-200310000-00003","article-title":"Factors associated with probability of patient rejecting a repeat 24 h ambulatory blood pressure monitoring, despite recommendation by the physician","volume":"8","author":"Elliot","year":"2003","journal-title":"Blood Press Monit"}],"container-title":["American Journal of Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ajh\/article-pdf\/31\/8\/919\/46546385\/ajh_31_8_919.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajh\/article-pdf\/31\/8\/919\/46546385\/ajh_31_8_919.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T18:58:12Z","timestamp":1666033092000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ajh\/article\/31\/8\/919\/4999720"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,18]]},"references-count":30,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2018,5,18]]},"published-print":{"date-parts":[[2018,7,16]]}},"URL":"https:\/\/doi.org\/10.1093\/ajh\/hpy062","relation":{},"ISSN":["0895-7061","1941-7225"],"issn-type":[{"value":"0895-7061","type":"print"},{"value":"1941-7225","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2018,8]]},"published":{"date-parts":[[2018,5,18]]}}}