{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T16:10:50Z","timestamp":1788365450957,"version":"build-2803163510"},"reference-count":47,"publisher":"BMJ","issue":"8","funder":[{"name":"Gothenburg Centre for Person-Centred Care"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,7,19]]},"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To explore relationships between patients\u2019 self-monitoring of blood pressure (BP) and their concurrent self-reports of medication intake, well-being, stress, physical activity and symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This study is a secondary analysis of a prospective study exploring the 8-week effectiveness of a mobile phone-based self-management support system for patients with hypertension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Four primary healthcare centres situated in urban and suburban communities in Sweden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>50 patients undergoing treatment for hypertension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Primary and secondary outcome measures<\/jats:title><jats:p>Associations between systolic (SBP) and diastolic blood pressure (DBP) and 10 self-report lifestyle-related variables were analysed using linear mixed effects modelling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Medication intake, better well-being, less stress and greater physical activity were associated variously with lower same-day SBP and DBP. The single strongest association was found between medication intake and SBP, where failure to take medications was associated with an estimated 7.44\u2009mm Hg higher SBP. To a lesser degree, medication intake was also associated with DBP, where DBP was 4.70\u2009mm Hg higher in cases where medications were not taken. Well-being and stress were consistently associated with SBP and DBP, whereas physical activity was associated with only SBP. None of the symptoms\u2014dizziness, headache, restlessness, fatigue or palpitations\u2014were significantly associated with BP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings that BP was associated with patients\u2019 BP management behaviours and experiences of well-being and stress, but not symptoms suggest that enabling persons with hypertension to monitor and track their BP in relation to medication intake, physical activity, well-being, stress and symptoms may be a fruitful way to help them gain first-hand understanding of the importance of adherence and persistence to treatment recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration number<\/jats:title><jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"NCT01510301\" ext-link-type=\"clintrialgov\" specific-use=\"clinicaltrial pre-results\">NCT01510301<\/jats:ext-link>; Pre-results.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2017-020849","type":"journal-article","created":{"date-parts":[[2018,8,23]],"date-time":"2018-08-23T11:05:24Z","timestamp":1535022324000},"page":"e020849","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Links between blood pressure and medication intake, well-being, stress, physical activity and symptoms reported via a mobile phone-based self-management support system: a cohort study in primary care"],"prefix":"10.1136","volume":"8","clinical-trial-number":[{"clinical-trial-number":"nct01510301","registry":"10.18810\/clinical-trials-gov","type":"preResults"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8709-4270","authenticated-orcid":false,"given":"Charles","family":"Taft","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inger","family":"Hallberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrika","family":"Bengtsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Manhem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Kjellgren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,8,23]]},"reference":[{"key":"2024051712011216000_8.8.e020849.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00128-2"},{"key":"2024051712011216000_8.8.e020849.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61766-8"},{"key":"2024051712011216000_8.8.e020849.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61212-5"},{"key":"2024051712011216000_8.8.e020849.4","doi-asserted-by":"publisher","DOI":"10.7326\/M14-0773"},{"key":"2024051712011216000_8.8.e020849.5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b1665"},{"key":"2024051712011216000_8.8.e020849.6","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.0000107251.49515.c2"},{"key":"2024051712011216000_8.8.e020849.7","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.192703"},{"key":"2024051712011216000_8.8.e020849.8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1110421"},{"key":"2024051712011216000_8.8.e020849.9","first-page":"2159","article-title":"ESH\/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC)","volume":"2013","author":"Mancia","year":"2013","journal-title":"Eur Heart J"},{"key":"2024051712011216000_8.8.e020849.10","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.018912"},{"key":"2024051712011216000_8.8.e020849.11","unstructured":"Committee on Public health Priorities to Reduce and Control Hypertension in the U.S. Population, Institute of Medicine. 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