{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:50:16Z","timestamp":1777884616954,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,3,11]],"date-time":"2023-03-11T00:00:00Z","timestamp":1678492800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pharmacy Technology"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:p>Background: Self-monitoring of blood pressure (BP) clinically decreases BP. However, cost can limit access, especially in underserved populations. Objective: This mixed-methods pilot study aims to determine the impact of providing home BP monitors free of charge to patients at a federally qualified health center (FQHC) by quantifying the effect on BP and surveying patients to measure satisfaction and engagement. Methods: One hundred eighty patients with clinically diagnosed hypertension received BP monitors. Patient charts were reviewed to collect demographics and office BP readings 3 months before and after receiving a monitor. A 13-question phone survey was conducted to a sample of patients addressing satisfaction and engagement. Answers were based on a Likert scale and dichotomous yes\/no. Results were analyzed with descriptive statistics and paired t tests. Results: The chart review demonstrated a significant mean decrease in systolic BP by 5.44 mm Hg ( P &lt; 0.001, \u22128.03 to \u22122.84) and a mean decrease in diastolic BP by 2.70 mm Hg ( P &lt; 0.001, \u22124.08 to \u22121.32) after the intervention. For those included who responded to the survey (13%), there was a significant mean increase in the frequency of checking BP per week by 1.5 Likert points ( P &lt; 0.00001, \u22121.0 to \u22121.9), and a majority (57.8%) felt slightly or much more active in their health care in addition to other benefits. Conclusion: Providing BP monitors to FQHC patients free of charge may have contributed to a significantly decreased office BP, improved engagement, and satisfaction. This program removed cost barriers and allowed patients to be more active in their health care.<\/jats:p>","DOI":"10.1177\/87551225231156741","type":"journal-article","created":{"date-parts":[[2023,3,11]],"date-time":"2023-03-11T06:58:38Z","timestamp":1678517918000},"page":"75-81","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center"],"prefix":"10.1177","volume":"39","author":[{"given":"Isha","family":"Deshpande","sequence":"first","affiliation":[{"name":"The University of Texas at Austin College of Pharmacy, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amrita","family":"Kanwar","sequence":"additional","affiliation":[{"name":"The University of Texas at Austin College of Pharmacy, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kendra","family":"Swyers","sequence":"additional","affiliation":[{"name":"The University of Texas at Austin College of Pharmacy, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aida","family":"Garza","sequence":"additional","affiliation":[{"name":"CommUnityCare Health Centers, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9402-0111","authenticated-orcid":false,"given":"Kathryn","family":"Litten","sequence":"additional","affiliation":[{"name":"The University of Texas at Austin College of Pharmacy, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,3,11]]},"reference":[{"key":"bibr1-87551225231156741","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000066."},{"key":"bibr2-87551225231156741","volume-title":"Hypertension Cascade: Hypertension Prevalence, Treatment and Control Estimates among US Adults Aged 18 Years and Older Applying the Criteria from the American College of Cardiology and American Heart Association\u2019s 2017 Hypertension Guideline\u2014NHANES 2013\u20132016","author":"Centers for Disease Control and Prevention (CDC)","year":"2019"},{"issue":"3","key":"bibr3-87551225231156741","first-page":"94","volume":"8","author":"Babaee Beigi MA","year":"2014","journal-title":"Int Cardiovasc Res J"},{"key":"bibr4-87551225231156741","doi-asserted-by":"publisher","DOI":"10.1159\/000490687."},{"key":"bibr5-87551225231156741","doi-asserted-by":"publisher","DOI":"10.1097\/01.JCN.0000317429.98844.04."},{"key":"bibr6-87551225231156741","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000803."},{"key":"bibr7-87551225231156741","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1001737"},{"key":"bibr8-87551225231156741","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005182.pub4"},{"key":"bibr9-87551225231156741","doi-asserted-by":"publisher","DOI":"10.1038\/ajh.2010.194."},{"key":"bibr10-87551225231156741","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmu026."},{"key":"bibr11-87551225231156741","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199209000-00009"},{"key":"bibr12-87551225231156741","doi-asserted-by":"publisher","DOI":"10.1016\/j.jash.2017.06.012."},{"key":"bibr13-87551225231156741","doi-asserted-by":"publisher","DOI":"10.5888\/pcd17.190348"},{"key":"bibr14-87551225231156741","unstructured":"New York State Department of Health. Increasing use of self-measured blood pressure tied to clinical support in federally qualified health centers, 2017-2018. Accessed August 6, 2021. https:\/\/www.health.ny.gov\/diseases\/cardiovascular\/heart_disease\/docs\/his_smbp.pdf."},{"key":"bibr15-87551225231156741","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03632-9."},{"key":"bibr16-87551225231156741","unstructured":"Medicaid 1115 Waiver. Updated June 8, 2022. Accessed January 24, 2023. https:\/\/hhs.texas.gov\/laws-regulations\/policies-rules\/waivers\/medicaid-1115-waiver."},{"key":"bibr17-87551225231156741","unstructured":"Gates A, Rudowitz R, Guyer J. An Overview of Delivery System Reform Incentive Payment (DSRIP) waivers. September 29, 2014. Accessed January 24, 2023. https:\/\/www.kff.org\/medicaid\/issue-brief\/an-overview-of-delivery-system-reform-incentive-payment-waivers\/."}],"container-title":["Journal of Pharmacy Technology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/87551225231156741","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/87551225231156741","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/87551225231156741","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T02:31:35Z","timestamp":1777602695000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/87551225231156741"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,11]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1177\/87551225231156741"],"URL":"https:\/\/doi.org\/10.1177\/87551225231156741","relation":{},"ISSN":["8755-1225","1549-4810"],"issn-type":[{"value":"8755-1225","type":"print"},{"value":"1549-4810","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,11]]}}}