{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T01:38:26Z","timestamp":1792546706366,"version":"4.5.0"},"reference-count":47,"publisher":"Royal College of General Practitioners","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJGP Open"],"accepted":{"date-parts":[[2026,2,27]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Prehypertension (blood pressure [BP] 120\u2013139\/80\u201389 mmHg) affects 40% of UK adults, increasing their cardiovascular risk. While BP self-monitoring is effective in hypertension, its feasibility in prehypertension is unclear. Concerns include lack of interest, medicalisation, and unintended consequences, despite evidence suggesting it may empower individuals in risk management and prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To determine the feasibility of BP self-monitoring for prehypertension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design &amp; setting<\/jats:title>\n                    <jats:p>A prospective, non-randomised, mixed-methods, feasibility study across primary care in Lancashire and South Cumbria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>People with prehypertension were recruited from five general practices, three pharmacies, and one provider that checked BP. Participants received a BP monitor and training, then self-monitored BP on the first 3 days of each month for 6 months. Participants submitted their results to the research team. Outcome data were collected at baseline, 6 months, and 12 months, and analysed mainly using descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 162 expressions of interest, 80 people were eligible and consented; 78 from general practice, and one each from pharmacy and community providers. Of those recruited, 66 (83%) and 33 (41%) completed the 6-month and 12-month follow-up, respectively, with minimal missing data. No adverse effects were reported. Illness perceptions significantly improved (mean 26.6 [standard deviation {SD} 8.6] versus mean 22.6 [SD 8.7],\n                      <jats:italic>P<\/jats:italic>\n                      = 0.002), with no other significant changes. There was only one participant who did not class their ethnicity as white.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>BP self-monitoring for prehypertension is feasible in general practice, but requires further exploration with pharmacy and community providers. The homogenous sample limits generalisability, highlighting the need for targeted outreach. Findings need confirming in an effectiveness trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgpo.2025.0231","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T15:45:16Z","timestamp":1773848716000},"page":"BJGPO.2025.0231","source":"Crossref","is-referenced-by-count":0,"title":["How feasible is self-monitoring for the management of prehypertension? 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