MULTINATIONAL SURVEY ON BARRIERS TO STANDARDIZED AUTOMATED OFFICE BLOOD PRESSURE MEASUREMENTS

 

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https://storage.unitedwebnetwork.com/files/1099/7399f30ed5c7c0e222fd3dc6dc17e4da.pdf
MULTINATIONAL SURVEY ON BARRIERS TO STANDARDIZED AUTOMATED OFFICE BLOOD PRESSURE MEASUREMENTS

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Victoria
Ivensky
Victoria Ivensky victoria.ivensky@umontreal.ca Université de Montréal Department of Medicine Montreal Canada *
Jennifer Ringrose jringros@ualberta.ca University of Alberta Department of Medicine Edmonton Canada -
Lisa Dubrofsky lisa.dubrofsky@wchospital.ca University of Toronto Department of Medicine Toronto Canada -
Niamh Chapman niamh.chapman@sydney.edu.au University of Sydney Faculty of Medicine and Health Sydney Australia -
Dean Picone dean.picone@sydney.edu.au University of Sydney Faculty of Medicine and Health Sydney Australia -
Rémi Goupil goupil.remi@gmail.com Université de Montréal Department of Medicine Montreal Canada -
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Standardized automated office blood pressure (AOBP) measurements are now universally recommended for the diagnosis and management of hypertension by all clinical practice guidelines. This type of blood pressure (BP) measurement provides accurate and reliable BP readings, often lower than conventional office BP measurements. Nevertheless, the capacity to implement standardized AOBP measurements in clinical practice may vary between settings. This survey aims to identify, on an international scale, the barriers perceived by clinicians to the implementation of standardized measurements in clinical practice.

An electronic survey was distributed to general practitioners, specialists, and nurse practitioners in primary care through professional societies in Canada, Europe, Australia, and the United States. The survey outlines 30 key elements of the standardized procedure, grouped into four themes: facility and equipment, personnel, patient preparation, and measurement technique. Each item is rated on a 7-point Likert scale ranging from “not a barrier at all, easy to integrate into practice for all patients” to “severe barrier, very difficult to integrate into practice for all patients”. Responses will be analyzed and compared both overall and by country.

To date, 111 clinicians have responded to the survey, including 63 in Canada and 40 in Europe. Standardized AOBP measurements are used by 75% of respondents. BP is measured in a room where the patient is alone in 52% of cases. The overall feasibility of integrating standardized AOBP measurements into routine care is rated on average at 3.3 ± 1.9. The main barriers identified are the need for a dedicated room (4.3 ± 2.4), lack of space (3.4 ± 2.3), time constraints (3.9 ± 2.3), and insufficient staff training (3.4 ± 2.2). 

These preliminary results highlight the challenges of optimizing clinical workflow and demonstrate significant training needs. Once completed, this study will allow for a more precise identification of barriers at the international level and will help guide targeted interventions to improve the implementation of standardized AOBP measurement into everyday clinical practice.

Kewords