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What are the basic self-monitoring components for cardiovascular risk management?
BMC Medical Research Methodology (2010)
  • Alison M. Ward, University of Oxford
  • Carl Heneghan, University of Oxford
  • Rafael Perera, University of Oxford
  • Dan Lasserson, University of Oxford
  • David Nunan, University of Oxford
  • David Mant, University of Oxford
  • Paul P. Glasziou, University of Oxford
Abstract

Background: Self-monitoring is increasingly recommended as a method of managing cardiovascular disease. However, the design, implementation and reproducibility of the self-monitoring interventions appear to vary considerably. We examined the interventions included in systematic reviews of self-monitoring for four clinical problems that increase cardiovascular disease risk.

Methods: We searched Medline and Cochrane databases for systematic reviews of self-monitoring for: heart failure, oral anticoagulation therapy, hypertension and type 2 diabetes. We extracted data using a pre-specified template for the identifiable components of the interventions for each disease. Data was also extracted on the theoretical basis of the education provided, the rationale given for the self-monitoring regime adopted and the compliance with the self-monitoring regime by the patients.

Results: From 52 randomized controlled trials (10,388 patients) we identified four main components in selfmonitoring interventions: education, self-measurement, adjustment/adherence and contact with health professionals. Considerable variation in these components occurred across trials and conditions, and often components were poorly described. Few trials gave evidence-based rationales for the components included and self-measurement regimes adopted.

Conclusions: The components of self-monitoring interventions are not well defined despite current guidelines for self-monitoring in cardiovascular disease management. Few trials gave evidence-based rationales for the components included and self-measurement regimes adopted. We propose a checklist of factors to be considered in the design of self-monitoring interventions which may aid in the provision of an evidence-based rationale for each component as well as increase the reproducibility of effective interventions for clinicians and researchers.

Keywords
  • self-monitoring,
  • cardiovascular risk management
Publication Date
November 12, 2010
Publisher Statement
Published version

Ward, A. M., Heneghan, C., Perera, R., Lasserson, D., Nunan, D., Mant, D., & Glasziou, P. (2010). What are the basic self-monitoring components for cardiovascular risk management? BMC Medical Research Methodology, 10(1), 105.

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© 2010 Ward et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Citation Information
Alison M. Ward, Carl Heneghan, Rafael Perera, Dan Lasserson, et al.. "What are the basic self-monitoring components for cardiovascular risk management?" BMC Medical Research Methodology Vol. 10 Iss. 1 (2010)
Available at: http://works.bepress.com/paul_glasziou/47/