HypertensionResearch article
Feasibility of Implementing a Clinical Integration Package to Support Self-Measured Blood Pressure Monitoring in Primary Care: A Qualitative Study
- Qualitative Study
- semistructured interviews
- guided by the Consolidated Framework for Implementation Research
- directed content analysis
Authors' conclusion
ASPIRE shows promise for supporting SMBP adoption in under-resourced primary care settings and actionable insights for refining implementation strategies.
Study context
- Population
- Patients with hypertension prescribed 1 or more blood pressure medications with elevated blood pressure, and care team members, at a Chicago South Side clinic serving a racially diverse population with high social needsInterviews were conducted with 20 patients and 11 care team members · patients 20 · care team members 11
- Participants
- 20 vs 11
- Comparison
- patients vs care team members
- patientsn = 20
- care team membersn = 11
Main finding
As reported in the abstract
Patient characteristics · baseline
over the age of 50
18 (90%)
identified as Black
17 (85%)
median systolic blood pressure at baseline
142.0 mm Hg (interquartile range, 137.0-153.0)
Further findings
Facilitators of ASPIRE implementation
- in-person self-measured blood pressure (SMBP) training, which enhanced patient self-efficacy and positive beliefs about SMBP
- reminders and ongoing support, which were viewed as strengths in intervention design
Barriers to ASPIRE implementation
- social needs screening processes and self-monitoring log usability, highlighting challenges in execution, planning, and resource alignment
Original publication
Feasibility of Implementing a Clinical Integration Package to Support Self-Measured Blood Pressure Monitoring in Primary Care: A Qualitative Study. Circ Popul Health Outcomes. Published 1 April 2026. doi:10.1161/circoutcomes.125.012252
Summarised from the published abstract; every number is checked against it