SLIDE 3 www.docobo.co.uk 7th April 2004
Compliance – BP Measurement #1
Osavõtt kuudes
12.00 11.00 10.00 9.00 8.00 7.00 6.00 5.00 4.00 3.00 2.00 1.00
Mean of bp_hi_rest_morning
146 144 142 140 138 136
Months Systolic Blood Pressure (mm/Hg)
Conclusions
- Blood pressure cycles correlated
with the period of clinician consultations (approx 3 months)
- Patients are “nagged” when they
see their consultant and this results in better drug compliance / lifestyle, which then tails off.
- Automated / semi-automated
“nagging” could improve the situation.
www.docobo.co.uk 7th April 2004
Compliance – BP Measurement #2
Conclusions
- BP drop from Friday evening
- BP increase from Monday
- Drug compliance is low over the
weekend
- High risk caused by combination
- f stress and lack of medication –
target intervention at high risk points
Nädalapäev 7 6 5 4 3 2 1 M e a n
p _ h i_ re st_ m
in g 143.5 143.0 142.5 142.0 141.5 141.0 140.5 140.0 Nädalapäev 7 6 5 4 3 2 1 M e a n
p _ h i_ e ve n in g 143.5 143.0 142.5 142.0 141.5 141.0
Morning Evening
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
www.docobo.co.uk 7th April 2004
Self Registered Compliance?
- Self (voluntary) registration of anti-
hypertensive medication compliance by patients.
- Very high correlation found
between self-registered compliance and BP control.
- Results suggest that self-registered
compliance is a relatively reliable measure.
www.docobo.co.uk 7th April 2004
The need for training
- The patient
- Needs to understand benefits
- the obvious
- the long term
- The healthcare professional
- Needs to understand benefits
- A new process
- New protocols
