Self-Measured Blood Pressure Monitoring

Strong scientific evidence shows that self-measured blood pressure monitoring (SMBP), also known as home blood pressure monitoring, plus clinical support helps people with hypertension lower their blood pressure.

SMBP is the regular measurement of blood pressure by the patient outside the clinical setting, either at home or elsewhere. SMBP requires the use of a home blood pressure measurement device by the patient to measure blood pressure at different points in time.

SMBP plus clinical support can improve access to care and quality of care for individuals with hypertension while making blood pressure control more convenient and accessible across the population. Clinical support includes regular one-on-one counseling, web-based or telephonic support tools, and educational classes.

Featured Tools

SMBP Action Steps

Self-Measured Blood Pressure Monitoring: Action Steps for Public Health

Strong evidence suggests that SMBP—when combined with regular support from trained health care professionals—is effective in lowering blood pressure among hypertensive patients. This Centers for Disease Control and Prevention (CDC) guide outlines action steps that public health practitioners can take to support SMBP.

View the guide pdf icon[PDF – 1.3M]

SMBP Action Steps for Clinicians

Self-Measured Blood Pressure Monitoring: Action Steps for Clinicians

SMBP plus additional clinical support is one strategy that can reduce the risk of disability or death from high blood pressure. The purpose of this CDC guide is to help clinicians implement SMBP in their practices by providing evidence-based action steps and resources.

View the guide pdf icon[PDF – 946K]

Engaging Patients in Self-Measurement

Self-Measured Blood Pressure Monitoring Program: Engaging Patients in Self-Measurement

This program, from the American Medical Association and Johns Hopkins Medicine, is designed for use by physician offices and health centers to engage patients in SMBP. This program describes various ways that the patient can obtain blood pressure measurements outside of the clinical office either through the purchase of a device or a physician-led blood pressure monitor loaner program.

View the program pdf icon[PDF – 1.5M]external icon

SMBP Monitoring

Self-Measured Blood Pressure Monitoring Interactive Infographic for Clinicians

This interactive infographic, from the Office of the National Coordinator for Health Information Technology, can be used to inform health care providers about SMBP, the burden of high blood pressure, and the medical and financial advantages of an SMBP monitoring program.

View the infographic pdf icon[PDF – 1M]external icon

References and Resources

  • U.S. Preventive Services Task Force Final Recommendation Statement for Hypertension in Adults: Screening and Home Monitoringexternal icon
    The US Preventive Services Task Force (USPSTF) continues to give screening for high blood pressure in adults aged 18 years and older an “A” recommendation. In the latest recommendation, the USPSTF included additional guidance for obtaining blood pressure measurements away from the clinical setting, such as ambulatory or SMBP to confirm a hypertension diagnosis before starting treatment. (U.S. Preventive Services Task Force, October 2015)
  • The 6|18 Initiative: Accelerating Evidence into Action
    As of 2015, coverage for SMBP is not universal and varies by state, insurance plans, or is not covered at all. The CDC 6|18 Initiative includes SMBP as one of its evidence-based interventions to control high blood pressure and is partnering with health care purchasers, payers, and providers to promote SMBP as a proposed payer intervention. The Initiative supports providing access for SMBP for home-use and creating individual, provider, and health-system incentives for compliance and meeting goals.

Success Stories

Several Million Hearts® partners have demonstrated success in lowering blood pressure by using SMBP. Read more about how they incorporated SMBP into their practices.

Page last reviewed: October 27, 2020