BACKGROUND
Cardiovascular diseases, premature death, hypertensive, hypertension, disability, diabetes
CHRONIC DISEASES, HYPERTENSION, CARDIOVASCULAR DISEASE, DIABETES
Cardiovascular diseases are the main cause of disability and premature death worldwide,Among the array of interventions proposed to improve BP control,Patient empowerment through pharmacological self-management is a common strategy in some chronic diseases such as diabetes, but it is rarely used for controlling BP. When it is, it is done with very different degrees of intensity. Often, rather than a significant increase in patient empowerment (especially with regard to treatment self-adjustment), strategies involve greater monitoring and/or use of human resources (health and non-health-related) or additional technologies, such as telemonitoring.HBPM interventions with self-monitoring of blood pressure plus different strategies of self-adjustment of hypertensive medication might contribute to better hypertension control and offer promising evidence of effectiveness,The aim of this trial was to evaluate the effectiveness of an intervention including self-monitoring of blood pressure plus self-titration of antihypertensive medication (based on an individualized pre-arranged plan) and educational components versus usual care (also with educational components) for reducing blood pressure in poorly controlled hypertensive patients in the primary care setting.