For those surrogate outcomes , low-strength evidence failed to show difference .
In subgroup analysis , high strength evidence supported a lower BP with HBPT that lasted for 6 or 12 months and was accompanied with counselling support from study personnel .
HBPT can improve BP control in the hypertensive patients .
It may be more efficacious when a proactive additional support is provided during the intervention process
To summarise evidence about the effectiveness of home blood pressure telemonitoring ( HBPT )  and identify the key components of intervention .
Treating obesity with a novel hand-held device, computer software program, and Internet technology in primary care: the SMART motivational trial.
OBJECTIVE The purpose of this study was to evaluate the short-term motivational effect of a technology-based weight reduction program for obese adults . METHODS One hundred and eleven obese ( 37.0+/-5.8 kg/m(2 ) ) middle aged ( 45.5+/-10.8 years ) adults ( 62 % female ) were r and omly assigned to a usual care or experimental ( SMART : self-monitoring and resting metabolic rate technology ) group . The usual care group received a st and ard nutritional program in accordance to national guidelines . All participants received a comprehensive weight management program consisting of motivational interviewing ( MI ) sessions and automated e-mail behavioral newsletters .  Bodyweight , arterial blood pressure , and psychobehavioral constructs were assessed over 12 weeks . RESULTS Completer analysis ( n=80 ) indicated a significant improvement in bodyweight ( -3.9 % ) , systolic arterial pressure ( -4 mmHg ) , and all motivational constructs following the 12-week study ( p < or=.05 ) . However , there were no significant differences between groups at any time period . CONCLUSION Based on these data , a 12-week comprehensive weight reduction program consisting of MI and automated e-mail behavioral newsletters with or without SMART is efficacious in treating obese adults . PRACTICE IMPLICATION S Although both treatment programs were equally effective , clinicians should consider a treatment program that meets the need of the patient . This study was registered at Clinical Trials.gov NCT00750022
For those surrogate outcomes , low-strength evidence failed to show difference .
In subgroup analysis , high strength evidence supported a lower BP with HBPT that lasted for 6 or 12 months and was accompanied with counselling support from study personnel .
HBPT can improve BP control in the hypertensive patients .
It may be more efficacious when a proactive additional support is provided during the intervention process
To summarise evidence about the effectiveness of home blood pressure telemonitoring ( HBPT )  and identify the key components of intervention .