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 .
Effectiveness of tailored lifestyle interventions, using web-based and print-mail, for reducing blood pressure among rural women with prehypertension: main results of the Wellness for Women: DASHing towards Health clinical trial
Background Lifestyle modification is recommended for management of prehypertension , yet finding effective interventions to reach rural women is a public health challenge . This community-based clinical trial compared the effectiveness of st and ard advice to two multi-component theory-based tailored interventions , using web-based or print-mailed delivery , in reducing blood pressure among rural women , ages 40–69 , with prehypertension . Methods 289 women with prehypertension enrolled in the Wellness for Women : DASHing towards Health trial , a 12-month intervention with 12-month follow-up . Women were r and omly assigned to groups using a 1:2:2 ratio , comparing st and ard advice ( 30-minute counseling session ) to two interventions ( two 2-hour counseling sessions , 5 phone goal - setting sessions , strength-training video , and 16 tailored newsletters , web-based or print-mailed ) . Linear mixed model methods were used to test planned pairwise comparisons of marginal mean change in blood pressure , healthy eating and activity , adjusted for age and baseline level . General estimating equations were used to examine the proportion of women achieving normotensive status and meeting health outcome criteria for eating and activity . Results Mean blood pressure reduction ranged from 3.8 ( SD = 9.8 ) mm Hg to 8.1 ( SD = 10.4 ) mm Hg . The 24-month estimated marginal proportions of women achieving normotensive status were 47 % for web-based , and 39 % for both print-mailed and st and ard advice groups , with no group differences ( p = .11 and p = .09 , respectively ) . Web-based and print-mailed groups improved more than st and ard advice group for waist circumference ( p = .017 and p = .016 , respectively ) ; % daily calories from fat ( p = .018 and p = .030 ) and saturated fat ( p = .049 and p = .013 ) ; daily servings of fruit and vegetables ( p = .008 and p < .005 ) ; and low fat dairy ( p < .001 and p = .002 ) . Greater improvements were observed in web-based versus st and ard advice groups in systolic blood pressure ( p = .048 ) and estimated VO2max ( p = .037 ) . Dropout rates were 6 % by 6-months , 11.4 % by 24 months , with no differences across groups . Conclusions Rural women with prehypertension receiving  distance-delivery theory-based lifestyle modifications can achieve a reduction of blood pressure and attainment of normotensive status . Trial registration Clinical Trials.gov
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 .