TY - JOUR T1 - Primary care doctors’ views on self-monitoring of blood pressure and self-titration among patients with uncontrolled hypertension in Spain. The ADAMPA trial focus group study. JF - BJGP Open JO - BJGP Open DO - 10.3399/bjgpopen20X101062 VL - 4 IS - 4 SP - bjgpopen20X101062 AU - Irene Marco-Moreno AU - Patricia Martínez-Ibañez AU - Eugenia Avelino-Hidalgo AU - Laura Bellot-Pujalte AU - Ignacio Barreira-Franch AU - Lucia Martínez-Ibañez AU - Marina Escrig-Veses AU - Margarita Giménez-Loreiro AU - María Bóveda-García AU - Mercedes Calleja-del-Ser AU - Isabel Hurtado AU - Aníbal García-Sempere AU - Clara L Rodríguez-Bernal AU - Salvador Peiró AU - José Sanfélix-Genovés AU - Gabriel Sanfelix-Gimeno AU - the ADAMPA research group Y1 - 2020/10/01 UR - http://bjgpopen.org/content/4/4/bjgpopen20X101062.abstract N2 - Background Despite the increased use of blood pressure (BP) monitoring devices at home, the hypertension of more than 50% of European patients remains uncontrolled. Nevertheless, the self-management of BP, through the combination of home monitoring of BP with self-titration, could be anaccessible and effective tool for improving hypertension control in the primary care setting. The ADAMPA study is a trial with participants randomised to BP self-management (BPSM) with self-titration of antihypertensive medication or to usual care, in a population of patients with poorly controlled hypertension.Aim To explore the views and attitudes of primary care doctors participating in the ADAMPA trial regarding BPSM with self-titration.Design & setting A focus group study took place with primary care doctors participating in the ADAMPA trial, which was carried out in one health district of the Valencia Health System in Spain.Method Nine primary care doctors participating in the ADAMPA trial were included in the focus group. Three researchers (two using manual methods and one using NVivo software) independently conducted a content analysis, reading the transcripts, identifying, classifying, and coding the contents, and developing a conceptual scheme based on these topics.Results Participating doctors clearly support home BP monitoring (HBPM), the setting of individual BP targets, and incorporating patient readings into decision-making. They consider it an investment to educate patients for medication self-adjustment and estimate that an important proportion of their patients are potential candidates for hypertension self-management with medication self-titration. However, they show important divergences regarding the role of nursing in BP control.Conclusion Primary care doctors participating in the ADAMPA trial feel comfortable with BPSM with self-titration, and would consider extending its use (or the use of some components, such as BP target setting) to other patients with hypertension outside the trial. ER -