Hypertension, Vol 5, 610-614, Copyright © 1983 by American Heart Association
JD Curb, DR Labarthe, SP Cooper, GR Cutter and CM Hawkins
Accurate, reproducible measurements of blood pressure (BP) were central to
the goals and objectives of the Hypertension Detection and Follow-Up
Program (HDFP), a multicenter clinical trial on the efficacy of
pharmacological treatment of individuals with elevated BP. All potential BP
observers with or without previous experience in measuring BP were required
to undergo a defined training program and meet set performance criteria to
be certified to take HDFP BP. Recertification was required twice a year.
Originally an audiotape test was used to measure accuracy of BP readings.
This approach was later replaced by a videotape test, which proved more
realistic and an equally effective tool for long-term quality control. With
this technique of certifications, 75% of the individuals taking the test
passed on the first attempt and more than 95% passed with one or two
attempts. Although agreement for blinded BP duplicates was generally good,
the appearance of sound (systolic BP) was identified with greater
reproducibility than was the disappearance (diastolic BP). These
recertification procedures were of great value in assuring the continued
high quality of our BP data.
ARTICLES
Training and certification of blood pressure observers
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