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July 16, 1982

Sensory Detection Method of Measuring BP

Author Affiliations

East Carolina University School of Medicine Greenville, NC

JAMA. 1982;248(3):309-310. doi:10.1001/jama.1982.03330030023013

To the Editor.—  The article by Gelman and Nemati (1981;246:368) suggests the potential usefulness of the sensory detection method (SDM) in the improvement of patient compliance and control of hypertension. Any procedure that involves the patient more intimately with his own treatment has potential advantages in the control of chronic disease, such as hypertension. We agree with the authors that SDM appears simple and relatively quick but disagree with their statistics and percentage of patients able to use the method.In a partial replication of the published study, we evaluated a random sample of 116 ambulatory patients visiting our Family Practice Center. Patients were given instruction in SDM by nurses and asked to measure their own BP. The nurse simultaneously measured the patient's BP using the routine indirect method (IDM). Patients were unaware of their BP reading, resulting in a single-blind protocol. Only 58.6% of the patients were able to