I am not sure about my answer but based on my understanding the pressure is generated by the air flow rate for that particular room and so if one can control the airflowrate then the air pressure can be controled. It goes back to air changes and air flowrate set for that room.
The flowmeter mesures the entry and exhit flowrates and hence the volume and controls it to the preset value to keep maintaining the pressure in the rooms.
I hope this helps. Do let me know if you have any different explanation or ideas.
Regards,
jignesh