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Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system

OBJECTIVE: This paper reports on how the clinical consultation in primary care is performed under the new premises of patients’ daily self-reporting and self-generation of data. The aim was to explore and describe the structure, topic initiation and patients’ contributions in follow-up consultations...

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Autores principales: Bengtsson, Ulrika, Kjellgren, Karin, Hallberg, Inger, Lundin, Mona, Mäkitalo, Åsa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901443/
https://www.ncbi.nlm.nih.gov/pubmed/29343156
http://dx.doi.org/10.1080/02813432.2018.1426144
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author Bengtsson, Ulrika
Kjellgren, Karin
Hallberg, Inger
Lundin, Mona
Mäkitalo, Åsa
author_facet Bengtsson, Ulrika
Kjellgren, Karin
Hallberg, Inger
Lundin, Mona
Mäkitalo, Åsa
author_sort Bengtsson, Ulrika
collection PubMed
description OBJECTIVE: This paper reports on how the clinical consultation in primary care is performed under the new premises of patients’ daily self-reporting and self-generation of data. The aim was to explore and describe the structure, topic initiation and patients’ contributions in follow-up consultations after eight weeks of self-reporting through a mobile phone-based hypertension self-management support system. DESIGN: A qualitative, explorative study design was used, examining 20 audio- (n = 10) and video-recorded (n = 10) follow-up consultations in primary care hypertension management, through interaction analysis. Clinical trials registry: ClinicalTrials.gov NCT01510301. SETTING: Four primary health care centers in Sweden. SUBJECTS: Patients with hypertension (n = 20) and their health care professional (n = 7). RESULTS: The consultations comprised three phases: opening, examination and closing. The most common topic was blood pressure (BP) put in relation to self-reported variables, for example, physical activity and stress. Topic initiation was distributed symmetrically between parties and BP talk was lifestyle-centered. The patients’ contributed to the interpretation of BP values by connecting them to specific occasions, providing insights to the link between BP measurements and everyday life activities. CONCLUSION: Patients’ contribution through interpretations of BP values to specific situations in their own lives brought on consultations where the patient as a person in context became salient. Further, the patients’ and health care professionals’ equal contribution during the consultations showed actively involved patients. The mobile phone-based self-management support system can thus be used to support patient involvement in consultations with a person-centered approach in primary care hypertension management KEY POINTS: This study shows that self-reporting as base for follow-up consultations in primary care hypertension management can support patients and professionals to equal participation in clinical consultations. Self-reporting combined with increased patient–health care professional interaction during follow-up consultations can support patients in understanding the blood pressure value in relation to their daily life. These findings implicate that the interactive mobile phone self-management support system has potential to support current transformations of patients as recipients of primary care, to being actively involved in their own health.
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spelling pubmed-59014432018-04-23 Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system Bengtsson, Ulrika Kjellgren, Karin Hallberg, Inger Lundin, Mona Mäkitalo, Åsa Scand J Prim Health Care Research Articles OBJECTIVE: This paper reports on how the clinical consultation in primary care is performed under the new premises of patients’ daily self-reporting and self-generation of data. The aim was to explore and describe the structure, topic initiation and patients’ contributions in follow-up consultations after eight weeks of self-reporting through a mobile phone-based hypertension self-management support system. DESIGN: A qualitative, explorative study design was used, examining 20 audio- (n = 10) and video-recorded (n = 10) follow-up consultations in primary care hypertension management, through interaction analysis. Clinical trials registry: ClinicalTrials.gov NCT01510301. SETTING: Four primary health care centers in Sweden. SUBJECTS: Patients with hypertension (n = 20) and their health care professional (n = 7). RESULTS: The consultations comprised three phases: opening, examination and closing. The most common topic was blood pressure (BP) put in relation to self-reported variables, for example, physical activity and stress. Topic initiation was distributed symmetrically between parties and BP talk was lifestyle-centered. The patients’ contributed to the interpretation of BP values by connecting them to specific occasions, providing insights to the link between BP measurements and everyday life activities. CONCLUSION: Patients’ contribution through interpretations of BP values to specific situations in their own lives brought on consultations where the patient as a person in context became salient. Further, the patients’ and health care professionals’ equal contribution during the consultations showed actively involved patients. The mobile phone-based self-management support system can thus be used to support patient involvement in consultations with a person-centered approach in primary care hypertension management KEY POINTS: This study shows that self-reporting as base for follow-up consultations in primary care hypertension management can support patients and professionals to equal participation in clinical consultations. Self-reporting combined with increased patient–health care professional interaction during follow-up consultations can support patients in understanding the blood pressure value in relation to their daily life. These findings implicate that the interactive mobile phone self-management support system has potential to support current transformations of patients as recipients of primary care, to being actively involved in their own health. Taylor & Francis 2018-01-18 /pmc/articles/PMC5901443/ /pubmed/29343156 http://dx.doi.org/10.1080/02813432.2018.1426144 Text en © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Bengtsson, Ulrika
Kjellgren, Karin
Hallberg, Inger
Lundin, Mona
Mäkitalo, Åsa
Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system
title Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system
title_full Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system
title_fullStr Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system
title_full_unstemmed Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system
title_short Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system
title_sort patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901443/
https://www.ncbi.nlm.nih.gov/pubmed/29343156
http://dx.doi.org/10.1080/02813432.2018.1426144
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