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Home Blood Pressure Monitoring by a Mobile-Based Model in Chongqing, China: A Feasibility Study

Purpose: Increasing attention is being paid to the role of the intelligent self-management of hypertension under the context of increasing prevalence but limited medical resources. However, heterogeneity in interventions and outcome measures has hindered the interpretation of research evaluating mob...

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Autores principales: Xiao, Meng, Lei, Xun, Zhang, Fan, Sun, Zhenxing, Harris, Vanessa Catherine, Tang, Xiaojun, Yan, Lijing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765873/
https://www.ncbi.nlm.nih.gov/pubmed/31509950
http://dx.doi.org/10.3390/ijerph16183325
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author Xiao, Meng
Lei, Xun
Zhang, Fan
Sun, Zhenxing
Harris, Vanessa Catherine
Tang, Xiaojun
Yan, Lijing
author_facet Xiao, Meng
Lei, Xun
Zhang, Fan
Sun, Zhenxing
Harris, Vanessa Catherine
Tang, Xiaojun
Yan, Lijing
author_sort Xiao, Meng
collection PubMed
description Purpose: Increasing attention is being paid to the role of the intelligent self-management of hypertension under the context of increasing prevalence but limited medical resources. However, heterogeneity in interventions and outcome measures has hindered the interpretation of research evaluating mobile health technologies for hypertension control, and little study of such technology has been performed in China. Objective: This was a feasibility study aimed to understand patient and medical practitioners’ acceptance and experience of a mobile-phone based platform for the management of hypertensive patients. Methods: The model used behavioral incentives for daily blood pressure measurement and physician-facing prioritization of patients based on level of blood-pressure control. Patients were enrolled by purposive sampling. The platform was used for two-week blood pressure monitoring through WeChat, which simulated our future app. Qualitative interviews with patients and providers were conducted in time. Results: Twenty hypertensive patients and two providers were enrolled and used the platform throughout the two weeks. Patients reported daily home blood pressure monitoring to be simple, feasible and increased their health awareness. Specifically, patients self-reported that reminders, the daily frequency and time of monitoring, and positive reinforcement were important for maintaining adherence. Providers reported that they could manage patients more quickly and accurately, but reasonable feedback information was needed to avoid excessive increases in workload. Conclusion: The adoption of mobile-based technology to monitor patient’s blood pressure may provide a practical solution for managing patients in Chongqing, China. Patient health education and enhanced app functionality could improve patient compliance and satisfaction while reducing provider workload.
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spelling pubmed-67658732019-09-30 Home Blood Pressure Monitoring by a Mobile-Based Model in Chongqing, China: A Feasibility Study Xiao, Meng Lei, Xun Zhang, Fan Sun, Zhenxing Harris, Vanessa Catherine Tang, Xiaojun Yan, Lijing Int J Environ Res Public Health Article Purpose: Increasing attention is being paid to the role of the intelligent self-management of hypertension under the context of increasing prevalence but limited medical resources. However, heterogeneity in interventions and outcome measures has hindered the interpretation of research evaluating mobile health technologies for hypertension control, and little study of such technology has been performed in China. Objective: This was a feasibility study aimed to understand patient and medical practitioners’ acceptance and experience of a mobile-phone based platform for the management of hypertensive patients. Methods: The model used behavioral incentives for daily blood pressure measurement and physician-facing prioritization of patients based on level of blood-pressure control. Patients were enrolled by purposive sampling. The platform was used for two-week blood pressure monitoring through WeChat, which simulated our future app. Qualitative interviews with patients and providers were conducted in time. Results: Twenty hypertensive patients and two providers were enrolled and used the platform throughout the two weeks. Patients reported daily home blood pressure monitoring to be simple, feasible and increased their health awareness. Specifically, patients self-reported that reminders, the daily frequency and time of monitoring, and positive reinforcement were important for maintaining adherence. Providers reported that they could manage patients more quickly and accurately, but reasonable feedback information was needed to avoid excessive increases in workload. Conclusion: The adoption of mobile-based technology to monitor patient’s blood pressure may provide a practical solution for managing patients in Chongqing, China. Patient health education and enhanced app functionality could improve patient compliance and satisfaction while reducing provider workload. MDPI 2019-09-10 2019-09 /pmc/articles/PMC6765873/ /pubmed/31509950 http://dx.doi.org/10.3390/ijerph16183325 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Xiao, Meng
Lei, Xun
Zhang, Fan
Sun, Zhenxing
Harris, Vanessa Catherine
Tang, Xiaojun
Yan, Lijing
Home Blood Pressure Monitoring by a Mobile-Based Model in Chongqing, China: A Feasibility Study
title Home Blood Pressure Monitoring by a Mobile-Based Model in Chongqing, China: A Feasibility Study
title_full Home Blood Pressure Monitoring by a Mobile-Based Model in Chongqing, China: A Feasibility Study
title_fullStr Home Blood Pressure Monitoring by a Mobile-Based Model in Chongqing, China: A Feasibility Study
title_full_unstemmed Home Blood Pressure Monitoring by a Mobile-Based Model in Chongqing, China: A Feasibility Study
title_short Home Blood Pressure Monitoring by a Mobile-Based Model in Chongqing, China: A Feasibility Study
title_sort home blood pressure monitoring by a mobile-based model in chongqing, china: a feasibility study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765873/
https://www.ncbi.nlm.nih.gov/pubmed/31509950
http://dx.doi.org/10.3390/ijerph16183325
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