Key result
Interactive care with remote BP monitoring linked to mean BP of 135/80 mm Hg in rural patients.
Why the study?
Remote blood pressure monitoring can help overcome geographic limitations in hypertension care, but combining it with an interactive care plan needed exploration in a rural primary care setting.
Does an interactive care plan plus remote blood pressure monitoring improve blood pressure control and patient satisfaction in adult patients with uncontrolled hypertension in a rural primary care clinic?
Observational (n=50)
No
Does an interactive care plan plus remote blood pressure monitoring improve blood pressure control and patient satisfaction in adult patients with uncontrolled hypertension in a rural primary care clinic?
Combining an interactive care plan with remote blood pressure monitoring is a feasible and well-accepted strategy for managing hypertension in rural primary care settings.
May support remote monitoring feasibility in rural hypertension; leaves open efficacy versus usual care in randomized trials.
BACKGROUND: Remote blood pressure monitoring (RBPM), an effective method of enhancing BP control for patients with hypertension, can potentially helpovercome geographic limitations of health care services. We conducted a 90-day pilot to explore combining an interactive care plan (ICP) with RBPM. METHOD: The pilot invited fifty adult patients with uncontrolled hypertension (BP ≥140/90 mm Hg) empanelled to a rural primary care practice in midwestern United States. Participants received instructions for downloading an ICP app and were given a wireless BP monitoring device that automatically transmitted readings to their care team. Patients were surveyed after 30 and 90 days about program experience. RESULTS: = 15) had a postintervention mean BP of 135/80 mm Hg. Sixteen participants (44%) had 1 outpatient visit (no multiple outpatient visits): only 4 (11%) had an emergency department visit. Among survey respondents, most strongly agreed or agreed that 1) ICP app was easy to use, 2) BP device was helpful in home care, 3) interacting remotely with care team was smooth, and 4) they were satisfied with functionality of the RBPM device. CONCLUSION: An ICP paired with an RBPM device is a reasonable intervention for managing hypertension in a primary care practice particularly for patients in rural areas. New strategies must be developed to reduce barriers to meaningful engagement, achieve sustainability, and ensure successful widespread adoption.
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DeJesus et al. (2025) conducted an observational in uncontrolled hypertension (n=50). Interactive care plan (ICP) plus remote blood pressure monitoring (RBPM) was evaluated on Postintervention mean BP and program experience. An interactive care plan paired with remote blood pressure monitoring in rural patients with uncontrolled hypertension resulted in a postintervention mean BP of 135/80 mm Hg and high satisfaction.
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