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June 14, 2026BMJ OpenOpen Access

Barriers and facilitators to digital health tool adoption for hypertension management: systematic review of qualitative studies

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Why the study?

While digital health interventions show efficacy for hypertension self-management, sustained adoption and engagement are challenged by issues like usability and trust.

What are the barriers and facilitators to the adoption of digital health interventions for hypertension self-management?

Population

15 qualitative and mixed-methods studies of patients with hypertension, healthcare providers, and caregivers

Comparison

Digital health interventions for hypertension self-management

Design

Systematic review of qualitative literature using thematic analysis

Key result

Digital health interventions for hypertension face barriers and facilitators across 7 analytical and 22 descriptive themes, with usability, design, and social support profoundly influencing uptake.

Authors

EMEmily Motta-YanacVRVictoria RileyNENaomi Ellis

Discussion

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Overview

Addressing usability and trust may boost long-term DHI engagement in hypertension; extends qualitative synthesis for targeted intervention design.

Key Points

  • The study aims to identify barriers and facilitators impacting the adoption and engagement of digital health tools for hypertension self-management.
  • Conducted a systematic review of qualitative literature using thematic analysis.
  • Searched databases including PubMed, PsycInfo, Web of Science, and the Cochrane Library.
  • Included relevant studies published from 2015 to 2025 in English that examined the use of digital devices for hypertension management.
  • Out of 10,943 publications identified, 15 met inclusion criteria and were analyzed.
  • Thematic synthesis revealed 7 analytical and 22 descriptive themes related to barriers and facilitators.
  • Key themes included technology utilization, design components, trust, and cultural relevance affecting patient and provider engagement.

Study Design

Type

Systematic Review (n=15)

Multicenter

Yes

Structured PICO

What are the barriers and facilitators to the adoption of digital health interventions for hypertension self-management?

P
Population
15 qualitative and mixed-methods studies exploring barriers and facilitators to digital health interventions for hypertension self-management among patients, caregivers, and healthcare providers.
E
Exposure
Digital health interventions (DHIs) for hypertension self-management
O
Outcome
Barriers and facilitators to the adoption, acceptance, and engagement with DHIspatient reported

Usability, design, and social support relevance profoundly influence the uptake and acceptance of digital health interventions for hypertension self-management.

Cite This Study

Motta-Yanac et al. (2026) conducted a systematic review in hypertension (n=15). Digital health interventions was evaluated on Barriers and facilitators to adoption, acceptance and engagement with DHIs. Digital health interventions for hypertension face barriers and facilitators across 7 analytical and 22 descriptive themes, with usability, design, and social support profoundly influencing uptake.

synapsesocial.com/papers/6a2e472bb1cc60ccdea8bbddhttps://doi.org/10.1136/bmjopen-2025-116004
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