Key result
Remote blood pressure monitoring linked to ~0.4-point higher electronic health literacy scores.
Why the study?
Telemonitoring of blood pressure may improve control, but many patients encounter personal, technological, and health system barriers, requiring electronic health literacy to use these services effectively.
What are the facilitators and barriers experienced by patients with hypertension in telemonitoring of blood pressure using the electronic health literacy framework, and how do electronic health literacy scores differ between RBPM users and non-users?
Observational (n=21)
No
What are the facilitators and barriers experienced by patients with hypertension in telemonitoring of blood pressure using the electronic health literacy framework, and how do electronic health literacy scores differ between RBPM users and non-users?
Patients with hypertension who engage in remote blood pressure monitoring have significantly higher motivation to use digital services and report having digital services tailored to their individual needs compared to non-users.
Answers are grounded in this paper and cite their sources.
RBPM may preferentially engage higher-literacy patients; leaves open whether literacy interventions boost telemonitoring uptake in hypertension.
Background: Telemonitoring of blood pressure (BP) may improve BP control. However, many patients are not using BP telemonitoring due to personal, technological, and health system barriers. Individuals are required to have electronic health literacy (e-HL), defined as knowledge and skills to use technology services effectively, such as BP telemonitoring. Objective: The objective was to determine the facilitators and barriers experienced by patients with hypertension in telemonitoring of BP using the e-HL framework (e-HLF). Methods: This study was a prospective mixed-methods study using a convergent design. We recruited a convenience sample of 21 patients with hypertension. The qualitative section was online or phone individual in-depth interviews based on the e-HLF, which has seven domains. The quantitative section was an online survey consisting of demographics, an e-HL questionnaire, and patient-provider communication preferences. A joint display was used in the mixed-methods analysis. Results: Five themes including knowledge, motivation, skills, systems, and behaviors along with 28 subthemes comprising facilitators or barriers of BP telemonitoring were identified. The mixed-methods results showed concordance between the participants' e-HL status and their experiences in the ability to actively engage with BP monitoring and managing digital services (domain 3) of the e-HLF. Other e-HL domains showed discordance. Conclusion: Patients may engage with BP telemonitoring when they feel the usefulness of concurrent access to telemonitoring services that suit their needs.
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Eze et al. (2023) conducted an observational in Hypertension (n=21). Remote blood pressure monitoring (RBPM) vs. Non-RBPM participation was evaluated on Average electronic health literacy questionnaire (e-HLQ) score across 7 domains and facilitators/barriers to BP telemonitoring (p=0.04). Remote blood pressure monitoring participants had higher average electronic health literacy scores (3.52 vs 3.09, p=0.04), particularly in motivation (p=0.02) and suitable digital services (p=0.03).
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