Key result
The use of a mobile blood pressure management application increased medication adherence scores by 5.9 points compared to usual care in patients with primary hypertension.
Why the study?
Given the importance of hypertension self-management and the growing role of mobile health, the study evaluated the effect of a self-management mobile application on patient adherence to treatment.
Does a mobile application-based educational-supportive intervention improve adherence to antihypertensive medication in patients with primary hypertension?
RCT (n=120)
Open-label
Permuted block randomization
No
Does a mobile application-based educational-supportive intervention improve adherence to antihypertensive medication in patients with primary hypertension?
Mean Difference: 5.9 (95% CI 5.03–6.69)
Absolute Event Rate: 65.1% vs 59.7%
A mobile health application significantly improved medication adherence, dietary habits, and physical activity in patients with primary hypertension.
Validates mobile health applications as effective tools for improving antihypertensive medication adherence; extends.
Background: Self-management of hypertension is of great significance given its increasing incidence and its associated disabilities. In view of the increased use of mobile health in medicine, the present study evaluated the effect of a self-management application on patient adherence to hypertension treatment.Methods: This clinical trial was performed on 120 hypertensive patients who were provided with a mobile intervention for 8 weeks and followed-up until the 24th week. Data on the primary outcome (adherence to treatment) and secondary outcomes (adherence to the DASH diet, regular monitoring of blood pressure, and physical activity) were collected using a questionnaire and a mobile application, respectively. The inter-group change difference over time was analyzed using repeated measures ANOVA (General Linear Model).Results: The treatment adherence score increased by an average of 5.9 (95% CI: 5.0-6.7) in the intervention group compared to the control group. Scores of 'adherence to the low-fat and low-salt diet plans' were 1.7 (95% CI: 1.3-2.1) and 1.5 (95% CI: 1.2-1.9), respectively. Moreover, moderate physical activity increased to 100.0 minutes (95% CI: 61.7-138.3) per week in the intervention group.Conclusion: The treatment and control of blood pressure require a multifaceted approach given its complexity and multifactorial nature. Considering the widespread use of smartphones, mHealth interventions can be effective in self-management and better patient adherence to treatments. Our results showed that this application can be used as a successful tool for hypertension self-management in patients attending public hospitals in developing countries.Trial registration: This study was registered in the Iran Randomized Clinical Trial Center under the number IRCT2015111712211N2 on January 1st 2016.
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Bozorgi et al. (2021) conducted an RCT in Primary hypertension (n=120). Blood Pressure Management Application (BPMAP) vs. Usual care was evaluated on Adherence to antihypertensive medication (Hill-Bone Scale) (MD 5.9, 95% CI 5.03-6.69). The use of a mobile blood pressure management application increased medication adherence scores by 5.9 points compared to usual care in patients with primary hypertension.
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