Key result
Remote BP monitoring was acceptable, with 63% of patients and 40% of health professionals discussing it, noting improved motivation and BP control despite feasibility challenges.
Why the study?
Hypertension is common yet poorly controlled, and incorporating remote blood pressure monitoring may improve management, prompting evaluation of the acceptability, appropriateness, feasibility, and sustainability of a precision health pilot.
What are the patient and health professional perceptions of remote blood pressure monitoring for hypertension management?
What are the patient and health professional perceptions of remote blood pressure monitoring for hypertension management?
Remote BP monitoring is acceptable to patients and providers for hypertension management, but requires addressing feasibility challenges like EMR integration and device usability.
BACKGROUND Hypertension is the most prevalent and important risk factor for cardiovascular disease, affecting nearly 50% of the US adult population; however, only 30% of these patients achieve controlled blood pressure (BP). Incorporating strategies into primary care that take into consideration individual patient needs, such as remote BP monitoring, may improve hypertension management. OBJECTIVE From March 2018 to December 2018, Stanford implemented a precision health pilot called Humanwide, which aimed to leverage high-technology and high-touch medicine to tailor individualized care for conditions such as hypertension. We examined multi-stakeholder perceptions of hypertension management in Humanwide to evaluate the program’s acceptability, appropriateness, feasibility, and sustainability. METHODS We conducted semistructured interviews with 16 patients and 15 health professionals to assess their experiences with hypertension management in Humanwide. We transcribed and analyzed the interviews using a hybrid approach of inductive and deductive analysis to identify common themes around hypertension management and consensus methods to ensure reliability and validity. RESULTS A total of 63% (10/16) of the patients and 40% (6/15) of the health professionals mentioned hypertension in the context of Humanwide. These participants reported that remote BP monitoring improved motivation, BP control, and overall clinic efficiency. The health professionals discussed feasibility challenges, including the time needed to analyze BP data and provide individualized feedback, integration of BP data, technological difficulties with the BP cuff, and decreased patient use of remote BP monitoring over time. CONCLUSIONS Remote BP monitoring for hypertension management in Humanwide was acceptable to patients and health professionals and appropriate for care. Important challenges need to be addressed to improve the feasibility and sustainability of this approach by leveraging team-based care, engaging patients to sustain remote BP monitoring, standardizing electronic medical record integration of BP measurements, and finding more user-friendly BP cuffs.
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Baratta et al. (2021) studied Hypertension (n=31). Remote blood pressure monitoring was evaluated on Multi-stakeholder perceptions of hypertension management to evaluate acceptability, appropriateness, feasibility, and sustainability. Remote BP monitoring was acceptable, with 63% of patients and 40% of health professionals discussing it, noting improved motivation and BP control despite feasibility challenges.
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