The effect of telemonitoring and self-management mobile application on controlling blood pressure among patients with hypertension (Preprint)

BACKGROUND Hypertension is known as one of the major causes of premature death worldwide. Therefore, controlling blood pressure becomes essential for reducing the burden of high blood pressure-related disorders. OBJECTIVE The study aimed to determine the impact of telemonitoring and self-care management mobile application of controlling blood pressure among patients with hypertension in Indonesia. METHODS This study was conducted using a queasy experiment. The intervention group received self-management and telemonitoring mobile application. They were followed by both groups for 2 months. Patients eligible for eligibility if they were 35–65 years of age, diagnosed with two or less antihypertensive drugs for hypertension, had a blood pressure of more than 140/90 mmHg. Estimated difference-in-differences (DID) for intention-to-treat (ITT) was used to measure the effect of intervention on outcome overtime. RESULTS A total of 64 patients with hypertension in each group joined in this study. The telemonitoring application and self-management mobile application improved outcomes relative to the control at T1 across four outcomes: 1) systolic blood pressure decreased 2.57 (95% CI (1.32 to 5.52), 2) diastolic blood pressure score saw a modest decreased 2.13 (95% CI (1.57 to 4.68). At T2, improved outcomes relative to the control were observed in systolic blood pressure (DID coefficient 2.57, 95%CI (1.32 to 5.52), diastolic blood pressure (DID coefficient 3.57, 95%CI (1.89 to 6.60). CONCLUSIONS The telemonitoring and self-care management mobile application has promising results on controlling blood pressure among patients with hypertension in Indonesia. Healthcare policy may need to integrated application of telemonitoring on self-management intervention and facilitate for future development to help patient’s hypertension could manager their disease and reduce mortality.