Key result
Daily use of a wearable BP-monitoring device was observed in 52.68% of hypertensive patients over 1 month, and these users reported higher levels of hypertension compliance than nonusers.
Why the study?
Wearable mHealth technologies may improve hypertension management in resource-limited populations, but user characteristics of BP wearable technology in these settings require evaluation.
Does higher baseline hypertension compliance predict adherence to a wearable BP-monitoring device in hypertensive patients?
Cross-Sectional (n=317)
Does higher baseline hypertension compliance predict adherence to a wearable BP-monitoring device in hypertensive patients?
Patients with higher self-reported hypertension compliance are more likely to adhere to using a wearable BP-monitoring device, suggesting that baseline behavioral factors influence mHealth engagement.
Higher compliance linked to wearable use warrants no practice change; hypothesis-generating for behavioral predictors of mHealth adherence.
Wearable mobile health (mHealth) technologies are a convenient and cost-effective community-based intervention to improve management of hypertension in resource-limited populations. This study was designed to evaluate user characteristics of blood pressure (BP) wearable technology among a community-based population in a rural area of China. During the period of April through July 2018, a self-monitoring intervention program for hypertension control was implemented in a remote area of central China. Participants completed a cross-sectional survey which included demographic characteristics, Technology Fluency, the Compliance of Hypertensive Patients' Scale, and the Health-related Quality of Life Survey. Participants were given a wearable BP-monitoring device which wirelessly uploaded data and monitored for 1 month. Participants (n = 317) were 64.57 years (SD = 11.68), 53.94% were male. During the 30-day monitoring, 52.68% of the sample uploaded BP wristband data daily were identified as "BP device users." No differences existed between device users and nonusers related to cardiovascular health measurements, technology fluency, and health-related quality of life. Device users were more likely to report a higher level of hypertension compliance. Individuals reporting a higher level of compliance in hypertension management are more likely to interact with a wearable BP-monitoring device than persons with lower levels of compliance. Further evaluation of mobile health systems involving a wearable device as part of a hypertension management program is needed in a resource-limited community-based setting.
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Zhang et al. (2019) conducted a cross-sectional in Hypertension (n=317). Wearable BP-monitoring device usage vs. Nonusers was evaluated on Daily uploading of BP wristband data (device users). Daily use of a wearable BP-monitoring device was observed in 52.68% of hypertensive patients over 1 month, and these users reported higher levels of hypertension compliance than nonusers.
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