App-enabled remote blood pressure monitoring in secondary care: a pilot implementation study

A management plan.Patients were purposively surveyed from the following groups: (i) declined to participate, (ii) agreed to participate, but did not enter data, and (iii) agreed to participate, and entered data. ResultsOf the 40 patients invited, 26 patients agreed to participate.18 (69%) activated Mycare by the time of the clinic visit.Of these, 13 (72%) had entered BP data (Fig 1).Mean ages: entered data: 46.2; did not enter data: 53.9; declined to participate: 61.5 (Table 1).100% of patients who engaged found entering BP measurements easy.100% of clinician respondents agreed that remote BP data were easy to view, informed the management plan and saved consultation time. DiscussionApp-enabled RBPM is feasible and convenient in hypertensive patients in secondary care.Lack of confidence with digital technology was a significant barrier to uptake.A positive correlation between age and non-engagement was observed, the reasons for which merit further exploration.Due to the increasing prevalence of EHRs in the NHS, our model could be adapted and deployed across other chronic conditions and secondary care networks.Following this successful pilot, we are offering it as part of routine care, and piloting it in patients following stroke and transient ischaemic attack (TIA).Future efforts should focus on increasing engagement with older persons and those lacking confidence with digital tools. App-enabled remote blood pressure monitoring in secondary care: a pilot implementation study