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April 23, 2015Journal of Human Hypertension112 citationsOpen Access

Supporting the self-management of hypertension: Patients’ experiences of using a mobile phone-based system

IHInger HallbergARAgneta RanerupKKKarin Kjellgren

Key Result

Patients using an interactive mobile phone-based self-management system for hypertension found it easy to use and reported increased motivation to adhere to treatment due to a better understanding of how daily life affects blood pressure.

Study Design

Type

Observational (n=51)

Multicenter

Yes

Structured PICO

Does an interactive mobile phone-based system improve self-management experiences in patients with hypertension?

P
Population
49 patients with hypertension (age >30 years, currently taking medication for hypertension, having a mobile phone with an Internet connection) from four primary health-care centers in southern Sweden.
I
Intervention
Interactive mobile phone-based system for self-management of hypertension (daily self-reports, home BP measurements, reminders/motivational messages, web-based platform) used for 8 weeks.
O
Outcome
Patients' experiences of using the self-management system, assessed via semi-structured audio-recorded interviews and qualitative thematic analysis.patient reported

A mobile phone-based self-management system for hypertension is well-received by patients and may enhance treatment adherence and patient participation in care.

Limitations

  • Selection bias, as responsive patients already adhering to treatment are more likely to participate
  • Non-adherent patients, who might benefit most, were likely not included
  • Findings from this qualitative study cannot be generalized to all patients with hypertension

Abstract

Globally, hypertension is poorly controlled and its treatment consists mainly of preventive behavior, adherence to treatment and risk-factor management. The aim of this study was to explore patients' experiences of an interactive mobile phone-based system designed to support the self-management of hypertension. Forty-nine patients were interviewed about their experiences of using the self-management system for 8 weeks regarding: (i) daily answers on self-report questions concerning lifestyle, well-being, symptoms, medication intake and side effects; (ii) results of home blood-pressure measurements; (iii) reminders and motivational messages; and (iv) access to a web-based platform for visualization of the self-reports. The audio-recorded interviews were analyzed using qualitative thematic analysis. The patients considered the self-management system relevant for the follow-up of hypertension and found it easy to use, but some provided insight into issues for improvement. They felt that using the system offered benefits, for example, increasing their participation during follow-up consultations; they further perceived that it helped them gain understanding of the interplay between blood pressure and daily life, which resulted in increased motivation to follow treatment. Increased awareness of the importance of adhering to prescribed treatment may be a way to minimize the cardiovascular risks of hypertension.

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Cite This Study

Hallberg et al. (2015) conducted an observational in Hypertension (n=51). Interactive mobile phone-based self-management system was evaluated on Patients' experiences of using the self-management system (qualitative thematic analysis). Patients using an interactive mobile phone-based self-management system for hypertension found it easy to use and reported increased motivation to adhere to treatment due to a better understanding of how daily life affects blood pressure.

synapsesocial.com/papers/6a12d4575bb7edc7189e560bhttps://doi.org/10.1038/jhh.2015.37
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Experiences, expectations and challenges of an interactive mobile phone-based system to support self-management of hypertension: patients’ and professionals’ perspectives2018 · 20 citations
  2. 2Developing an interactive mobile phone self-report system for self-management of hypertension. Part 1: Patient and professional perspectives2014 · 48 citations
  3. 3Improved Blood Pressure Control Using an Interactive Mobile Phone Support System2015 · 67 citations
  4. 4Developing an interactive mobile phone self-report system for self-management of hypertension. Part 2: Content validity and usability2014 · 26 citations
  5. 5Phases in development of an interactive mobile phone-based system to support self-management of hypertension2014 · 27 citations