SMS-facilitated home blood pressure monitoring: A qualitative analysis of resultant health behavior change

Allen, Matthew E.; Irizarry, Taya; Einhorn, Julian; Kamarck, Thomas W.; Suffoletto, Brian; Burke, Lora E.; Rollman, Bruce L.; Muldoon, Matthew F.

doi:10.1016/j.pec.2019.06.015

Cited by 17 publications

(15 citation statements)

References 42 publications

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“…We hypothesized that participants' changes in BP might be mediated by knowledge of their (high) BP measurements. 29,30 However, we observed no meaningful changes in participants' health behaviors by hypertension diagnosis status. The absence of changes (in health behaviors) in our study generally agreed with 6-month indifferent health attitudes on BP management (ie, towards exercise, salt reduction, weight monitoring, or consumption of fruits and vegetables).…”

Section: Discussioncontrasting

confidence: 70%

Relationship of Blood Pressure, Health Behaviors, and New Diagnosis and Control of Hypertension in the BP-CHECK Study

Hall,

Anderson,

McClure

et al. 2024

Circ: Cardiovascular Quality and Outcomes

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Background: Undiagnosed hypertension and uncontrolled blood pressure (BP) are common and contribute to excess cardiovascular morbidity and mortality. We examined whether BP control, changes in BP, and patient behaviors and attitudes were associated with a new hypertension diagnosis. Methods: We performed a post hoc analysis of 323 participants from BP-CHECK (Blood Pressure Checks for Diagnosing Hypertension), a randomized diagnostic study of BP measuring methods in adults without diagnosed hypertension with elevated BP recruited from 12 primary care clinics of an integrated health care system in Washington State during 2017 to 2019. All 323 participants returned a positive diagnostic test for hypertension based on 24-hour ambulatory BP monitoring and were followed for 6 months. We used linear regression to examine the relationships between a new hypertension diagnosis (primary independent variable) and differences in the change in study outcomes from baseline to 6-month. Results: Mean age of study participants was 58.3 years (SD, 13.1), 147 (45%) were women, and 253 (80%) were of non-Hispanic White race. At 6 months, 154 of 323 (48%) participants had a new hypertension diagnosis of whom 88 achieved target BP control. Participants with a new hypertension diagnosis experienced significantly larger declines from baseline in BP (adjusted mean difference: systolic BP, −7.6 mm Hg [95% CI, −10.3 to −4.8]; diastolic BP, −3.8 mm Hg [95% CI, −5.6 to −2.0]) compared with undiagnosed peers. They were also significantly more likely to achieve BP control by 6 months compared with undiagnosed participants (adjusted relative risk, 1.5 [95% CI, 1.1 to 2.0]). At 6 months, 101 of 323 participants (31%) with a positive ambulatory BP monitoring diagnostic test remained with undiagnosed hypertension, uncontrolled BP, and no antihypertensive medications. Conclusions: Approximately one-third of participants with high BP on screening and ambulatory BP monitoring diagnostic testing remained with undiagnosed hypertension, uncontrolled BP, and no antihypertensive medications after 6 months. New strategies are needed to enhance integration of BP diagnostic testing into clinical practice. REGISTRATION: URL: https://www.clinicaltrials.gov ; Unique identifier: NCT03130257.

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Section: Discussioncontrasting

confidence: 70%

Relationship of Blood Pressure, Health Behaviors, and New Diagnosis and Control of Hypertension in the BP-CHECK Study

Hall,

Anderson,

McClure

et al. 2024

Circ: Cardiovascular Quality and Outcomes

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“…Encouraging diligence in medication taking. Patients were motivated to take antihypertensive medications diligently upon seeing lower blood pressure readings after taking medications—“You can see whether the medicine is effective.” 12 Patients voiced that “seeing those high numbers” 14 on home blood pressure monitoring devices prompted them to take medications to avoid serious consequences.…”

Section: Resultsmentioning

confidence: 99%

Perspectives and Experiences of Self-monitoring of Blood Pressure Among Patients With Hypertension: A Systematic Review of Qualitative Studies

Natale

Martínez-Martín

et al. 2023

American Journal of Hypertension

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Background Self-monitoring of blood pressure is a key strategy in managing hypertension but may be challenging and burdensome for patients. The aim of the study was to describe the perspectives and experiences of self-monitoring of blood pressure in patients with hypertension. Methods MEDLINE, Embase, PsycINFO, CINAHL were searched from database inception to March 2022. We used thematic synthesis to analyze the data. Results Thirty-five studies involving 872 patients aged 18–95 years were included. Four themes were identified: enabling autonomy and empowerment of own health (allowing access to comprehensive and accurate data, bolstering motivation for lifestyle changes, encouraging diligence in medication taking, gaining interest in self-management, and increasing awareness of health status); providing reassurance and convenience (instilling a sense of security, readiness for troubleshooting, and reducing the frequency of clinical appointments); triggering confusion and stress (anxiety and panic over “bad” numbers, constant reminder of illness identity, disregarded by clinicians, lack of confidence in interpreting and responding to results, redundancy of continuous monitoring, and uncertainties around targets and frequency of measures, concerns of unreliability); financial and operational burden of device (vulnerability preventing use, or unsustainable cost). Conclusions Inadequate knowledge about the benefits of lowering blood pressure, home blood pressure monitoring, blood pressure goals, and interpretation of blood pressure values, limited access to home blood pressure monitoring devices, and psychological burden with home blood pressure monitoring limit home blood pressure monitoring.

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“…48 Allen et al, investigated the efficacy of MyBP, an automated SMS-facilitated home blood pressure monitoring program, in facilitating healthy behavior changes among expectant mothers with hypertension. 49 This technology transmits vital parameters from a patient to a hospital in real time, enabling the pre-planning of labor and emergency care. These studies collectively demonstrate the potential of technology driven solutions in enhancing maternal health.…”

Section: Monitoring Maternal Health Parametersmentioning

confidence: 99%

A Theoretical Exploration of Artificial Intelligence’s Impact on Feto-Maternal Health from Conception to Delivery

Yaseen,

Rather

2024

IJWH

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The implementation of Artificial Intelligence (AI) in healthcare is enhancing diagnostic accuracy in clinical setups. The use of AI in healthcare is steadily increasing with advancing technology, extending beyond disease diagnosis to encompass roles in fetomaternal health. AI harnesses Machine Learning (ML), Natural Language Processing (NLP), Artificial Neural Networks (ANN), and computer vision to analyze data and draw conclusions. Considering maternal health, ML analyzes vast datasets to predict maternal and fetal health outcomes, while NLP interprets medical texts and patient records to assist in diagnosis and treatment decisions. ANN models identify patterns in complex feto-maternal medical data, aiding in risk assessment and intervention planning whereas, computer vision enables the analysis of medical images for early detection of feto-maternal complications. AI facilitates early pregnancy detection, genetic screening, and continuous monitoring of maternal health parameters, providing real-time alerts for deviations, while also playing a crucial role in the early detection of fetal abnormalities through enhanced ultrasound imaging, contributing to informed decision-making. This review investigates into the application of AI, particularly through predictive models, in addressing the monitoring of feto-maternal health. Additionally, it examines potential future directions and challenges associated with these applications.

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SMS-facilitated home blood pressure monitoring: A qualitative analysis of resultant health behavior change

Cited by 17 publications

References 42 publications

Relationship of Blood Pressure, Health Behaviors, and New Diagnosis and Control of Hypertension in the BP-CHECK Study

Relationship of Blood Pressure, Health Behaviors, and New Diagnosis and Control of Hypertension in the BP-CHECK Study

Perspectives and Experiences of Self-monitoring of Blood Pressure Among Patients With Hypertension: A Systematic Review of Qualitative Studies

A Theoretical Exploration of Artificial Intelligence’s Impact on Feto-Maternal Health from Conception to Delivery

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