Use of technology to prevent, detect, manage and control hypertension in sub-Saharan Africa: a systematic review

Stokes, Katy; Oronti, Iyabosola B; Cappuccio, Francesco P.; Pecchia, Leandro

doi:10.1136/bmjopen-2021-058840

Cited by 8 publications

(4 citation statements)

References 56 publications

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“…In these regards, HBPT can be included within telenephrology services utilized in rural areas to improve outcomes. In one study from Australia, fewer rural CKD patients who received treatment using telenephrology services started dialysis after five years of follow-up compared to patients treated using standard care (5.1% vs. 9.9%; P = 0.02); fewer deaths were also reported in the telenephrology group (11.1% vs. 18.2%; P = 0.02) [100] . The application of digital solutions to assess BP control and medication adherence in low-income and lower-middle-income countries suggests that HBPT can be used in these settings to address the challenges of BP control and treatment [101,102] .…”

Section: Potential Applications Of Bp Telemonitoring In Ckd Patientsmentioning

confidence: 99%

Telemonitoring in hypertension management for patients with chronic kidney disease: a narrative review

Okpechi¹,

Ringrose²,

Padwal³

et al. 2023

Conn Health

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Hypertension is a major cause of cardiovascular disease worldwide and a major cause of morbidity and mortality in patients with chronic kidney disease (CKD). The Systolic Blood pressure Intervention Trial (SPRINT) demonstrated that blood pressure (BP) measurement techniques may have an impact on the achievement of outcomes. Home BP monitoring (HBPM) has several advantages over office BP recordings, including avoidance of white-coat reaction, ability to diagnose white-coat and masked hypertension, detection of BP variability, and better ability to predict cardiovascular morbidity and mortality, all of which commonly occur in CKD. The addition of telemonitoring and management support to HBPM allows remote monitoring, especially when close contact is difficult (e.g., patients in remote/rural areas, pandemic, natural disaster, or patients treated with home dialysis). Although there are few studies that have assessed the efficacy of home BP telemonitoring (HBPT) in patients with CKD, these studies suggest the benefits of HBPT for BP control and even limited evidence that it may improve kidney function. This review, using limited available evidence, assesses the roles of HBPT in patients with CKD, barriers to HBPT implementation in the care of patients with CKD, and discusses newer technologies that can be leveraged in the management of hypertension in patients with CKD.

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Section: Potential Applications Of Bp Telemonitoring In Ckd Patientsmentioning

confidence: 99%

Telemonitoring in hypertension management for patients with chronic kidney disease: a narrative review

Okpechi¹,

Ringrose²,

Padwal³

et al. 2023

Conn Health

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“…In turn, mobile or web applications have proven to be one of the most feasible technological solutions in digital health interventions with different population profiles [57][58][59][60]. In addition, previous studies suggest that mobile applications have the potential to have a greater positive impact on caregivers by providing support, communication, and facilitation of care, reducing the burden and positively impacting caregiver health outcomes [50].…”

Section: Technological Solutionsmentioning

confidence: 99%

Co-created Technological Solutions for Caregivers in Health Care: Systematic Review

Merchán-Baeza¹,

Andreu²,

Minobes-Molina³

et al. 2023

J Med Internet Res

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Background Support interventions for caregivers can reduce their stress, possibly improving the quality of patients’ care while reducing care costs. Technological solutions have been designed to cover their needs, but there are some challenges in making them truly functional for end users. Co-design approaches present important opportunities for engaging diverse populations to help ensure that technological solutions are inclusive and accessible. Objective This study aimed to identify co-created technological solutions, as well as the process followed for their co-creation, in the field of health for caregivers. Methods The literature review was conducted in the Medline, Web of Science, Scopus, Science Direct, Scielo, and IEEE Xplore databases. The inclusion criteria were studies written in English or Spanish and with a publication date until May 2021. The content had to specify that the caregivers actively participated in the co-creation process, which covered until the development phase of the technological solution (prototype). The level of evidence and the methodological quality were analyzed when possible, using the Scottish Intercollegiate Guidelines Network criteria and the Mixed Methods Appraisal Tool, version 2018, respectively. Results In total, 410 papers were identified, and 11 met the eligibility criteria. The most predominant articles were mixed methods studies and qualitative studies. The technology used in the analyzed articles were mobile or web applications (9 studies) and specific devices such as sensors, cameras, or alarm systems (2 studies) to support the health and social aspects of caregivers and improve their education in care. The most common patient profile was older people (7 studies); 6 studies used co-creation in the requirements phase, 6 studies detailed the design phase. In 9 studies, the prototype was iteratively refined in the development phase, and the validation phase was performed in 5 of the reviewed studies. Conclusions This systematic review suggests that existing co-created technological solutions in the field of health for caregivers are mostly mobile or web applications to support caregivers’ social health and well-being and improve their health knowledge when delivering care to patients, especially older people. As for the co-creation process, caregivers are particularly involved during development and in the design. The scarce literature found indicates that further research with higher methodological quality is needed.

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“…Hypertension has an important place among chronic diseases in parallel with the aging of the world population, the prolongation of the life span of individuals with the developing technology and the increased prevalence of obesity (Mills et al, 2020). Hypertension is an important risk factor for cardiovascular diseases and is an important cause of premature death (Stokes et al, 2022). Hypertension creates a serious burden on national economies in terms of complications and health care costs (Arıcı et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Assessment of traditional and complementary methods used by patients with hypertension to reduce blood pressure

Deniz Akan,

Dedeli Çaydam,

Çınar Pakyüz

2023

HumanSciences

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This research is a descriptive cross-sectional study conducted to evaluate the traditional and complementary methods used by hypertension patients to lower blood pressure. The sample of the survey was conducted in a university hospital in Turkey of West, who are diagnosed with hypertension, matching the sample selection criteria and who wish to participate in the study comprised 193 patients. The data were collected through a questionnaire created by the researchers. In statistical analysis, descriptive statistics and chi-square test and Fisher's exact chi-square test were used. Considering the findings, the average age of the participants in the study was 56.6±9.6 and the diagnosis period of hypertension was 7.1±5.6 years. It was determined that 65.8% of the patients used traditional and complementary methods and 73.6% of those using complementary methods did not inform the healthcare personnel about this situation. 93.7% of the patients stated that they used herbal method as a traditional and complementary method, 43% stated that they received this information from their environment and 52.3% used the traditional and complementary method to lower their blood pressure. As a result, it was determined that patients with hypertension often resort to traditional and complementary methods. Based on this results, we suggest that health professionals should question the traditional and complementary methods used by individuals with hypertension, improve their knowledge on traditional and complementary methods, and increase in-service training on this subject. (Extended English summary is at the end of this document) Özet Bu araştırma, hipertansiyon tanısı olan hastaların kan basınçlarını düşürmek için kullandıkları geleneksel ve tamamlayıcı yöntemlerin belirlenmesi amacıyla yapılmış tanımlayıcı-kesitsel tipte bir araştırmadır. Araştırmanın örneklemini, Türkiye’nin batısındaki bir üniversite hastanesinde hipertansiyon tanısı olan, örneklem seçim kriterlerine uyan ve çalışmaya katılmak isteyen 193 hasta oluşturdu. Veriler, araştırmacılar tarafından oluşturulan soru formu aracılığı ile toplandı. İstatistiksel analizde, tanımlayıcı istatistikler ile ki-kare ve Fisher’in kesin ki-kare testi kullanıldı. Bulgulara bakıldığında, araştırmaya katılanların yaş ortalaması 56,6±9,6 ve hipertansiyon tanı süreleri 7,1±5,6 yıldır. Hastaların %65,8’inin geleneksel ve tamamlayıcı yöntem kullandıkları, tamamlayıcı yöntem kullananlardan %73,6’sının bu durumdan sağlık personelini haberdar etmediği belirlendi. Hastaların %93,7’si geleneksel ve tamamlayıcı yöntem olarak bitkisel yöntem kullandıklarını, %43’ü ise bu bilgiyi çevresinden aldığını ve %52,3’ü geleneksel ve tamamlayıcı yöntemi tansiyonunu düşürmek için kullandığını ifade etti. Sonuç olarak, hipertansiyonlu hastaların sıklıkla geleneksel ve tamamlayıcı yöntemlere başvurdukları belirlendi. Bu bulgulardan hareketle, sağlık profesyonellerinin hipertansiyonu olan bireylerin kullandıkları geleneksel ve tamamlayıcı yöntemleri sorgulamalarını, geleneksel ve tamamlayıcı yöntemler konusunda bilgilerini geliştirmelerini ve bu konuda yapılacak hizmet içi eğitimlerin arttırılmasını öneriyoruz.

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Use of technology to prevent, detect, manage and control hypertension in sub-Saharan Africa: a systematic review

Cited by 8 publications

References 56 publications

Telemonitoring in hypertension management for patients with chronic kidney disease: a narrative review

Telemonitoring in hypertension management for patients with chronic kidney disease: a narrative review

Co-created Technological Solutions for Caregivers in Health Care: Systematic Review

Assessment of traditional and complementary methods used by patients with hypertension to reduce blood pressure

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