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Developing an interactive mobile phone self-report system for self-management of hypertension. Part 1: Patient and professional perspectives

Journal article
Authors Ulrika Bengtsson
Dick Kasperowski
Lena Ring
Karin I Kjellgren
Published in Blood Pressure
Volume 23
Issue 5
Pages 288-295
ISSN 0803-7051
Publication year 2014
Published at University of Gothenburg Centre for person-centred care (GPCC)
Department of Library and Information Studies
Institute of Health and Care Sciences
Department of Philosophy, Linguistics and Theory of Science
Pages 288-295
Language en
Links dx.doi.org/10.3109/08037051.2014.88...
Keywords Blood pressure, focus group, hypertension, medication adherence, person-centred care, self-care
Subject categories Health Sciences, Theory of science regarding care and nursing

Abstract

Low adherence remains a struggle in hypertension management, despite improvement efforts. Presuming that increased patient participation is a possible approach, we collaborated with patients and healthcare professionals to design a self-report system to support self-management. The study aimed to explore and describe relevant aspects of hypertension and hypertension treatment, for use in the development of an interactive mobile phone self-report system. It further aimed to suggest which clinical measures, lifestyle measures, symptoms and side-effects of treatment would be meaningful to include in such a system. Five focus group interviews were performed with 15 patients and 12 healthcare professionals, and data was analysed using thematic analysis. Patients suggested trust, a good relationship with caregivers, and well-being as important aspects of hypertension self-management. Furthermore, they regarded blood pressure, dizziness, stress, headache and tiredness as important outcomes to include. Patients sought to understand interconnections between symptoms and variations in blood pressure, whilst healthcare professionals doubted patients’ ability to do so. Healthcare professionals emphasized accessibility, clear and consistent counselling, complication prevention and educational efforts. The study presents aspects of importance for follow-up to understand the interplay between blood pressure and daily life experiences for patients with hypertension. Read More: http://informahealthcare.com.ezproxy.ub.gu.se/doi/abs/10.3109/08037051.2014.883203

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