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Patient contributions during primary care consultations for hypertension after self-reporting via a mobile phone self-management support system.

Journal article
Authors Ulrika Bengtsson
Karin I Kjellgren
Inger Hallberg
Mona Lundin
Åsa Mäkitalo
Published in Scandinavian Journal of Primary Health Care
Volume 36
Issue 1
Pages 70-79
ISSN 0281-3432
Publication year 2018
Published at The Linnaeus Centre for Research on Learning, Interaction, and Mediated Communication in Contemporary Society (LinCS)
University of Gothenburg Centre for person-centred care (GPCC)
Department of Education, Communication and Learning
Institute of Health and Care Sciences
Pages 70-79
Language en
Links https://doi.org/10.1080/02813432.20...
Keywords Blood pressure; cellular phone; communication; counseling; life-style; person-centered care; self-report
Subject categories Health Sciences, Pedagogy, Learning, Human Aspects of ICT

Abstract

This paper reports on how the clinical consultation in primary care is performed under the new premises of patients’ daily self-reporting and self-generation of data. The aim was to explore and describe the structure, topic initiation and patients’ contributions in follow-up consultations after eight weeks of self-reporting through a mobile phone-based hypertension self-management support system. A qualitative, explorative study design was used, examining 20 audio- (n = 10) and video-recorded (n = 10) follow-up consultations in primary care hypertension management, through interaction analysis. Clinical trials registry: ClinicalTrials.gov NCT01510301. The consultations comprised three phases: opening, examination and closing. The most common topic was blood pressure (BP) put in relation to self-reported variables, for example, physical activity and stress. Topic initiation was distributed symmetrically between parties and BP talk was lifestyle-centered. The patients’ contributed to the interpretation of BP values by connecting them to specific occasions, providing insights to the link between BP measurements and everyday life activities. Patients’ contribution through interpretations of BP values to specific situations in their own lives brought on consultations where the patient as a person in context became salient. Further, the patients’ and health care professionals’ equal contribution during the consultations showed actively involved patients. The mobile phone-based self-management support system can thus be used to support patient involvement in consultations with a person-centered approach in primary care hypertension management

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