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PERson-centredness in hypertension management using information technology (PERHIT): a protocol for a randomised controlled trial in primary health care

Journal article
Authors Patrik Midlöv
Peter M. Nilsson
Ulrika Bengtsson
Mikael Hoffman
André Wennersten
Ulrika Andersson
Ulf Malmqvist
Katarina Steen Carlsson
Agneta Ranerup
Karin I Kjellgren
Published in Blood Pressure
ISSN 0803-7051
Publication year 2020
Published at University of Gothenburg Centre for person-centred care (GPCC)
Department of Applied Information Technology (GU)
Institute of Health and Care Sciences
Language en
Links https://doi.org/10.1080/08037051.20...
Keywords Blood pressure; information technology; mobile phone; person-centred care; self monitoring
Subject categories Nursing

Abstract

Purpose: For primary health care (PHC), hypertension is the number one diagnosis for planned health care visits. The treatment of high blood pressure (BP) and its consequences constitutes a substantial economic burden. In spite of efficient antihypertensive medications, a low percentage of patients reach a well-controlled BP. The PERson-centredness in Hypertension management using Information Technology (PERHIT) Study is a multicentre randomised controlled trial. PERHIT is designed to evaluate the effect of supporting self-management on systolic blood pressure by the use of information technology in Swedish primary health care. Materials and Methods: After inclusion, 900 patients from 36 PHC centres are randomised to two groups. In the intervention group, patients are provided with a self-management support system including a home-BP monitor and further requested to perform self-reports and measure BP every evening for eight consecutive weeks. In the control group, patients receive treatment as usual. Results: The primary outcome will be the change in systolic blood pressure in patients with hypertension. In addition, person-centredness, daily life activities, awareness of risk and health care costs will also be evaluated. Conclusion: The results of this randomised controlled trial with assessment of blood pressure and same-day self-reports will provide patients a tool to understand the interplay between blood pressure and lifestyle applicable to primary health care. The self-management support system may be of importance for improved adherence to treatment and persistence to treatment recommendations.

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Denna text är utskriven från följande webbsida:
http://www.gu.se/english/research/publication/?publicationId=287394
Utskriftsdatum: 2020-02-27