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Phases in development of an interactive mobile phone-based system to support self-management of hypertension

Journal article
Authors Inger Hallberg
Charles Taft
Agneta Ranerup
Ulrika Bengtsson
Mikael Hoffman
Stefan Höfer
Dick Kasperowski
Åsa Mäkitalo
Mona Lundin
Lena Ring
Ulf Rosenqvist
Karin I Kjellgren
Published in Integrated blood pressure control
Volume 7
Pages 19-28
ISSN 1178-7104
Publication year 2014
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 Applied Information Technology (GU)
Department of Education, Communication and Learning
Institute of Health and Care Sciences
Department of Philosophy, Linguistics and Theory of Science
Pages 19-28
Language en
Keywords adherence, blood pressure, cellular phone, communication, devices, person-centered care
Subject categories Cardiovascular medicine, Nursing, Human Aspects of ICT


Hypertension is a significant risk factor for heart disease and stroke worldwide. Effective treatment regimens exist; however, treatment adherence rates are poor (30%–50%). Improving self-management may be a way to increase adherence to treatment. The purpose of this paper is to describe the phases in the development and preliminary evaluation of an interactive mobile phone-based system aimed at supporting patients in self-managing their hypertension. A person-centered and participatory framework emphasizing patient involvement was used. An interdisciplinary group of researchers, patients with hypertension, and health care professionals who were specialized in hypertension care designed and developed a set of questions and motivational messages for use in an interactive mobile phone-based system. Guided by the US Food and Drug Administration framework for the development of patient-reported outcome measures, the development and evaluation process comprised three major development phases (1, defining; 2, adjusting; 3, confirming the conceptual framework and delivery system) and two evaluation and refinement phases (4, collecting, analyzing, interpreting data; 5, evaluating the self-management system in clinical practice). Evaluation of new mobile health systems in a structured manner is important to understand how various factors affect the development process from both a technical and human perspective. Forthcoming analyses will evaluate the effectiveness and utility of the mobile phone-based system in supporting the self-management of hypertension.

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