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Supporting the self-management of hypertension: Patients’ experiences of using a mobile phone-based system

Journal article
Authors Inger Hallberg
Agneta Ranerup
Karin I Kjellgren
Published in Journal of Human Hypertension
Volume 30
Pages 141–146
ISSN 0950-9240
Publication year 2016
Published at University of Gothenburg Centre for person-centred care (GPCC)
Department of Applied Information Technology (GU)
Institute of Health and Care Sciences
Pages 141–146
Language en
Links dx.doi.org/10.1038/jhh.2015.37
Keywords adherence; cellular phone; hypertension; mHealth; self-care; signs and symptoms
Subject categories Health Sciences, Nursing, Information Systems, Social aspects

Abstract

Globally, hypertension is poorly controlled and its treatment consists mainly of preventive behavior, adherence to treatment and risk-factor management. The aim of this study was to explore patients’ experiences of an interactive mobile phone-based system designed to support the self-management of hypertension. Forty-nine patients were interviewed about their experiences of using the self-management system for 8 weeks regarding: (i) daily answers on self-report questions concerning lifestyle, well-being, symptoms, medication intake and side effects; (ii) results of home blood-pressure measurements; (iii) reminders and motivational messages; and (iv) access to a web-based platform for visualization of the self-reports. The audio-recorded interviews were analyzed using qualitative thematic analysis. The patients considered the self-management system relevant for the follow-up of hypertension and found it easy to use, but some provided insight into issues for improvement. They felt that using the system offered benefits, for example, increasing their participation during follow-up consultations; they further perceived that it helped them gain understanding of the interplay between blood pressure and daily life, which resulted in increased motivation to follow treatment. Increased awareness of the importance of adhering to prescribed treatment may be a way to minimize the cardiovascular risks of hypertension.

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