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

Artikel i vetenskaplig tidskrift
Författare 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
Publicerad i Integrated blood pressure control
Volym 7
Sidor 19-28
ISSN 1178-7104
Publiceringsår 2014
Publicerad vid Linnécentret for forskning om lärande (LinCS)
Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Institutionen för tillämpad informationsteknologi (GU)
Institutionen för pedagogik, kommunikation och lärande
Institutionen för vårdvetenskap och hälsa
Institutionen för filosofi, lingvistik och vetenskapsteori
Sidor 19-28
Språk en
Länkar http://dx.doi.org/10.2147/IBPC.S59...
Ämnesord adherence, blood pressure, cellular phone, communication, devices, person-centered care
Ämneskategorier Kardiovaskulär medicin, Omvårdnad, Mänsklig interaktion med IKT

Sammanfattning

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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