Using a mobile health app to improve patients’ adherence to hypertension treatment: a non-randomized clinical trial

Poor adherence to hypertension treatment increases complications of the disease and is characterized by a lack of awareness and acceptance of ongoing treatment. Mobile health (mHealth) apps can optimize processes and facilitate access to health information by combining treatment methods with attract...

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Main Authors: Simiane Salete Volpi, Daiana Biduski, Ericles Andrei Bellei, Danieli Tefili, Lynn McCleary, Ana Luisa Sant’Anna Alves, Ana Carolina Bertoletti De Marchi
Format: Article
Language:English
Published: PeerJ Inc. 2021-05-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/11491.pdf
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author Simiane Salete Volpi
Daiana Biduski
Ericles Andrei Bellei
Danieli Tefili
Lynn McCleary
Ana Luisa Sant’Anna Alves
Ana Carolina Bertoletti De Marchi
author_facet Simiane Salete Volpi
Daiana Biduski
Ericles Andrei Bellei
Danieli Tefili
Lynn McCleary
Ana Luisa Sant’Anna Alves
Ana Carolina Bertoletti De Marchi
author_sort Simiane Salete Volpi
collection DOAJ
description Poor adherence to hypertension treatment increases complications of the disease and is characterized by a lack of awareness and acceptance of ongoing treatment. Mobile health (mHealth) apps can optimize processes and facilitate access to health information by combining treatment methods with attractive solutions. In this study, we aimed at verifying the influence of using an mHealth app on patients’ adherence to hypertension treatment, also examining how user experience toward the app influenced the outcomes. A total of 49 participants completed the study, men and women, diagnosed with hypertension and ongoing medical treatment. For 12 weeks, the control group continued with conventional monitoring, while the experimental group used an mHealth app. From the experimental group, at baseline, 8% were non-adherent, 64% were partial adherents and 28% were adherent to the treatment. Baseline in the control group indicated 4.2% non-adherents, 58.3% partial adherents, and 37.5% adherents. After follow-up, the experimental group had an increase to 92% adherent, 8% partially adherent, and 0% non-adherent (P < 0.001). In the control group, adherence after follow-up remained virtually the same (P ≥ 0.999). Results of user experience were substantially positive and indicate that the participants in the experimental group had a satisfactory perception of the app. In conclusion, this study suggests that using an mHealth app can empower patients to manage their own health and increase adherence to hypertension treatment, especially when the app provides a positive user experience.
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spelling doaj.art-0be6f2bdd6dd49668e38d0fd10a6e4712023-12-02T23:46:40ZengPeerJ Inc.PeerJ2167-83592021-05-019e1149110.7717/peerj.11491Using a mobile health app to improve patients’ adherence to hypertension treatment: a non-randomized clinical trialSimiane Salete Volpi0Daiana Biduski1Ericles Andrei Bellei2Danieli Tefili3Lynn McCleary4Ana Luisa Sant’Anna Alves5Ana Carolina Bertoletti De Marchi6School of Physical Education and Physiotherapy, University of Passo Fundo, Passo Fundo, RS, BrazilInstitute of Exact Sciences and Geosciences, University of Passo Fundo, Passo Fundo, RS, BrazilInstitute of Exact Sciences and Geosciences, University of Passo Fundo, Passo Fundo, RS, BrazilSchool of Physical Education and Physiotherapy, University of Passo Fundo, Passo Fundo, RS, BrazilFaculty of Applied Health Sciences, Brock University, St. Catharines, ON, CanadaSchool of Physical Education and Physiotherapy, University of Passo Fundo, Passo Fundo, RS, BrazilSchool of Physical Education and Physiotherapy, University of Passo Fundo, Passo Fundo, RS, BrazilPoor adherence to hypertension treatment increases complications of the disease and is characterized by a lack of awareness and acceptance of ongoing treatment. Mobile health (mHealth) apps can optimize processes and facilitate access to health information by combining treatment methods with attractive solutions. In this study, we aimed at verifying the influence of using an mHealth app on patients’ adherence to hypertension treatment, also examining how user experience toward the app influenced the outcomes. A total of 49 participants completed the study, men and women, diagnosed with hypertension and ongoing medical treatment. For 12 weeks, the control group continued with conventional monitoring, while the experimental group used an mHealth app. From the experimental group, at baseline, 8% were non-adherent, 64% were partial adherents and 28% were adherent to the treatment. Baseline in the control group indicated 4.2% non-adherents, 58.3% partial adherents, and 37.5% adherents. After follow-up, the experimental group had an increase to 92% adherent, 8% partially adherent, and 0% non-adherent (P < 0.001). In the control group, adherence after follow-up remained virtually the same (P ≥ 0.999). Results of user experience were substantially positive and indicate that the participants in the experimental group had a satisfactory perception of the app. In conclusion, this study suggests that using an mHealth app can empower patients to manage their own health and increase adherence to hypertension treatment, especially when the app provides a positive user experience.https://peerj.com/articles/11491.pdfHypertensionTreatment adherenceDigital healthHealth appsUser experience
spellingShingle Simiane Salete Volpi
Daiana Biduski
Ericles Andrei Bellei
Danieli Tefili
Lynn McCleary
Ana Luisa Sant’Anna Alves
Ana Carolina Bertoletti De Marchi
Using a mobile health app to improve patients’ adherence to hypertension treatment: a non-randomized clinical trial
PeerJ
Hypertension
Treatment adherence
Digital health
Health apps
User experience
title Using a mobile health app to improve patients’ adherence to hypertension treatment: a non-randomized clinical trial
title_full Using a mobile health app to improve patients’ adherence to hypertension treatment: a non-randomized clinical trial
title_fullStr Using a mobile health app to improve patients’ adherence to hypertension treatment: a non-randomized clinical trial
title_full_unstemmed Using a mobile health app to improve patients’ adherence to hypertension treatment: a non-randomized clinical trial
title_short Using a mobile health app to improve patients’ adherence to hypertension treatment: a non-randomized clinical trial
title_sort using a mobile health app to improve patients adherence to hypertension treatment a non randomized clinical trial
topic Hypertension
Treatment adherence
Digital health
Health apps
User experience
url https://peerj.com/articles/11491.pdf
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