Healthcare providers perspectives on home blood pressure management in Peru and Cameroon: Findings from the BPMONITOR study
Home blood pressure management, including self-monitoring and medication self-titration, is an efficient and cost-effective tool. Although its use is increasing globally, little is known about the feasibility of such interventions in low and middle-income countries. Further, the perspectives and exp...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335523000700 |
| _version_ | 1827948389659049984 |
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| author | Tala Al-Rousan Mina Awad M. Amalia Pesantes Namratha R. Kandula Mark D. Huffman J. Jaime Miranda Rafael Vidal-Perez Anastase Dzudie Cheryl A.M. Anderson |
| author_facet | Tala Al-Rousan Mina Awad M. Amalia Pesantes Namratha R. Kandula Mark D. Huffman J. Jaime Miranda Rafael Vidal-Perez Anastase Dzudie Cheryl A.M. Anderson |
| author_sort | Tala Al-Rousan |
| collection | DOAJ |
| description | Home blood pressure management, including self-monitoring and medication self-titration, is an efficient and cost-effective tool. Although its use is increasing globally, little is known about the feasibility of such interventions in low and middle-income countries. Further, the perspectives and experiences of healthcare providers who play a big role in ensuring the success of home blood pressure management interventions have not been documented. This qualitative study was conducted with a total of 35 healthcare providers (60% female, mean [SD] age = 37.3 [6.9 years] years), through 4 in-depth interviews from Peru, and 8 in-depth interviews and 4 focus groups from Cameroon. Study participants (healthcare providers) include physicians (primary care physicians), specialists (cardiologists and geriatricians), and nurses that were purposively recruited from two hospitals in two of the largest cities in both countries. Results were thematically analyzed by two researchers. Themes derived were related to feasibility and acceptability, and largely reflected providers in both countries endorsing home blood pressure management. Providers’ concerns were in three main areas; 1) safety of patients when they self-titrate medications, 2) resources such as healthcare financing, local hospital policies that support communications with patients for home blood pressure management, and 3) sustainability through patient adherence, incorporating home blood pressure management within clinical guidelines and hospital policies, and complementing with continued health education and lifestyle modifications. According to providers, home blood pressure management may be feasible and acceptable if tailored multi-faceted protocols were introduced bearing in mind local contexts. |
| first_indexed | 2024-04-09T12:53:31Z |
| format | Article |
| id | doaj.art-2551e16b02794315bcd5c0554b840d04 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-09T12:53:31Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-2551e16b02794315bcd5c0554b840d042023-05-14T04:28:36ZengElsevierPreventive Medicine Reports2211-33552023-06-0133102179Healthcare providers perspectives on home blood pressure management in Peru and Cameroon: Findings from the BPMONITOR studyTala Al-Rousan0Mina Awad1M. Amalia Pesantes2Namratha R. Kandula3Mark D. Huffman4J. Jaime Miranda5Rafael Vidal-Perez6Anastase Dzudie7Cheryl A.M. Anderson8Department of Medicine, University of California San Diego School of Medicine, United States; Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, United States; Corresponding author at: Herbert Wertheim School of Public Health, University of California San Diego, 9500 Gillman Drive, MC 0725, La Jolla, CA 92037-0725, United States.Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, United StatesUniversidad Peruana Cayetano Heredia, Lima, Peru; Department of Anthropology and Archaeology, Dickinson College, United StatesDepartments of Medicine and Preventive Medicine, Northwestern University Feinberg School of Medicine, United StatesDepartments of Medicine and Preventive Medicine, Northwestern University Feinberg School of Medicine, United States; The George Institute for Global Health, University of New South Wales, AustraliaUniversidad Peruana Cayetano Heredia, Lima, Peru; CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, PeruDepartment of Cardiology, Complejo Hospitalario Universitario de A Coruña, A Coruña, SpainClinical Research Education, Networking and Consultancy (CRENC), Yaounde, CameroonDepartment of Medicine, University of California San Diego School of Medicine, United States; Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, United StatesHome blood pressure management, including self-monitoring and medication self-titration, is an efficient and cost-effective tool. Although its use is increasing globally, little is known about the feasibility of such interventions in low and middle-income countries. Further, the perspectives and experiences of healthcare providers who play a big role in ensuring the success of home blood pressure management interventions have not been documented. This qualitative study was conducted with a total of 35 healthcare providers (60% female, mean [SD] age = 37.3 [6.9 years] years), through 4 in-depth interviews from Peru, and 8 in-depth interviews and 4 focus groups from Cameroon. Study participants (healthcare providers) include physicians (primary care physicians), specialists (cardiologists and geriatricians), and nurses that were purposively recruited from two hospitals in two of the largest cities in both countries. Results were thematically analyzed by two researchers. Themes derived were related to feasibility and acceptability, and largely reflected providers in both countries endorsing home blood pressure management. Providers’ concerns were in three main areas; 1) safety of patients when they self-titrate medications, 2) resources such as healthcare financing, local hospital policies that support communications with patients for home blood pressure management, and 3) sustainability through patient adherence, incorporating home blood pressure management within clinical guidelines and hospital policies, and complementing with continued health education and lifestyle modifications. According to providers, home blood pressure management may be feasible and acceptable if tailored multi-faceted protocols were introduced bearing in mind local contexts.http://www.sciencedirect.com/science/article/pii/S2211335523000700HypertensionBlood pressureSelf-managementMedicationQualitativePeru |
| spellingShingle | Tala Al-Rousan Mina Awad M. Amalia Pesantes Namratha R. Kandula Mark D. Huffman J. Jaime Miranda Rafael Vidal-Perez Anastase Dzudie Cheryl A.M. Anderson Healthcare providers perspectives on home blood pressure management in Peru and Cameroon: Findings from the BPMONITOR study Preventive Medicine Reports Hypertension Blood pressure Self-management Medication Qualitative Peru |
| title | Healthcare providers perspectives on home blood pressure management in Peru and Cameroon: Findings from the BPMONITOR study |
| title_full | Healthcare providers perspectives on home blood pressure management in Peru and Cameroon: Findings from the BPMONITOR study |
| title_fullStr | Healthcare providers perspectives on home blood pressure management in Peru and Cameroon: Findings from the BPMONITOR study |
| title_full_unstemmed | Healthcare providers perspectives on home blood pressure management in Peru and Cameroon: Findings from the BPMONITOR study |
| title_short | Healthcare providers perspectives on home blood pressure management in Peru and Cameroon: Findings from the BPMONITOR study |
| title_sort | healthcare providers perspectives on home blood pressure management in peru and cameroon findings from the bpmonitor study |
| topic | Hypertension Blood pressure Self-management Medication Qualitative Peru |
| url | http://www.sciencedirect.com/science/article/pii/S2211335523000700 |
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