Optimizing a digital intervention for managing blood pressure in stroke patients using a diverse sample: Integrating the person‐based approach and patient and public involvement
Abstract Background Having a stroke or transient ischaemic attack increases the risk of a subsequent one, especially with high blood pressure (BP). Home‐based BP management can be effective at maintaining optimal BP. Objective To describe the optimization of a digital intervention for stroke patient...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-04-01
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| Series: | Health Expectations |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/hex.13173 |
| _version_ | 1818936645369462784 |
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| author | Tanvi Rai Kate Morton Cristian Roman Roisin Doogue Cathy Rice Marney Williams Claire Schwartz Carmelo Velardo Lionel Tarassenko CBE Lucy Yardley Richard J. McManus Lisa Hinton |
| author_facet | Tanvi Rai Kate Morton Cristian Roman Roisin Doogue Cathy Rice Marney Williams Claire Schwartz Carmelo Velardo Lionel Tarassenko CBE Lucy Yardley Richard J. McManus Lisa Hinton |
| author_sort | Tanvi Rai |
| collection | DOAJ |
| description | Abstract Background Having a stroke or transient ischaemic attack increases the risk of a subsequent one, especially with high blood pressure (BP). Home‐based BP management can be effective at maintaining optimal BP. Objective To describe the optimization of a digital intervention for stroke patients and the value of participant diversity, using the person‐based approach (PBA) and integral patient and public involvement (PPI). Setting and participants Stroke patients recruited from primary care and community settings, and health‐care professionals in primary care, in England and Ireland. Design Three linked qualitative studies conducted iteratively to develop an intervention using the PBA, with integral PPI. Intervention The BP: Together intervention, adapted from existing BP self‐monitoring interventions, is delivered via mobile phone or web interface to support self‐monitoring of BP at home. It alerts patients and their clinicians when a change in antihypertensive medication is needed. Findings Feedback from a diverse range of participants identified potential barriers, which were addressed to improve the intervention accessibility, feasibility and persuasiveness. Easy‐to‐read materials were developed to improve usability for patients with aphasia and lower literacy. The importance of including family members who support patient care was also highlighted. Feedback messages regarding medication change were refined to ensure usefulness for patients and clinicians. Discussion Input from PPI alongside qualitative research with a diverse study sample allowed the creation of a simple and equitable BP management intervention for stroke patients. Patient involvement Two PPI co‐investigators contributed to design, conduct of study, data interpretation and manuscript preparation; community PPI sessions informed early planning. Study participants were stroke patients and family members. |
| first_indexed | 2024-12-20T05:39:21Z |
| format | Article |
| id | doaj.art-76e0ab6855014490b751afa1790fa8e8 |
| institution | Directory Open Access Journal |
| issn | 1369-6513 1369-7625 |
| language | English |
| last_indexed | 2024-12-20T05:39:21Z |
| publishDate | 2021-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj.art-76e0ab6855014490b751afa1790fa8e82022-12-21T19:51:30ZengWileyHealth Expectations1369-65131369-76252021-04-0124232734010.1111/hex.13173Optimizing a digital intervention for managing blood pressure in stroke patients using a diverse sample: Integrating the person‐based approach and patient and public involvementTanvi Rai0Kate Morton1Cristian Roman2Roisin Doogue3Cathy Rice4Marney Williams5Claire Schwartz6Carmelo Velardo7Lionel Tarassenko CBE8Lucy Yardley9Richard J. McManus10Lisa Hinton11Nuffield Department of Primary Care Health Sciences University of Oxford Oxford UKSchool of Psychology University of Southampton Southampton UKDepartment of Engineering Science University of Oxford UKGraduate Entry Medical School University of Limerick Limerick IrelandPublic and Patient Involvement (PPI) Contributor Bristol UKPublic and Patient Involvement (PPI) Contributor Bristol UKNuffield Department of Primary Care Health Sciences University of Oxford Oxford UKDepartment of Engineering Science University of Oxford UKDepartment of Engineering Science University of Oxford UKSchool of Psychology University of Southampton Southampton UKNuffield Department of Primary Care Health Sciences University of Oxford Oxford UKNuffield Department of Primary Care Health Sciences University of Oxford Oxford UKAbstract Background Having a stroke or transient ischaemic attack increases the risk of a subsequent one, especially with high blood pressure (BP). Home‐based BP management can be effective at maintaining optimal BP. Objective To describe the optimization of a digital intervention for stroke patients and the value of participant diversity, using the person‐based approach (PBA) and integral patient and public involvement (PPI). Setting and participants Stroke patients recruited from primary care and community settings, and health‐care professionals in primary care, in England and Ireland. Design Three linked qualitative studies conducted iteratively to develop an intervention using the PBA, with integral PPI. Intervention The BP: Together intervention, adapted from existing BP self‐monitoring interventions, is delivered via mobile phone or web interface to support self‐monitoring of BP at home. It alerts patients and their clinicians when a change in antihypertensive medication is needed. Findings Feedback from a diverse range of participants identified potential barriers, which were addressed to improve the intervention accessibility, feasibility and persuasiveness. Easy‐to‐read materials were developed to improve usability for patients with aphasia and lower literacy. The importance of including family members who support patient care was also highlighted. Feedback messages regarding medication change were refined to ensure usefulness for patients and clinicians. Discussion Input from PPI alongside qualitative research with a diverse study sample allowed the creation of a simple and equitable BP management intervention for stroke patients. Patient involvement Two PPI co‐investigators contributed to design, conduct of study, data interpretation and manuscript preparation; community PPI sessions informed early planning. Study participants were stroke patients and family members.https://doi.org/10.1111/hex.13173blood pressurecommunity‐based recruitmentdigital healthhypertensionpatient and public involvementperson‐based approach |
| spellingShingle | Tanvi Rai Kate Morton Cristian Roman Roisin Doogue Cathy Rice Marney Williams Claire Schwartz Carmelo Velardo Lionel Tarassenko CBE Lucy Yardley Richard J. McManus Lisa Hinton Optimizing a digital intervention for managing blood pressure in stroke patients using a diverse sample: Integrating the person‐based approach and patient and public involvement Health Expectations blood pressure community‐based recruitment digital health hypertension patient and public involvement person‐based approach |
| title | Optimizing a digital intervention for managing blood pressure in stroke patients using a diverse sample: Integrating the person‐based approach and patient and public involvement |
| title_full | Optimizing a digital intervention for managing blood pressure in stroke patients using a diverse sample: Integrating the person‐based approach and patient and public involvement |
| title_fullStr | Optimizing a digital intervention for managing blood pressure in stroke patients using a diverse sample: Integrating the person‐based approach and patient and public involvement |
| title_full_unstemmed | Optimizing a digital intervention for managing blood pressure in stroke patients using a diverse sample: Integrating the person‐based approach and patient and public involvement |
| title_short | Optimizing a digital intervention for managing blood pressure in stroke patients using a diverse sample: Integrating the person‐based approach and patient and public involvement |
| title_sort | optimizing a digital intervention for managing blood pressure in stroke patients using a diverse sample integrating the person based approach and patient and public involvement |
| topic | blood pressure community‐based recruitment digital health hypertension patient and public involvement person‐based approach |
| url | https://doi.org/10.1111/hex.13173 |
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