Using mHealth for the management of hypertension in UK primary care: an embedded qualitative study of the TASMINH4 randomised controlled trial
BACKGROUND:Self-monitoring of blood pressure is common but how telemonitoring with a mobile healthcare (mHealth) solution in the management of hypertension can be implemented by patients and healthcare professionals (HCPs) is currently unclear. AIM:Evaluation of facilitators and barriers to self- an...
| Главные авторы: | , , , , , , , , |
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| Формат: | Journal article |
| Язык: | English |
| Опубликовано: |
Royal College of General Practitioners
2019
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| _version_ | 1826300178528731136 |
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| author | Grant, S Hodgkinson, J Schwartz, C Bradburn, P Franssen, M Hobbs, FDR Jowett, S McManus, RJ Greenfield, S |
| author_facet | Grant, S Hodgkinson, J Schwartz, C Bradburn, P Franssen, M Hobbs, FDR Jowett, S McManus, RJ Greenfield, S |
| author_sort | Grant, S |
| collection | OXFORD |
| description | BACKGROUND:Self-monitoring of blood pressure is common but how telemonitoring with a mobile healthcare (mHealth) solution in the management of hypertension can be implemented by patients and healthcare professionals (HCPs) is currently unclear. AIM:Evaluation of facilitators and barriers to self- and telemonitoring interventions for hypertension within the Telemonitoring and Self-monitoring in Hypertension (TASMINH4) trial. DESIGN AND SETTING:An embedded process evaluation of the TASMINH4 randomised controlled trial (RCT), in the West Midlands, in UK primary care, conducted between March 2015 and September 2016. METHOD:A total of 40 participants comprising 23 patients were randomised to one of two arms: mHealth (self-monitoring by free text/short message service [SMS]) and self-monitoring without mHealth (self-monitoring using paper diaries). There were also15 healthcare professionals (HCPs) and two patient caregivers. RESULTS:Four key implementation priority areas concerned: acceptability of self- and telemonitoring to patients and HCPs; managing data; communication; and integrating self-monitoring into hypertension management (structured care). Structured home monitoring engaged and empowered patients to self-monitor regardless of the use of mHealth, whereas telemonitoring potentially facilitated more rapid communication between HCPs and patients. Paper-based recording integrated better into current workflows but required additional staff input. CONCLUSION:Although telemonitoring by mHealth facilitates easier communication and convenience, the realities of current UK general practice meant that a paper-based approach to self-monitoring could be integrated into existing workflows with greater ease. Self-monitoring should be offered to all patients with hypertension. Telemonitoring appears to give additional benefits to practices over and above self-monitoring but both need to be offered to ensure generalisability. |
| first_indexed | 2024-03-07T05:13:13Z |
| format | Journal article |
| id | oxford-uuid:dc48079a-4b67-4e70-a6cc-16822f0a31ef |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T05:13:13Z |
| publishDate | 2019 |
| publisher | Royal College of General Practitioners |
| record_format | dspace |
| spelling | oxford-uuid:dc48079a-4b67-4e70-a6cc-16822f0a31ef2022-03-27T09:16:38ZUsing mHealth for the management of hypertension in UK primary care: an embedded qualitative study of the TASMINH4 randomised controlled trialJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:dc48079a-4b67-4e70-a6cc-16822f0a31efEnglishSymplectic Elements at OxfordRoyal College of General Practitioners2019Grant, SHodgkinson, JSchwartz, CBradburn, PFranssen, MHobbs, FDRJowett, SMcManus, RJGreenfield, SBACKGROUND:Self-monitoring of blood pressure is common but how telemonitoring with a mobile healthcare (mHealth) solution in the management of hypertension can be implemented by patients and healthcare professionals (HCPs) is currently unclear. AIM:Evaluation of facilitators and barriers to self- and telemonitoring interventions for hypertension within the Telemonitoring and Self-monitoring in Hypertension (TASMINH4) trial. DESIGN AND SETTING:An embedded process evaluation of the TASMINH4 randomised controlled trial (RCT), in the West Midlands, in UK primary care, conducted between March 2015 and September 2016. METHOD:A total of 40 participants comprising 23 patients were randomised to one of two arms: mHealth (self-monitoring by free text/short message service [SMS]) and self-monitoring without mHealth (self-monitoring using paper diaries). There were also15 healthcare professionals (HCPs) and two patient caregivers. RESULTS:Four key implementation priority areas concerned: acceptability of self- and telemonitoring to patients and HCPs; managing data; communication; and integrating self-monitoring into hypertension management (structured care). Structured home monitoring engaged and empowered patients to self-monitor regardless of the use of mHealth, whereas telemonitoring potentially facilitated more rapid communication between HCPs and patients. Paper-based recording integrated better into current workflows but required additional staff input. CONCLUSION:Although telemonitoring by mHealth facilitates easier communication and convenience, the realities of current UK general practice meant that a paper-based approach to self-monitoring could be integrated into existing workflows with greater ease. Self-monitoring should be offered to all patients with hypertension. Telemonitoring appears to give additional benefits to practices over and above self-monitoring but both need to be offered to ensure generalisability. |
| spellingShingle | Grant, S Hodgkinson, J Schwartz, C Bradburn, P Franssen, M Hobbs, FDR Jowett, S McManus, RJ Greenfield, S Using mHealth for the management of hypertension in UK primary care: an embedded qualitative study of the TASMINH4 randomised controlled trial |
| title | Using mHealth for the management of hypertension in UK primary care: an embedded qualitative study of the TASMINH4 randomised controlled trial |
| title_full | Using mHealth for the management of hypertension in UK primary care: an embedded qualitative study of the TASMINH4 randomised controlled trial |
| title_fullStr | Using mHealth for the management of hypertension in UK primary care: an embedded qualitative study of the TASMINH4 randomised controlled trial |
| title_full_unstemmed | Using mHealth for the management of hypertension in UK primary care: an embedded qualitative study of the TASMINH4 randomised controlled trial |
| title_short | Using mHealth for the management of hypertension in UK primary care: an embedded qualitative study of the TASMINH4 randomised controlled trial |
| title_sort | using mhealth for the management of hypertension in uk primary care an embedded qualitative study of the tasminh4 randomised controlled trial |
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