Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Sep 10;16(18):3325.
doi: 10.3390/ijerph16183325.

Home Blood Pressure Monitoring by a Mobile-Based Model in Chongqing, China: A Feasibility Study

Meng Xiao  1 , Xun Lei  2 , Fan Zhang  3 , Zhenxing Sun  4 , Vanessa Catherine Harris  5 , Xiaojun Tang  6 , Lijing Yan  7
Affiliations

Home Blood Pressure Monitoring by a Mobile-Based Model in Chongqing, China: A Feasibility Study

Meng Xiao et al. Int J Environ Res Public Health. .

Abstract

Purpose: Increasing attention is being paid to the role of the intelligent self-management of hypertension under the context of increasing prevalence but limited medical resources. However, heterogeneity in interventions and outcome measures has hindered the interpretation of research evaluating mobile health technologies for hypertension control, and little study of such technology has been performed in China. Objective: This was a feasibility study aimed to understand patient and medical practitioners' acceptance and experience of a mobile-phone based platform for the management of hypertensive patients. Methods: The model used behavioral incentives for daily blood pressure measurement and physician-facing prioritization of patients based on level of blood-pressure control. Patients were enrolled by purposive sampling. The platform was used for two-week blood pressure monitoring through WeChat, which simulated our future app. Qualitative interviews with patients and providers were conducted in time. Results: Twenty hypertensive patients and two providers were enrolled and used the platform throughout the two weeks. Patients reported daily home blood pressure monitoring to be simple, feasible and increased their health awareness. Specifically, patients self-reported that reminders, the daily frequency and time of monitoring, and positive reinforcement were important for maintaining adherence. Providers reported that they could manage patients more quickly and accurately, but reasonable feedback information was needed to avoid excessive increases in workload. Conclusion: The adoption of mobile-based technology to monitor patient's blood pressure may provide a practical solution for managing patients in Chongqing, China. Patient health education and enhanced app functionality could improve patient compliance and satisfaction while reducing provider workload.

Keywords: feasibility; hypertension; mobile-based model; self-management; technology.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Overview of the dashboard.
Figure 2
Figure 2
Template of the dashboard for a single patient.
See this image and copyright information in PMC

References

    1. Lackland D.T., Weber M.A. Global Burden of Cardiovascular Disease and Stroke: Hypertension at the Core. Can. J. Cardiol. 2015;31:569–571. doi: 10.1016/j.cjca.2015.01.009. - DOI - PubMed
    1. Datta B.K., Husain M.J., Fatehin S., Kostova D. Consumption displacement in households with noncommunicable diseases in Bangladesh. PLoS ONE. 2018;13:e0208504. doi: 10.1371/journal.pone.0208504. - DOI - PMC - PubMed
    1. Tang S., Ehiri J., Long Q. China’s biggest, most neglected health challenge: Non-communicable diseases. Infect. Dis. Poverty. 2013;2:7. doi: 10.1186/2049-9957-2-7. - DOI - PMC - PubMed
    1. Yan L.D., Chirwa C., Chi B.H., Bosomprah S., Sindano N., Mwanza M., Musatwe D., Mulenga M., Chilengi R. Hypertension management in rural primary care facilities in Zambia: A mixed methods study. BMC Health Serv. Res. 2017;17:111. doi: 10.1186/s12913-017-2063-0. - DOI - PMC - PubMed
    1. Shahaj O., Denneny D., Schwappach A., Pearce G., Epiphaniou E., Parke H.L., Taylor S.J.C., Pinnock H. Supporting self-management for people with hypertension: A meta-review of quantitative and qualitative systematic reviews. J. Hypertens. 2019;37:264–279. doi: 10.1097/HJH.0000000000001867. - DOI - PubMed

Publication types