Evidence map›Paper›PMID 35387531›Full record

ArticleEthnicity & health2023

Mobile health technology for hypertension management with Hmong and Latino adults: mixed-methods community-based participatory research.

Kathleen A Culhane-Pera, Ka Bao Vang, Luis Martin Ortega, Txia Xiong, Carin A Northuis, Pilar de la Parra, Kamakshi Lakshminarayan

Open access · greenAbstract read
In one paragraph

Article in Ethnicity & health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Kathleen A Culhane-PeraSoLaHmo Partnership for Health and Wellness, Minnesota Community Care, St Paul, MN, USA.
Ka Bao VangHennepin Healthcare, Minneapolis, MN, USA.
Luis Martin OrtegaHennepin Healthcare, Minneapolis, MN, USA.
Txia XiongSoLaHmo Partnership for Health and Wellness, Minnesota Community Care, St Paul, MN, USA.
Carin A NorthuisDivision of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Pilar de la ParraSoLaHmo Partnership for Health and Wellness, Minnesota Community Care, St Paul, MN, USA.
Kamakshi LakshminarayanDivision of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Community Care · USHennepin Healthcare Research Institute · USUniversity of Minnesota · US

Funding

Cardiovascular Disease Epidemiology &Prevention TrngT32HL007779 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI PAMELA L. Lutsey, JAMES S PANKOW · 1994 to 2026
$9.3M
mGlide RCT: A Clinical Glide Path to Close the Guideline-to-Practice Gap in HTN ManagementR01HL138332 · NHLBI · UNIVERSITY OF MINNESOTA · PI LAKSHMINARAYAN, KAMAKSHI · 2018 to 2022
$4.0M
NHLBI NIH HHS R01 HL138332NHLBI NIH HHS T32 HL007779
6 · The paper itself

Abstract

objectiveTo identify Hmong and Latino adults' perspectives about a mHealth-based care model for hypertension (HTN) management involving blood pressure (BP) self-monitoring, electronic transmission of BP readings, and responsive HTN medication adjustment by a provider team.

designWe conducted a mixed-methods formative study with 25 Hmong and 25 Latino participants with HTN at an urban federally-qualified health center. We used a tool to assess HTN knowledge and conducted open-ended interviews to identify perspectives about mHealth-based care model.

resultsWhile most participants agreed that lowering high blood pressure decreased the risk of strokes, heart attacks, and kidney failure, there were gaps in medical knowledge. Three major themes emerged about the mHealth-based care model: (1) Using mHealth technology could be useful, especially if assistance was available to patients with technological challenges; (2) Knowing blood pressures could be helpful, especially to patients who agreed with doctors' medical diagnosis and prescribed treatment; (3) Transmitting blood pressures to the clinic and their responsive actions could feel empowering, and the sense of increased surveillance could feel entrapping. Some people may feel empowered since it could increase patient-provider communication without burden of clinic visits and could increase involvement in BP control for those who agree with the medical model of HTN. However, some people may feel entrapped as it could breach patient privacy, interfere with patients' lifestyle choices, and curtail patient autonomy.

conclusionsIn general, Hmong and Latino adults responded positively to the empowering aspects of the mHealth-based care model, but expressed caution for those who had limited technological knowledge, who did not agree with the medical model and who may feel entrapped. In a shared decision-making approach with patients and possibly their family members, health care systems and clinicians should explore barriers and potential issues of empowerment and entrapment when offering a mHealth care model in practice.

Indexed as

HypertensionTelemedicineBiomedical TechnologyCommunity-Based Participatory ResearchHispanic or LatinoHumansSoutheast Asian Peopleblood pressure monitoringcommunity-based participatory action researchHmonghypertensionLatinomHealthmixed-methods

Identifiers

PMID35387531
PMCPMC9535036
OpenAlexW4226107075

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.