Evidence map›Paper›PMID 35687380›Full record

ArticleJMIR formative research2022

Patient and Health Professional Perceptions of Telemonitoring for Hypertension Management: Qualitative Study.

Juliana Baratta, Cati Brown-Johnson, Nadia Safaeinili, Lisa Goldman Rosas, Latha Palaniappan, Marcy Winget, Megan Mahoney

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
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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.

Juliana Baratta *Division of Primary Care and Population Health, Stanford School of Medicine, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0003-4630-0239
Cati Brown-Johnson *Division of Primary Care and Population Health, Stanford School of Medicine, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0002-5415-3665
Nadia SafaeiniliDivision of Primary Care and Population Health, Stanford School of Medicine, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0003-4792-3091
Lisa Goldman RosasDivision of Primary Care and Population Health, Stanford School of Medicine, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0003-4053-7972
Latha PalaniappanDivision of Primary Care and Population Health, Stanford School of Medicine, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0002-1245-665X
Marcy WingetDivision of Primary Care and Population Health, Stanford School of Medicine, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0002-5893-280X
Megan MahoneyDivision of Primary Care and Population Health, Stanford School of Medicine, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0001-9166-9575

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension is the most prevalent and important risk factor for cardiovascular disease, affecting nearly 50% of the US adult population; however, only 30% of these patients achieve controlled blood pressure (BP). Incorporating strategies into primary care that take into consideration individual patient needs, such as remote BP monitoring, may improve hypertension management.

objectiveFrom March 2018 to December 2018, Stanford implemented a precision health pilot called Humanwide, which aimed to leverage high-technology and high-touch medicine to tailor individualized care for conditions such as hypertension. We examined multi-stakeholder perceptions of hypertension management in Humanwide to evaluate the program's acceptability, appropriateness, feasibility, and sustainability.

methodsWe conducted semistructured interviews with 16 patients and 15 health professionals to assess their experiences with hypertension management in Humanwide. We transcribed and analyzed the interviews using a hybrid approach of inductive and deductive analysis to identify common themes around hypertension management and consensus methods to ensure reliability and validity.

resultsA total of 63% (10/16) of the patients and 40% (6/15) of the health professionals mentioned hypertension in the context of Humanwide. These participants reported that remote BP monitoring improved motivation, BP control, and overall clinic efficiency. The health professionals discussed feasibility challenges, including the time needed to analyze BP data and provide individualized feedback, integration of BP data, technological difficulties with the BP cuff, and decreased patient use of remote BP monitoring over time.

conclusionsRemote BP monitoring for hypertension management in Humanwide was acceptable to patients and health professionals and appropriate for care. Important challenges need to be addressed to improve the feasibility and sustainability of this approach by leveraging team-based care, engaging patients to sustain remote BP monitoring, standardizing electronic medical record integration of BP measurements, and finding more user-friendly BP cuffs.

Indexed as

hypertensionmobile phoneprecision healthremote blood pressure monitoring

Identifiers

PMID35687380
PMCPMC9233257
OpenAlexW4282934291

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.