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Background: In line with the challenges of a global chronic disease profile, hypertension management needs to focus on supporting patients taking an increased individual responsibility. The clinical consultation is an important arena for including the patient as an active partner in care. The outlined self-report system, patients’ daily self-reporting and self-generation of data, has earlier been evaluated and proved to be effective and contributes to a decrease in blood pressure. The purpose of this study was to explore patients’ contributions in follow-up consultations after eight weeks of self-reporting through a mobile phone-based self-management support system in hypertension care.
Method: Twenty follow-up consultations with persons with hypertension (n=20) and their health care professional (n=7) were audio or video recorded and examined through interaction analysis.
Results: In contrast to earlier studies patient participation increased mainly in two ways: through initiation of new topics and interpretation of blood pressure values. Topic initiation was distributed symmetrically between the patients (m= 8), and their health care professionals (m=7). Blood pressure talk was lifestyle-centered and patients’ interpreted their blood pressure values through connecting them to specific dates and occasions, for example stress or levels of physical activity, in their everyday lives.
Conclusions: Patients’ possibility to connect blood pressure values to specific situations of their daily life routines implies an understanding of the relationship between blood pressure levels and lifestyle, which may further be salient for future quality of hypertension prevention and care. The mobile phone-based self-management support system can be used to support patient involvement in hypertension consultations, which subsequently may improve effects of treatment.
Poster Hall, Hall C
Sunday, March 19, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Novel Strategies for Assessing and Improving Adherence to Blood Pressure Lowering Therapies
Abstract Category: 33. Prevention: Hypertension
Presentation Number: 1275-037
- 2017 American College of Cardiology Foundation