title: Developing an interactive mobile phone self-report system for self-management of hypertension. Part 1: patient and professional perspectives.
abstract: Low adherence remains a struggle in hypertension management, despite improvement efforts. Presuming that increased patient participation is a possible approach, we collaborated with patients and healthcare professionals to design a self-report system to support self-management. The study aimed to explore and describe relevant aspects of hypertension and hypertension treatment, for use in the development of an interactive mobile phone self-report system. It further aimed to suggest which clinical measures, lifestyle measures, symptoms and side-effects of treatment would be meaningful to include in such a system. Five focus group interviews were performed with 15 patients and 12 healthcare professionals, and data was analysed using thematic analysis. Patients suggested trust, a good relationship with caregivers, and well-being as important aspects of hypertension self-management. Furthermore, they regarded blood pressure, dizziness, stress, headache and tiredness as important outcomes to include. Patients sought to understand interconnections between symptoms and variations in blood pressure, whilst healthcare professionals doubted patients' ability to do so. Healthcare professionals emphasized accessibility, clear and consistent counselling, complication prevention and educational efforts. The study presents aspects of importance for follow-up to understand the interplay between blood pressure and daily life experiences for patients with hypertension.
authors.affiliation: Institute of Health and Care Science, Sahlgrenska Academy, University of Gothenburg , Sweden.
authors.forename: Ulrika
authors.initials: U
authors.lastname: Bengtsson
authors.forename: Dick
authors.initials: D
authors.lastname: Kasperowski
authors.forename: Lena
authors.initials: L
authors.lastname: Ring
authors.forename: Karin
authors.initials: K
authors.lastname: Kjellgren
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects; D001795:Blood Pressure Determination; D040421:Cell Phone; D004244:Dizziness / Q000503:physiopathology / Q000517:prevention & control; D005221:Fatigue / Q000503:physiopathology / Q000517:prevention & control; D017144:Focus Groups; D006261:Headache / Q000503:physiopathology / Q000517:prevention & control; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010817:Physician-Patient Relations; D012648:Self Care; D057566:Self Report
chemical_list: D000959:Antihypertensive Agents
keywords: Blood pressure; focus group; hypertension; medication adherence; person-centred care; self-care