title: A Mobile App for Hypertension Management Based on Clinical Practice Guidelines: Development and Deployment.
abstract: BACKGROUND
  Hypertension is a chronic and lifestyle-related disease that requires continuous preventive care. Although there are many evidence-based clinical practice guidelines (CPGs) for hypertension management, applying them to daily management can be difficult for patients with hypertension. A mobile app, based on CPGs, could help patients with hypertension manage their disease.
  
  
  OBJECTIVE
  To develop a mobile app for hypertension management based on CPGs and evaluate its effectiveness in patients with hypertension with respect to perceived usefulness, user satisfaction, and medication adherence.
  
  
  METHODS
  The hypertension management app (HMA) was developed according to the Web-Roadmap methodology, which includes planning, analysis, design, implementation, and evaluation phases. The HMA was provided to individuals (N=38) with hypertension. Medication adherence was measured before and after using the HMA for 4 weeks. The perceived usefulness and user satisfaction were surveyed in the patients who completed the medication adherence survey.
  
  
  RESULTS
  Of the 38 study participants, 29 (76%) participated in medical adherence assessment. Medication adherence, as measured by the Modified Morisky Scale, was significantly improved in these patients after they had used the HMA (P=.001). The perceived usefulness score was 3.7 out of 5. The user satisfaction scores, with respect to using the HMA for blood pressure recording, medication recording, data sending, alerting, recommending, and educating about medication were 4.3, 3.8, 3.1, 3.2, 3.4, and 3.8 out of 5, respectively, in the 19 patients.
  
  
  CONCLUSIONS
  This study showed that a mobile app for hypertension management based on CPGs is effective at improving medication adherence.
authors.affiliation: Systems Biomedical Informatics Research Center, College of Nursing, Seoul National University, Seoul, Republic Of Korea.
authors.forename: Hannah
authors.identifier: http://orcid.org/0000-0001-6567-6894
authors.initials: H
authors.lastname: Kang
authors.forename: Hyeoun-Ae
authors.identifier: http://orcid.org/0000-0002-3770-4998
authors.initials: HA
authors.lastname: Park
keywords: clinical practice guideline; hypertension; mobile health; self-management
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