Related Experiment Video
Updated: Mar 26, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
A Mobile App for Hypertension Management Based on Clinical Practice Guidelines: Development and Deployment
1Systems Biomedical Informatics Research Center, College of Nursing, Seoul National University, Seoul, Republic Of Korea.
Insights
A new mobile app effectively improves medication adherence for hypertension patients. Developed using clinical practice guidelines (CPGs), the app enhances disease management and patient outcomes.
Area of Science:
- Digital Health
- Cardiovascular Medicine
- Health Informatics
Background:
- Hypertension requires continuous management, often challenging for patients despite available clinical practice guidelines (CPGs).
- Mobile applications offer a potential solution for improving daily hypertension self-management.
- Bridging the gap between CPGs and patient adherence is crucial for chronic disease care.
Purpose of the Study:
- To develop a mobile app for hypertension management grounded in CPGs.
- To evaluate the app's effectiveness in improving medication adherence among hypertension patients.
- To assess user satisfaction and perceived usefulness of the developed hypertension management app (HMA).
Main Methods:
- The hypertension management app (HMA) was developed using the Web-Roadmap methodology.
- Thirty-eight individuals with hypertension used the HMA for four weeks.
- Medication adherence was measured pre- and post-intervention using the Modified Morisky Scale.
Main Results:
- Medication adherence significantly improved in patients using the HMA (P=.001).
- The app demonstrated a perceived usefulness score of 3.7 out of 5.
- User satisfaction scores for various features ranged from 3.1 to 4.3 out of 5.
Conclusions:
- A CPG-based mobile app is effective in enhancing medication adherence for hypertension management.
- The HMA shows promise as a tool to support patients in managing their hypertension.
- Digital health interventions can positively impact adherence to treatment plans for chronic conditions.
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.
Related Concept Videos
Hypertension V: Nursing Management
Hypertension IV: Drug Therapy and Lifestyle Modifications
Hypertension III: Clinical Manifestations and Diagnostic Studies
Hypertension and Regulation of Blood Pressure
Hypertension I: Introduction
Errors occurring during blood pressure monitoring
Several factors...

