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A Comprehensive 6A Framework for Improving Patient Self-Management of Hypertension Using mHealth Services:
Ting Song1,2, Fang Liu3, Ning Deng4
1Centre for Digital Transformation, School of Computing and Information Technology, Faculty of Engineering and Information Sciences, University of Wollongong, Wollongong, Australia.
Journal of Medical Internet Research
|June 21, 2021
Summary
Mobile health (mHealth) services empower hypertensive patients by providing accessible health assessments and personalized support, improving self-management behaviors and health outcomes. This technology extends traditional care, enhancing patient awareness and ability to manage hypertension effectively.
Area of Science:
- Digital Health
- Public Health
- Cardiovascular Medicine
Background:
- Hypertension impacts over 15% of the global population, presenting a significant public health challenge.
- Mobile health (mHealth) services are increasingly utilized to support self-management in hypertensive patients.
- Key self-management behaviors include medication adherence and lifestyle modifications.
Purpose of the Study:
- To explore patient perceptions of mHealth services for hypertension management.
- To identify the mechanisms through which mHealth supports self-management in hypertensive patients.
Main Methods:
- A semistructured, in-depth interview study was conducted with 22 outpatients.
- Interviews took place between March and May 2019 at the General Hospital of Ningxia Medical University.
- Content analysis followed a grounded theory approach for inductive thematic extraction.
Main Results:
- Patient-perceived mechanisms were categorized as 6A: access, assessment, assistance, awareness, ability, and activation.
- mHealth provided easy access to vital sign assessment and self-management behaviors, enhancing real-time health awareness.
- Assistance included health education and reminders, improving self-management awareness and ability, which activated self-management behaviors.
Conclusions:
- mHealth services extend traditional hypertension care, offering improved access to assessment and assistance.
- Enhanced awareness and self-management ability activated by mHealth lead to improved hypertension self-management behaviors.
- The 6A framework can guide the design, implementation, and evaluation of mHealth for chronic condition self-management.
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