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Optimizing blood pressure control by an Information Communication Technology-supported case management (PIA study):

Arian Karimzadeh1, Frauke Leupold2, Anika Thielmann2

  • 1Institute of Family Medicine and General Practice, Medical Faculty of the University of Bonn, Venusberg-Campus 1, 53127, Bonn, Germany. Arian.Karimzadeh@ukbonn.de.

Trials
|October 26, 2021
PubMed

Insights

The PIA information and communication technology system (PIA-ICT) improves hypertension control in primary care. This digital health intervention aims to enhance blood pressure management and reduce cardiovascular disease risk.

Area of Science:

  • Cardiology
  • Primary Care Medicine
  • Health Services Research

Background:

  • Effective hypertension control is crucial for preventing cardiovascular diseases like heart attacks and strokes.
  • A significant proportion of patients (49%) in German primary care practices do not achieve target blood pressure (< 140/90 mmHg).
  • The PIA study introduces an innovative information and communication technology system (PIA-ICT) to address this gap in hypertension management.

Purpose of the Study:

  • To evaluate the effectiveness of the PIA-Intervention, a novel information and communication technology system for hypertension management in primary care.
  • To assess the impact of the PIA-Intervention on blood pressure control rates.
  • To explore the acceptance and feasibility of the PIA-Intervention among physicians, practice assistants, and patients.

Main Methods:

  • A cluster-randomized study involving 60 practices, 120 practice assistants, and 1020 patients.
  • Intervention group received the PIA-Intervention (PIA-App for patients, PIA practice management center, electronic communication, stepwise medication adjustment, physician-supervised delegation model).
  • Control group received usual care. Primary outcome: blood pressure control rate (< 140/90 mmHg) at 12 months. Mixed methods approach for secondary outcomes.

Main Results:

  • The study hypothesizes that the PIA-Intervention will lead to improved blood pressure control rates compared to usual care.
  • Secondary outcomes will assess patient, physician, and practice assistant acceptance of the system and the delegation model.
  • Detailed results on BP control rates and acceptance are pending the study's completion.

Conclusions:

  • The PIA-Intervention is hypothesized to enhance the quality of blood pressure care in primary care settings.
  • The system has the potential to serve as a valuable health service model for managing hypertension in Germany.
  • Further research will validate its long-term impact and scalability.
Abstract

Keywords:
Blood pressureDelegationFamily medicineGeneral practiceHome blood pressure monitoringHypertensionInformation technologyMobile applicationTelemedicinemHealth

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