Related Experiment Video
Updated: Aug 26, 2025
07:51
Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
7.7K
Mobile Health Application and Hypertension Management in Rural, Middle-Aged Adults: A Quality Improvement Project
Mitchell McManis1, Tara O'Brien, Joyce Zurmehly
1Author Affiliations: General and Interventional Cardiology, Ohio Valley Heart (Dr McManis), Maysville, KY; and The Ohio State University College of Nursing (Drs O'Brien, Zurmehly, and Smith), Columbus.
Computers, Informatics, Nursing : CIN
|October 12, 2022
Summary
A mobile health app improved medication adherence and blood pressure control in rural adults with hypertension. This quality improvement project shows potential for digital tools in managing chronic conditions.
Area of Science:
- Public Health
- Cardiology
- Digital Health
Background:
- Hypertension affects over 29% of US adults, with higher rates in rural populations.
- Hypertension is a leading cause of premature death and a significant modifiable risk factor.
- Effective management strategies are crucial, especially in underserved rural communities.
Purpose of the Study:
- To evaluate the effectiveness of the Medisafe mobile health application.
- To assess improvements in medication adherence and blood pressure control.
- To target rural-dwelling adults diagnosed with hypertension.
Main Methods:
- A quality improvement project involving 14 middle-aged patients with hypertension.
- Participants used the Medisafe phone-based health application for 4-6 weeks.
- Data collected included blood pressure classification and medication adherence questionnaire scores.
Main Results:
- 64% of participants showed improved hypertension control.
- Improved scores were observed on the medication adherence questionnaire.
- The Medisafe app demonstrated utility in enhancing adherence and control.
Conclusions:
- The Medisafe application shows promise for improving medication adherence and blood pressure control in rural adults.
- Mobile health applications may be valuable tools for managing hypertension in rural settings.
- Further research is needed to confirm the broader efficacy of phone-based health applications in rural populations.
Related Concept Videos
01:23Hypertension V: Nursing Management
27
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
27
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
39
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
39
01:28Hypertension IV: Drug Therapy and Lifestyle Modifications
28
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
28
01:25Errors occurring during blood pressure monitoring
886
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
886
01:28Hypertension I: Introduction
50
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
50
01:18Hypertension and Regulation of Blood Pressure
2.2K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.2K