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Patient-facing clinical decision support (CDS) tools can help manage high blood pressure (HBP). Detailed recommendations and trustworthy interfaces are key for patient engagement in HBP control.

Keywords:
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Area of Science:

  • Health Informatics
  • Patient Engagement
  • Cardiovascular Health

Background:

  • High blood pressure (HBP) affects nearly half of US adults, increasing risk for heart attack, stroke, and kidney disease.
  • Patient behavior is crucial for HBP management, with over 70 guidelines emphasizing lifestyle changes and home monitoring.
  • Customized patient-facing clinical decision support (CDS) tools are needed to improve adherence to evidence-based HBP care.

Purpose of the Study:

  • To understand how to adapt CDS tools to effectively engage patients in controlling their high blood pressure.
  • To identify patient preferences for CDS features that enhance trustworthiness and usability for HBP management.

Main Methods:

  • A mixed-methods study combining survey-guided interviews with a limited cohort and a nationwide web-based survey.
  • Participants (18-85 years) diagnosed with hypertension completed surveys on goal setting, treatment priorities, technology comfort, and CDS interface preferences.
  • A/B preference questions assessed trustworthiness of different CDS user interface options and information display formats.

Main Results:

  • 83% of participants prioritized BP control, 82% monitored BP at home, and 88% were comfortable with technology.
  • More detailed recommendation displays were perceived as more trustworthy by 56%-77% of respondents.
  • While detailed designs increased trustworthiness, they did not significantly influence the perceived actions patients would take.

Conclusions:

  • Patients believe CDS tools can aid in high blood pressure control.
  • Detailed design and messaging in CDS are perceived as more trustworthy by patients.
  • Further research is needed to link perceived trustworthiness of CDS features to actual patient actions in HBP management.