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Development and Initial Use of an Evidence-Based Home Blood Pressure Monitoring mHealth Platform.
Cara B Litvin1, Steven M Ornstein2
1Division of General Internal Medicine, Department of Medicine, Medical University of South Carolina, 135 Rutledge Ave, 12th floor, Charleston, SC, 29425, USA. litvincb@musc.edu.
Journal of Medical Systems
|April 28, 2023
Summary
A new mHealth app translates evidence-based guidelines for accurate home blood pressure monitoring (HBPM). This platform aims to improve blood pressure (BP) control by facilitating standardized measurements and data sharing with healthcare providers.
Area of Science:
- Cardiovascular Health
- Digital Health
- Health Informatics
Background:
- Home blood pressure monitoring (HBPM) offers more reliable blood pressure (BP) assessment than in-office measurements.
- Existing mHealth apps often lack comprehensive, evidence-based HBPM protocols.
- Improved BP control is achievable with accurate and consistent HBPM.
Purpose of the Study:
- To develop and pilot test a mHealth app integrating standardized, evidence-based HBPM recommendations.
- To assess the feasibility of using a mHealth platform for guiding users through multi-day BP monitoring.
- To create a system for facilitating accurate HBPM and data sharing with clinicians.
Main Methods:
- An agile development approach using user stories translated evidence-based HBPM protocols into a mHealth app and clinician portal.
- Pilot testing involved 125 users to evaluate the platform's feasibility in guiding standardized BP measurement.
- Data collection focused on user engagement with the app and completion of monitoring periods.
Main Results:
- 125 users created app accounts, with 75 (60.0%) recording at least one BP reading.
- 47 users (37.6%) successfully completed at least one full HBPM monitoring period.
- The platform demonstrated feasibility in guiding users through the standardized HBPM protocol.
Conclusions:
- Systematic translation of guidelines into mHealth platforms for HBPM is achievable.
- The developed mHealth platform can facilitate standardized HBPM and improve patient-provider communication.
- Such digital health tools hold potential for enhancing BP management and control.
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