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Long-Term Results of a Digital Hypertension Self-Management Program: Retrospective Cohort Study
Justin Wu1, Jenna Napoleone1, Sarah Linke1
1Omada Health Inc, San Francisco, CA, United States.
JMIR Cardio
|July 18, 2023
Summary
Digital health programs effectively manage hypertension through self-monitoring and behavior change support. This study shows significant blood pressure reduction over 12 months in a real-world setting.
Area of Science:
- Digital Health
- Cardiovascular Health
- Hypertension Management
Background:
- Digital health programs offer scalable solutions for hypertension management.
- Frequent blood pressure (BP) self-monitoring and behavior change support are key components.
Purpose of the Study:
- To examine the impact of a digital hypertension self-management and lifestyle change support program on BP over 12 months.
Main Methods:
- Retrospective observational cohort study of 1117 commercially insured members.
- Analysis of data from January 2019 to September 2021.
- Paired t tests and linear regression used to measure changes in systolic blood pressure (SBP).
Main Results:
- Significant mean SBP reductions observed in all members (-4.8 mm Hg) and those with uncontrolled baseline SBP (-8.1 mm Hg).
- Members with uncontrolled baseline SBP also showed reductions in diastolic BP, weight, and BMI.
- 48% of members with uncontrolled baseline BP improved their BP category.
Conclusions:
- A comprehensive digital health program is effective for hypertension self-management.
- Real-world evidence supports the use of digital health for hypertension education, BP monitoring, and coaching.
- The program demonstrated sustained effectiveness over a 12-month period.
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