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Facilitators and barriers to blood pressure telemonitoring: A mixed-methods study
Chinwe E Eze1, Michael P Dorsch1, Antoinette B Coe1
1College of Pharmacy, University of Michigan, Ann Arbor, MI, USA.
Digital Health
|August 2, 2023
Summary
Patients may use blood pressure (BP) telemonitoring when services meet their needs. Electronic health literacy (e-HL) influences engagement with BP telemonitoring, but barriers exist despite patient motivation and skills.
Area of Science:
- Health Informatics
- Patient Engagement
- Hypertension Management
Background:
- Telemonitoring of blood pressure (BP) shows potential for improving BP control.
- Patient adoption of BP telemonitoring is hindered by personal, technological, and health system barriers.
- Effective use of BP telemonitoring necessitates electronic health literacy (e-HL), encompassing the knowledge and skills to utilize digital health services.
Purpose of the Study:
- To identify facilitators and barriers to BP telemonitoring among hypertensive patients.
- To evaluate these factors through the lens of the electronic health literacy framework (e-HLF).
Main Methods:
- A prospective mixed-methods study with a convergent design.
- Recruitment of 21 patients with hypertension.
- Qualitative data from online/phone interviews and quantitative data from online surveys, analyzed using a joint display.
Main Results:
- Five overarching themes (knowledge, motivation, skills, systems, behaviors) and 28 subthemes were identified as facilitators or barriers.
- Concordance was observed between e-HL status and engagement with digital services (e-HLF domain 3).
- Discordance was noted across other e-HL domains, indicating complex interactions.
Conclusions:
- Patient engagement with BP telemonitoring is enhanced when services are perceived as useful and aligned with individual needs.
- Addressing specific e-HL domains and tailoring services can improve telemonitoring adoption and effectiveness.
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