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Engagement with a Text-Based, Bilingual Blood Pressure Monitoring Program during Postpartum among a Multiethnic
Remote blood pressure monitoring via text message was satisfactory for postpartum patients. Spanish speakers showed higher engagement than English speakers, indicating its potential for at-risk populations.
Area of Science:
- Maternal Health
- Digital Health
- Health Disparities
Background:
- Remote monitoring research for postpartum patients is limited.
- Focus is needed on Spanish-speaking populations and their engagement.
- Postpartum hypertension poses significant maternal health risks.
Purpose of the Study:
- To assess satisfaction and engagement with remote blood pressure monitoring.
- To compare outcomes between English and Spanish-speaking postpartum patients.
- To identify participant characteristics influencing remote monitoring use.
Main Methods:
- Observational longitudinal cohort study (n=388).
- Recruited diverse postpartum patients (Asian, Black, Hispanic) from Philadelphia and NYC.
- Utilized a two-way text platform for 12-week blood pressure tracking.
Main Results:
- High satisfaction reported by both English (92.0%) and Spanish speakers (96.4%).
- Spanish speakers demonstrated significantly higher engagement (RR: 1.22; aRR: 1.21).
- Text-based monitoring proved effective for postpartum blood pressure surveillance.
Conclusions:
- Text-message-based remote blood pressure monitoring is satisfactory for Spanish-speaking postpartum individuals.
- Spanish speakers exhibit equal or greater engagement compared to English speakers.
- Remote monitoring holds promise for postpartum follow-up, especially for high-risk groups.
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