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都市安全ネット環境における家庭用血圧モニターに関する英語とスペイン語の患者の好み:定性研究
Jonathan J Shih1, Vivian E Kwok1, Isabel Luna2,3
1School of Medicine, University of California, San Francisco, 513 Parnassus Avenue, San Francisco, CA, 94143, United States.
JMIR cardio
|September 1, 2025
まとめ
患者の自己測定血圧モニタリングの好みは,費用,訓練,デジタルアクセシビリティによって影響を受けます. これらの要因に対処することで 多様な集団における高血圧管理が改善できます
科学分野:
- 心血管の健康
- 健康 の 格差
- デジタル・ヘルス
背景:
- 自己測定血圧モニタリング (SMBP) は高血圧の管理に不可欠です.
- 血圧管理の格差は,特に低所得層やマイノリティー集団では依然として残っています.
- デジタルでの排除は 脆弱なグループにおける SMBP の採用を妨げています
研究 の 目的:
- SMBPに対する患者の報告された障壁と好みを,多様な都市安全ネット病院の集団で調査する.
- SMBPの採用と遵守を改善するためのファシリテーターを特定する.
- デバイスの機能や使い方に関する患者のニーズを理解する.
主な方法:
- 英語とスペイン語を話す高血圧患者の定性研究
- 調査では,社会人口統計,SMBPの実践,技術経験が評価されました.
- 半構造面接では 血圧装置やアプリの好みや データの共有について調べました
- 家庭での血圧測定法について
- ブルートゥースとセルラー対応デバイスを評価した.
主要な成果:
- 15人のマイノリティ参加者 (英語話者8人,スペイン語話者7人) が登録し,8人はデジタルアクセシビリティに 直面した.
- ほとんどの参加者は,デバイスのペアリングとアプリのナビゲーションの助けを必要としていました.
- 患者は血圧の追跡を重視し,訓練を希望していましたが,多くの患者は正式な訓練を欠いており,誤った技術を使用していました.
- スペイン語話者は翻訳されたアプリを好み,コストはデバイスの選択の重要な要因でした.
結論:
- SMBPの採用の障壁には,コスト,不十分なトレーニング,デジタルアクセシビリティ,言語の不一致が含まれています.
- 患者の好みに合わせた介入は,セーフティネットの集団にとって不可欠です.
- セルラーデバイスはデータ伝送を簡素化しますが,使いやすさに関するさらなる研究が必要です.
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