Effects of an eHealth Intervention on Patient-Provider Interaction and Functional Health Literacy in Adults With Hypertension

Abstract

Introduction Hypertension is a life-limiting, chronic condition affecting millions of Americans. Modifiable factors, quality of the patient-provider interaction and functional health literacy, have been linked to effective hypertension self-management. However, there has been limited interventional research targeting these modifiable factors. Electronic hypertension self-management interventions, in particular those incorporating virtual simulation, may positively influence the quality of the patient-provider interaction and functional health literacy status of adults with hypertension. Yet there is a dearth of evidence examining the efficacy of eHealth interventions targeting these modifiable factors of hypertension self-management. Objective Evaluate the effects of two electronic hypertension self-management interventions on the quality of the patient-provider interaction and functional health literacy in adults with hypertension. Methods A convenience sample of community-dwelling adults (>18 years) with hypertension were recruited and randomized to an avatar-based simulation (eSMART-HTN) or a video presentation on hypertension self-management (attention control). Participants were administered questionnaires to capture demographic characteristics, the quality of the patient-provider interaction, and functional health literacy. Questionnaire data were collected at baseline, and then monthly across three months. Two separate repeated measures analysis of covariance models were conducted to assess the effects of the interventions across the time points. Results The sample included 109 participants who were predominately middle-aged and older, nonwhite, and female. Scores for the quality of the patient-provider interaction demonstrated significant within-group changes across time. However, there were no significant differences in the quality of the patient-provider interaction or functional health literacy scores between experimental conditions while adjusting for covariates. Conclusion An avatar-based simulation (eSMART-HTN) intervention proved to have a positive effect on patient-provider interaction compared to an attention control condition. Although the results are promising, future research is needed to optimize the effectiveness of eSMART-HTN and enhance its efficacy and scalability in a larger cohort of adults with hypertension.

Experience of Patients with Diabetes and Other Cardiovascular Risk Factors with Health Professionals and Healthcare in Spain

“…In the analysis of this dimension by age groups we found that the score worsened as the age increased. Although it is expected that elderly patients will be less willing to use new technologies, there are studies showing that even this age group may benefit and adapt fast to eHealth [19][20][21]. This encouragement occurs with a high frequency (always or almost always) in less than one-sixth of patients in the case of new technologies and in approximately a quarter of patients with regard to fostering contact with other patients.…”

Efektivitas Mobile Health dan Supportive Education untuk Meningkatkan Kepatuhan Manajemen Perawatan Diri Pasien Hipertensi

“…Dalam melakukan upaya peningkatan kepatuhan pasien hipertensi, digunakan intervensi berbasis aplikasi seluler yang dikaji oleh 7 artikel yaitu pesan teks seluler (Varleta et al, 2017), (Bhandari et al, 2022), (Bobrow et al, 2016 intervensi eHealth dengan simulasi virtual (Hickman et al, 2021), aplikasi DaroYab (Torkabad et al, 2020), aplikasi mHealth (Volpi et al, 2021), (Bozorgi et al, 2021. Intervensi berupa pendidikan kesehatan berbasis aplikasi seluler (m-health).…”