Managing Hypertension in Urban Underserved Subjects Using Telemedicine: A Clinical Trial

Bové, Alfred A.; Homko, Carol; Santamore, William P.; Kashem, Mohammed A.; Kerper, Margaret; Elliott, Daniel

doi:10.1016/s0735-1097(13)61401-1

Cited by 16 publications

(44 citation statements)

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“…Five articles 27,29,30,37,38 reported combinations of SMBP, behavioral counseling, or telemedicine interventions for hypertensive patients. Telemonitoring interventions included use of SMBP and telephone counseling, 37 SMBP plus weight and exercise self-monitoring, 30 SMBP in combination with telecounseling that targeted blood pressure [BP] goals, 27 use of medication protocol adjustments that targeted BP goals and BP transmitted from SMBP by participants, 38 and SMBP plus tailored lifestyle modification (eg, DASH [Dietary Approaches to Hypertension] diet, medication use).…”

Section: Barnason Et Al Tpe Interventions For Self-managementmentioning

confidence: 99%

“…Telemonitoring interventions included use of SMBP and telephone counseling, 37 SMBP plus weight and exercise self-monitoring, 30 SMBP in combination with telecounseling that targeted blood pressure [BP] goals, 27 use of medication protocol adjustments that targeted BP goals and BP transmitted from SMBP by participants, 38 and SMBP plus tailored lifestyle modification (eg, DASH [Dietary Approaches to Hypertension] diet, medication use). 29 Behavioral interventions reported in 6 articles 28,34,36,[39][40][41] did not include the use of SMBP.…”

Section: Barnason Et Al Tpe Interventions For Self-managementmentioning

confidence: 99%

“…In 4 studies, 27,30,37,38 the use of SMBP was integrated with additional behavioral interventions. Significant improvements in BP were noted in all of the studies.…”

Section: Hypertension Outcomesmentioning

confidence: 99%

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Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

Barnason¹,

White‐Williams²,

Rossi³

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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A lthough the overall rate of death associated with cardiovascular disease (CVD) continues to decline in the United States, [1][2][3] CVD is a leading cause of mortality and disability. The burden of CVD remains high, underscoring the need to improve long-term management of CVD as a chronic illness. Effective implementation of current treatment guidelines for primary and secondary prevention of CVD relies heavily on patient knowledge and engagement in carrying out the plan of care. Healthcare reforms have increasingly shifted the responsibility for self-management to patients and families as hospital stays and ambulatory visits have become shorter and less frequent.Background-The burden of cardiovascular disease as a chronic illness increasingly requires patients to assume more responsibility for their self-management. Patient education is believed to be an essential component of cardiovascular care; however, there is limited evidence about specific therapeutic patient education approaches used and the impact on patient self-management outcomes. Methods and Results-An integrative review of the literature was conducted to critically analyze published research studies of therapeutic patient education for self-management in selected cardiovascular conditions. There was variability in methodological approaches across settings and disease conditions. The most effective interventions were tailored to individual patient needs, used multiple components to improve self-management outcomes, and often used multidisciplinary approaches. Conclusions-This synthesis of evidence expands the base of knowledge related to the development of patient selfmanagement skills and provides direction for more rigorous research. Recommendations are provided to guide the implementation of therapeutic patient education in clinical practice and the design of comprehensive self-management interventions to improve outcomes for cardiovascular patients. (Circ Cardiovasc Qual Outcomes. 2017;10:e000025.

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Section: Barnason Et Al Tpe Interventions For Self-managementmentioning

confidence: 99%

Section: Barnason Et Al Tpe Interventions For Self-managementmentioning

confidence: 99%

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Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

Barnason¹,

White‐Williams²,

Rossi³

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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“…From the health program manager's perspective, the direct benefits for healthcare consumers and healthcare providers yield overall existing evidence Regarding Role of mhealth in the context of ncds Several studies across globe have documented the usefulness of mHealth in management of diabetes and hypertension [22][23][24]. According to a review conducted, "….mHealth for diabetes is making rapid strides and is expected to be a transforming technology that will be the next big thing" [25].…”

Section: Where Does Mhealth Fit In Within the Health System And What mentioning

confidence: 99%

mHealth in the Prevention and Control of Non-Communicable Diseases in India: Current Possibilities and the Way Forward

Majumdar

Kar

et al. 2015

JCDR

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“…Eight out of the twelve studies [5][6][7][8][9][10][11][12] involved implementation, feasibility and evaluation of selfmanagement of BP by telemonitoring to improve BP control and thereby, improve management of hypertension. Another study by Bosworth et al examined the effectiveness of a decision support system and telephone education to patients to improve BP control [13].…”

Section: Study Objectivesmentioning

confidence: 99%

Self-management of hypertension using technology enabled interventions in primary care settings

Chandak

Joshi

2015

THC

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BACKGROUND: Self-management of hypertension by controlling Blood Pressure (BP) through technology-based interventions can effectively reduce the burden of high BP, which affects one out of every three adults in the United States. OBJECTIVE: The primary aim of this study is to explore the role of technology enabled interventions to improve or enhance self-management among individuals with hypertension. METHODS: We conducted a systematic review of the literature published between July 2008 and June 2013 on the MED-LINE database (via PubMed interface) during July 2013. The search words were "hypertension" and "primary care" in combination with each of the terms of "technology", "internet", "computer" and "cell phone". Our inclusion criteria consisted of: (a) Randomized Controlled Trials (RCTs) (b) conducted on human subjects; (c) technology-based interventions (d) to improve self-management (e) of hypertension and if the (f) final results of the study were published in the study. Our exclusion criteria included (a) management of other conditions and (b) literature reviews. RESULTS: The initial search resulted in 108 results. After applying the inclusion and exclusion criteria, a total of 12 studies were analyzed. Various technologies implemented in the studies included internet-based telemonitoring and education, telephone-based telemonitoring and education, internet-based education, telemedicine via videoconferencing, telehealth kiosks and automated modem device. Some studies also involved a physician intervention, in addition to patient intervention. The outcomes of proportion of subjects with BP control and change in mean SBP and DBP were better for the group of subjects who received combined physician and patient interventions. CONCLUSION: Interventions to improve BP control for self-management of hypertension should be aimed at both physicians as well as the patients. More interventions should utilize the JNC-7 guidelines and cost-effectiveness of the intervention should also be assessed.

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Managing Hypertension in Urban Underserved Subjects Using Telemedicine: A Clinical Trial

Cited by 16 publications

References 0 publications

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

mHealth in the Prevention and Control of Non-Communicable Diseases in India: Current Possibilities and the Way Forward

Self-management of hypertension using technology enabled interventions in primary care settings

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