What matters the adherence with BP 24-hr self-monitoring wearable device among hypertensive patients? A population-based survey

Abstract

Wearable mobile health (mHealth) technologies are a convenient and cost-effective community-based intervention to improve management of hypertension in resource-limited populations. This study was designed to evaluate user characteristics of blood pressure (BP) wearable technology among a community-based population in a rural area of China. During the period of April through July 2018, a self-monitoring intervention program for hypertension control was implemented in a remote area of central China. Participants completed a cross-sectional survey which included demographic characteristics, Technology Fluency, the Compliance of Hypertensive Patients’ Scale, and the Health-related Quality of Life Survey. Participants were given a wearable BP-monitoring device which wirelessly uploaded data and monitored for 1 month. Participants (n = 317) were 64.57 years (SD = 11.68), 53.94% were male. During the 30-day monitoring, 52.68% of the sample uploaded BP wristband data daily were identified as “BP device users.” No differences existed between device users and nonusers related to cardiovascular health measurements, technology fluency, and health-related quality of life. Device users were more likely to report a higher level of hypertension compliance. Individuals reporting a higher level of compliance in hypertension management are more likely to interact with a wearable BP-monitoring device than persons with lower levels of compliance. Further evaluation of mobile health systems involving a wearable device as part of a hypertension management program is needed in a resource-limited community-based setting.

Adherence with blood pressure monitoring wearable device among the elderly with hypertension: The case of rural China

“…Hypertensive elderly living in rural mountain areas are a vulnerable group in China. Moreover, the one‐child policy and internal migration from rural to urban areas have greatly increased “empty‐nested elders” (Zhang, Tan, et al, 2019; Zhang, Xu, et al, 2019; Zhang, Yang, et al, 2019). Thus, it is of high implication to study their adherence to wearable BP monitor device.…”

“…Upon receipt of the ambulatory BP monitor, participants were trained on the usage of the wristband and provided with a written instruction manual. More details of the research process were reported elsewhere (Zhang, Tan, Si, & Huang, 2019; Zhang, Xu, et al, 2019; Zhang, Yang, et al, 2019). Each community had a “super user,” a participant volunteer who helped community participants with hub issues and communicated with investigators.…”

Effectiveness of a mHealth intervention on hypertension control in a low-resource rural setting: A randomized clinical trial

“…The Self-Monitoring Intervention Programme for Hypertension Control was a randomized trial conducted among 6 primary care centers within a remote mountainous districts of Hubei province, China. Details of the Program's study design and organizations have been published elsewhere (20).…”

Self-Management Intervention of Elderly Hypertension: A Literature Review

“…Health education about hypertension aims to make the elderly and families understand the process of hypertension, signs, and hypertension symptoms (25,26). The early stages require an assessment of disease, self-efficacy, self-management behavior.…”

“…Blood pressure monitoring in the elderly with hypertension includes monitoring blood pressure, performing proper procedures to measure blood pressure, checking the calibration of a blood pressure meter if you have one at home, maintaining blood pressure targets, using a diary to monitor blood pressure from time to time, and contacting health services (25). Blood pressure monitoring aims to monitor blood pressure conditions so that it can prevent uncontrolled hypertension.…”