The most commonly described determinants at the patient level were lack of education , lack of self-awareness , lack of self-efficacy , and forgetfulness .
Clinical inertia and an inadequate health workforce were the most commonly targeted determinants at the health care team and system level .
Taking medication , interactive patient-provider communication , self-measurement , and lifestyle management were the most cited patient behaviors at both levels .
Most of the DIs did not include support from peers or family members , despite its reported effectiveness and the rate of social media penetration .
Background Information on how behavior change strategies have been used to design digital interventions ( DIs ) to improve blood pressure ( BP ) control or medication adherence ( MA ) for patients with hypertension is currently limited .
Objective Hypertension is a major modifiable risk factor for cardiovascular diseases and can be controlled with appropriate medication .
Many interventions that target MA to improve BP are increasingly using modern digital technologies .
This systematic review was conducted to discover how DIs have been design ed to improve MA and BP control among patients with hypertension in the recent 10 years .
The impact of a patient web communication intervention on reaching treatment suggested guidelines for chronic diseases: A randomized controlled trial.
OBJECTIVE Examine the impact of a PACE ( Prepare , Ask , Check , Express ) inspired web-based communication intervention alone or combined with a workshop on reaching treatment goals  for patients suffering from chronic diseases ( CDs ) , compared to usual care . METHODS Three arm single-blind RCT in community primary care ( PC ) practice s. PC practitioners ( n=18 ) had a CD patient caseload , and practicing > 5 years . Patients > 40 years old , English speaking , computer literate , not reaching treatment goals for hypertension , type II diabetes , and /or dyslipidemia . INTERVENTIONS ( 1 ) web-intervention and ( 2 ) web intervention and nurse facilitated workshop and ( 3 ) usual care . OUTCOME Proportion of patients meeting all treatment suggested guidelines for the diagnoses they were enrolled for . RESULTS Patients ( n=322 ) were r and omized , and of these 221 returned for follow up . Patients in the web group were 1.42 times more likely to meet targets compared to usual care [ 95 % CI : 1.00 - 2.00 ] , a statistical difference not seen in the combined group . Sensitivity analyses were performed to mitigate bias due to loss to follow up . CONCLUSIONS Training patients in communication skills using a website positively affects reaching treatment goals for hypertensive , diabetic and dyslipidemic patients . PRACTICE IMPLICATION S Web communication interventions are an effective tool that can be used in primary care
The most commonly described determinants at the patient level were lack of education , lack of self-awareness , lack of self-efficacy , and forgetfulness .
Clinical inertia and an inadequate health workforce were the most commonly targeted determinants at the health care team and system level .
Taking medication , interactive patient-provider communication , self-measurement , and lifestyle management were the most cited patient behaviors at both levels .
Most of the DIs did not include support from peers or family members , despite its reported effectiveness and the rate of social media penetration .
Background Information on how behavior change strategies have been used to design digital interventions ( DIs ) to improve blood pressure ( BP ) control or medication adherence ( MA ) for patients with hypertension is currently limited .
Objective Hypertension is a major modifiable risk factor for cardiovascular diseases and can be controlled with appropriate medication .
Many interventions that target MA to improve BP are increasingly using modern digital technologies .
This systematic review was conducted to discover how DIs have been design ed to improve MA and BP control among patients with hypertension in the recent 10 years .