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 .
Comparing the effectiveness of the BPMAP (Blood Pressure Management Application) and usual care in self-management of primary hypertension and adherence to treatment in patients aged 30–60 years: study protocol for a randomized controlled trial
Background Hypertension is one of the most important and well-known risk factors for cardiovascular diseases . Unfortunately , in spite of effective treatments , adherence to the regular use of drugs and other nondrug treatments , such as lifestyle improvement , is often poor . This study evaluates the effectiveness of an educational , supportive intervention – in the form of a Blood Pressure Management Application ( BPMAP ) – on self-management in patients with primary hypertension on controlling the determinant factors of hypertension , and on adherence to treatment . Methods / design A two-arm , parallel- design r and omized controlled clinical trial will be conducted on 30 to 60 year-old patients with primary hypertension who are attending the Tehran Heart Center . One hundred and thirty-two ( 132 ) patients will be r and omly assigned to the intervention and control ( usual method ) groups . The most important inclusion criteria are , having primary hypertension and being pharmacologically treated for it , and not having developed the complications of hypertension , such as myocardial infa rct ion , cerebral stroke and cardiac insufficiency . The participants should be able to read Persian and be able to use the application . The most important outcomes of the study include adherence to treatment , weight control , and regular monitoring of blood pressure which are assessed in the primary assessment ( baseline data question naire ) and again at the 8th and 24th weeks . The intervention is a mobile application that has capabilities such as reminders and scientific and supportive information . Discussion This application has been programmed to reduce many of the nonadherence factors of hypertension treatment . Therefore , the findings may contribute to a rise in adherence to treatment . If proven to have an appropriate impact , it may be extended for use in the national hypertension control plan . Trial registration This study was registered in the Iran R and omized Clinical Trial Center under the number I RCT 2015111712211N2 on 1 January 2016
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 .