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 .
Sustainability of Improvements in Medication Adherence through a Mobile Health Intervention
Context — Very few patient-centered , theory-guided programs for medication adherence and blood pressure control have been conducted in kidney transplant recipients . Objective — To evaluate preliminary indications of sustainability of improved blood pressure in kidney transplant recipients 12 months after completion of a 3-month r and omized controlled trial of a mobile health pilot program to improve blood pressure and medication adherence . Participants and Design — A total of 18 of the 19 trial participants were contacted and all consented to inclusion in the retrospective analysis of their medical records showing their clinic-recorded systolic blood pressures at 3 , 6 , and 12 months following participation in the 3-month trial of a medical regimen self-management intervention . Results — A significant group difference in systolic blood pressure was observed longitudinally , indicating that the intervention group , as compared with the st and ard-care group , exhibited lower clinic-measured systolic blood pressures at the 12-month posttrial follow-up visit ( P = .01 ) . At 12-month follow-up , success in establishing and sustaining control of systolic blood pressure ( < 131 mm Hg ) was greater in the intervention group ( 50 % ) than in the control group ( 11 % ) . Conclusion — Patients in the intervention group continued to exhibit lower systolic blood pressure than did patients in the control group 12 months after the trial ended , suggesting that the intervention may have a durable impact on blood pressure control that most likely reflects sustained medication adherence . These findings will aid in the development of an adequately powered r and omized controlled trial to address the sustainable impact of the intervention program on medication adherence and blood pressure control
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 .