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 .
Are you more concerned about or relieved by medicines? An explorative randomized study of the impact of telephone counseling by pharmacists on patients' beliefs regarding medicines and blood pressure control.
OBJECTIVES The aim was to determine the impact of a telephone counseling service , provided bi-monthly by pharmacist , on patients ' beliefs about antihypertensive medicines and blood pressure ( BP ) control . METHODS Either hypertensive patients were r and omly assigned to a control group ( CG , usual care ) or an intervention group ( IG ) .  All patients had BP values registered and filled in the Italian version of the Belief Medicine Question naire ( BMQ ) . After 12 months , patients filled in the BMQ again and had their self-reported BP registered . The intervention consisted of an educational/counseling session based on patients ' needs assessment provided bi-monthly by a pharmacist for one year via telephone . RESULTS 80 CG and 84 IG patients were recruited . After 12 months , there were significant differences between IG and CG for both BMQ 's Necessity and Concern score ( p < 0.001 ; p < 0.001 respectively ) and a significant reduction in BP values in IG ( p < 0.001 ) . CONCLUSIONS The intervention improves BP control by modifying patients ' perception about treatments and involving patients as participants in the management of their health . PRACTICE IMPLICATION S This paper could serve as a guideline for other studies to confirm the effectiveness of this intervention in modifying health behavior , and the role of hospital pharmacist
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 .