Mobile Phone in Hypertension Management

Study Overview
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Brief Summary
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The purpose of this study is to examine if a mobile phone-based self-report system, using the patient's own mobile phone, will improve adherence to treatment of hypertension and lead to personal involvement of the patient in the treatment.

Official Title
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Mastery and Autonomy in Management of Hypertension With a Mobile Self-report System

Conditions
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Hypertension

Intervention / Treatment
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* Device: Mobile phone-based self-report system, electronic Patient-Reported Outcomes Measure (e-PROM)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of arterial hypertension Prescribed antihypertensive treatment Alert and oriented Swedish-speaking Access to a functioning cell phone Agreeing to regular controls at the National Prescribed Drug Register of drugs

Ages Eligible for Study
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Minimum Age: 30 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Self-report<br> | Device: Mobile phone-based self-report system, electronic Patient-Reported Outcomes Measure (e-PROM)<br>* To test an electronic Patient-Reported Outcomes Measure (e-PROM) intended to assess patients' daily perceptions of symptoms and wellbeing, as well as self-measured blood pressure, treatment side-effects and medicine intake; Explore patient interactions (learning and understanding) with an internet-reporting system providing structured feedback of e-PROM results to examine if such feedback is useful in improving adherence; Explore patient-physician/nurse interactions to examine if structured feedback of e-PROM results serves as a useful complement to support consultations regarding treatment monitoring and adherence.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adherence to antihypertensive medication | Adherence to antihypertensive medication will be checked through a question in the cell phone and evaluation of patient´s use of antihypertensive medication will be checked from the National Prescribed Drug Register of drugs. Twenty patient-physician/nurse consultations will be audio/video-recorded at regularly scheduled appointments to obtain authentic evidence of the use of the self-reports in clinical practice. The outcomes will include blood pressure measurement, registration of self-reported symptoms and discourse analyses. | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Systolic blood pressure | Change in systolic blood pressure | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Self-report, Self-management, Hypertension, Adherence, Cell phone, Drug treatment, Medical Adherence