Matthew E Allen1, Taya Irizarry2, Julian Einhorn3, Thomas W Kamarck4, Brian P Suffoletto5, Lora E Burke6, Bruce L Rollman7, Matthew F Muldoon8. 1. University of Virginia School of Medicine, Charlottesville, VA, USA. Electronic address: mea97@pitt.edu. 2. Department of Health & Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA. Electronic address: TAI19@pitt.edu. 3. Department of Psychology, University of Pittsburgh School of Arts and Sciences, Pittsburgh, PA, USA. Electronic address: JZE8@pitt.edu. 4. Department of Psychology, University of Pittsburgh School of Arts and Sciences, Pittsburgh, PA, USA. Electronic address: tkam@pitt.edu. 5. Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Electronic address: suffbp@upmc.edu. 6. Department of Health & Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA; Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA. Electronic address: lbu100@pitt.edu. 7. Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Center for Behavioral Health and Smart Technology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Electronic address: RollmanBL@upmc.edu. 8. Division of Cardiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Heart and Vascular Institute Hypertension Center, UPMC Health System, Pittsburgh, PA, USA. Electronic address: mfm10@pitt.edu.
Abstract
OBJECTIVE: Hypertension is largely asymptomatic and, as a result, patients often fail to sufficiently engage in medication adherence and other health behaviors to control their blood pressure (BP). This study explores the mechanisms by which MyBP, an automated SMS-facilitated home blood pressure monitoring (HBPM) program, helps facilitate healthy behavior changes. METHODS: A thematic analysis of transcribed audio-recordings from semi-structured post-intervention interviews (n = 40) was conducted. RESULTS: Three primary themes were identified as contributing most to patients' decision to initiate a behavior change: 1) increased hypertension literacy attributed to educational videos presented at enrollment, 2) increased day-to-day salience of blood pressure levels as a result of consistent HBPM, and 3) use of BP readings as feedback, with high readings triggering motivations to make behavior changes. These themes and most accompanying sub-themes correspond to constructs in the Health Belief Model and Social Cognitive Theory. CONCLUSION: Patient-centered HBPM interventions such asMyBP appear to promote improvements in hypertension self-management via several mechanisms consistent with recognized models of behavior change. PRACTICE IMPLICATIONS: SMS-supported HBPM, paired with video-based education, may provide a simple and scalable way of encouraging health behavior adherence in hypertensive patients.
OBJECTIVE:Hypertension is largely asymptomatic and, as a result, patients often fail to sufficiently engage in medication adherence and other health behaviors to control their blood pressure (BP). This study explores the mechanisms by which MyBP, an automated SMS-facilitated home blood pressure monitoring (HBPM) program, helps facilitate healthy behavior changes. METHODS: A thematic analysis of transcribed audio-recordings from semi-structured post-intervention interviews (n = 40) was conducted. RESULTS: Three primary themes were identified as contributing most to patients' decision to initiate a behavior change: 1) increased hypertension literacy attributed to educational videos presented at enrollment, 2) increased day-to-day salience of blood pressure levels as a result of consistent HBPM, and 3) use of BP readings as feedback, with high readings triggering motivations to make behavior changes. These themes and most accompanying sub-themes correspond to constructs in the Health Belief Model and Social Cognitive Theory. CONCLUSION:Patient-centered HBPM interventions such asMyBP appear to promote improvements in hypertension self-management via several mechanisms consistent with recognized models of behavior change. PRACTICE IMPLICATIONS: SMS-supported HBPM, paired with video-based education, may provide a simple and scalable way of encouraging health behavior adherence in hypertensivepatients.
Authors: Alexander G Logan; M Jane Irvine; Warren J McIsaac; Andras Tisler; Peter G Rossos; Anthony Easty; Denice S Feig; Joseph A Cafazzo Journal: Hypertension Date: 2012-05-21 Impact factor: 10.190
Authors: Taya Irizarry; Matthew Allen; Brian P Suffoletto; Julian Einhorn; Lora E Burke; Thomas W Kamarck; Bruce L Rollman; Matthew F Muldoon Journal: Am J Med Date: 2018-05-26 Impact factor: 4.965
Authors: Lorraine Buis; Lindsey Hirzel; Rachelle M Dawood; Katee L Dawood; Lauren P Nichols; Nancy T Artinian; Loren Schwiebert; Hossein N Yarandi; Dana N Roberson; Melissa A Plegue; LynnMarie C Mango; Phillip D Levy Journal: JMIR Mhealth Uhealth Date: 2017-02-01 Impact factor: 4.773
Authors: Katherine Morton; Laura Dennison; Katherine Bradbury; Rebecca Jane Band; Carl May; James Raftery; Paul Little; Richard J McManus; Lucy Yardley Journal: BMJ Open Date: 2018-05-08 Impact factor: 2.692
Authors: Benjamin R Fletcher; Lisa Hinton; Jamie Hartmann-Boyce; Nia W Roberts; Niklas Bobrovitz; Richard J McManus Journal: Patient Educ Couns Date: 2015-08-28