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The Effect of the Mobile “Blood Pressure Management Application” on Hypertension Self-Management Enhancement: A Randomized Controlled Trial Publisher Pubmed



Bozorgi A1 ; Hosseini H2 ; Eftekhar H3 ; Majdzadeh R4 ; Yoonessi A5 ; Ramezankhani A6 ; Mansouri M7 ; Ashoorkhani M8
Authors
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Authors Affiliations
  1. 1. Tehran Heart Center, Tehran University of Medical Sciences, Shahrivar St., North Kargar St., Tehran, Iran
  2. 2. Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Knowledge Utilization Research Center (KURC), Epidemiology and Biostatistics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Neuroscience, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  7. 7. Department of Computer Engineering and Information Technology, School of Engineering, Payam Noor University, Tehran, Iran
  8. 8. Department of Health Education and Promotion, School of Public Health, Knowledge Utilization Research Center (KURC), Tehran University of Medical Sciences, Poursina St., Ghods St., Keshavarz Blvd., Tehran, Iran

Source: Trials Published:2021


Abstract

Background: Self-management of hypertension is of great significance given its increasing incidence and its associated disabilities. In view of the increased use of mobile health in medicine, the present study evaluated the effect of a self-management application on patient adherence to hypertension treatment. Methods: This clinical trial was performed on 120 hypertensive patients who were provided with a mobile intervention for 8 weeks and followed up until the 24th week. Data on the primary outcome (adherence to treatment) and secondary outcomes (adherence to the DASH diet, regular monitoring of blood pressure, and physical activity) were collected using a questionnaire and a mobile application, respectively. The inter-group change difference over time was analyzed using repeated measures ANOVA (general linear model). Results: The treatment adherence score increased by an average of 5.9 (95% CI 5.0–6.7) in the intervention group compared to the control group. The scores of “adherence to the low-fat and low-salt diet plans” were 1.7 (95% CI 1.3–2.1) and 1.5 (95% CI 1.2–1.9), respectively. Moreover, moderate physical activity increased to 100.0 min (95% CI 61.7–138.3) per week in the intervention group. Conclusion: The treatment and control of blood pressure require a multifaceted approach given its complexity and multifactorial nature. Considering the widespread use of smartphones, mHealth interventions can be effective in self-management and better patient adherence to treatments. Our results showed that this application can be used as a successful tool for hypertension self-management in patients attending public hospitals in developing countries. Trial registration: Iran Randomized Clinical Trial Center IRCT2015111712211N2. Registered on 1 January 2016. © 2021, The Author(s).
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