Adoption of self-measured blood pressure monitoring in underserved communities: Program evaluation in primary care
Rationale:Self-measured blood pressure (SMBP) monitoring is crucial for hypertension management, yet its adoption, particularly among disadvantaged populations, remains low. 'Love Your Heart' is a quality improvement program providing free standard SMBP devices to hypertensive patients, ai...
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SHARE @ Advocate Health - Midwest
2024
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ftaurorahc:oai:institutionalrepository.aah.org:allother-1925 2024-09-15T17:56:43+00:00 Adoption of self-measured blood pressure monitoring in underserved communities: Program evaluation in primary care Shields, Maureen Guzman, Iridian Rouse, Jackie Siddiqi, Alvia Pletcher, Mark J Khatib, Rasha 2024-08-18T07:00:00Z https://institutionalrepository.aah.org/allother/923 https://doi.org/10.1111/jep.14130 https://libkey.io/libraries/1712/10.1111/jep.14130 unknown SHARE @ Advocate Health - Midwest https://institutionalrepository.aah.org/allother/923 doi:10.1111/jep.14130 https://libkey.io/libraries/1712/10.1111/jep.14130 All Other Contributions evaluation healthcare primary care Advocate Aurora Research Institute Population Health and Public Health Diversity Equity and Inclusion Preventive Health and Wellness text 2024 ftaurorahc https://doi.org/10.1111/jep.14130 2024-08-27T23:35:48Z Rationale:Self-measured blood pressure (SMBP) monitoring is crucial for hypertension management, yet its adoption, particularly among disadvantaged populations, remains low. 'Love Your Heart' is a quality improvement program providing free standard SMBP devices to hypertensive patients, aiming to enhance adoption and assess its impact on blood pressure control. Aims and objectives:This study evaluates the 'Love Your Heart' program's implementation success through assessing adoption rates and exploring changes in systolic blood pressure (SBP) among participants. We aim to understand factors influencing adoption and potential benefits of SMBP monitoring in a diverse, socially disadvantaged patient population. Methods:We retrospectively evaluated the 'Love Your Heart' program using electronic health records (EHR) at a primary care site in Chicago. Adult patients with hypertension were enroled in the 6-month program, which included education sessions and free SMBP devices. Adoption was measured by participation in program components, and changes in SBP were analysed based on adoption status. Statistical analyses were conducted using SAS software, adhering to STROBE reporting guidelines. Results:Of 621 eligible patients, 104 participated, with 83 included in the evaluation. Despite all participants receiving free SMBP devices, adoption rates were modest, with only 7% sharing readings with the care team. However, patients who received device instructions demonstrated greater decreases in SBP compared to those who did not. Although not statistically significant, clinically meaningful decreases in SBP were observed among adopters. Conclusion:The 'Love Your Heart' program highlights the challenges of promoting SMBP monitoring among disadvantaged patient populations. While providing free devices addresses access barriers, low reporting to the care team suggests the need for further support mechanisms. Future research should explore strategies to enhance SMBP adoption and integration into clinical care, particularly in ... Text Aurora Research Institute Aurora Health Care Digital Repository Journal of Evaluation in Clinical Practice |
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Aurora Health Care Digital Repository |
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evaluation healthcare primary care Advocate Aurora Research Institute Population Health and Public Health Diversity Equity and Inclusion Preventive Health and Wellness |
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evaluation healthcare primary care Advocate Aurora Research Institute Population Health and Public Health Diversity Equity and Inclusion Preventive Health and Wellness Shields, Maureen Guzman, Iridian Rouse, Jackie Siddiqi, Alvia Pletcher, Mark J Khatib, Rasha Adoption of self-measured blood pressure monitoring in underserved communities: Program evaluation in primary care |
topic_facet |
evaluation healthcare primary care Advocate Aurora Research Institute Population Health and Public Health Diversity Equity and Inclusion Preventive Health and Wellness |
description |
Rationale:Self-measured blood pressure (SMBP) monitoring is crucial for hypertension management, yet its adoption, particularly among disadvantaged populations, remains low. 'Love Your Heart' is a quality improvement program providing free standard SMBP devices to hypertensive patients, aiming to enhance adoption and assess its impact on blood pressure control. Aims and objectives:This study evaluates the 'Love Your Heart' program's implementation success through assessing adoption rates and exploring changes in systolic blood pressure (SBP) among participants. We aim to understand factors influencing adoption and potential benefits of SMBP monitoring in a diverse, socially disadvantaged patient population. Methods:We retrospectively evaluated the 'Love Your Heart' program using electronic health records (EHR) at a primary care site in Chicago. Adult patients with hypertension were enroled in the 6-month program, which included education sessions and free SMBP devices. Adoption was measured by participation in program components, and changes in SBP were analysed based on adoption status. Statistical analyses were conducted using SAS software, adhering to STROBE reporting guidelines. Results:Of 621 eligible patients, 104 participated, with 83 included in the evaluation. Despite all participants receiving free SMBP devices, adoption rates were modest, with only 7% sharing readings with the care team. However, patients who received device instructions demonstrated greater decreases in SBP compared to those who did not. Although not statistically significant, clinically meaningful decreases in SBP were observed among adopters. Conclusion:The 'Love Your Heart' program highlights the challenges of promoting SMBP monitoring among disadvantaged patient populations. While providing free devices addresses access barriers, low reporting to the care team suggests the need for further support mechanisms. Future research should explore strategies to enhance SMBP adoption and integration into clinical care, particularly in ... |
format |
Text |
author |
Shields, Maureen Guzman, Iridian Rouse, Jackie Siddiqi, Alvia Pletcher, Mark J Khatib, Rasha |
author_facet |
Shields, Maureen Guzman, Iridian Rouse, Jackie Siddiqi, Alvia Pletcher, Mark J Khatib, Rasha |
author_sort |
Shields, Maureen |
title |
Adoption of self-measured blood pressure monitoring in underserved communities: Program evaluation in primary care |
title_short |
Adoption of self-measured blood pressure monitoring in underserved communities: Program evaluation in primary care |
title_full |
Adoption of self-measured blood pressure monitoring in underserved communities: Program evaluation in primary care |
title_fullStr |
Adoption of self-measured blood pressure monitoring in underserved communities: Program evaluation in primary care |
title_full_unstemmed |
Adoption of self-measured blood pressure monitoring in underserved communities: Program evaluation in primary care |
title_sort |
adoption of self-measured blood pressure monitoring in underserved communities: program evaluation in primary care |
publisher |
SHARE @ Advocate Health - Midwest |
publishDate |
2024 |
url |
https://institutionalrepository.aah.org/allother/923 https://doi.org/10.1111/jep.14130 https://libkey.io/libraries/1712/10.1111/jep.14130 |
genre |
Aurora Research Institute |
genre_facet |
Aurora Research Institute |
op_source |
All Other Contributions |
op_relation |
https://institutionalrepository.aah.org/allother/923 doi:10.1111/jep.14130 https://libkey.io/libraries/1712/10.1111/jep.14130 |
op_doi |
https://doi.org/10.1111/jep.14130 |
container_title |
Journal of Evaluation in Clinical Practice |
_version_ |
1810432938026729472 |