@Article{info:doi/10.2196/33057,
author="Wilson-Anumudu, Folasade
and Quan, Ryan
and Cerrada, Christian
and Juusola, Jessie
and Castro Sweet, Cynthia
and Bradner Jasik, Carolyn
and Turken, Michael",
title="Pilot Results of a Digital Hypertension Self-management Program Among Adults With Excess Body Weight: Single-Arm Nonrandomized Trial",
journal="JMIR Form Res",
year="2022",
month="Mar",
day="30",
volume="6",
number="3",
pages="e33057",
keywords="hypertension; self-management; digital health; home measurement; lifestyle",
abstract="Background: Home-measured blood pressure (HMBP) in combination with comprehensive medication support and lifestyle change are the mainstays of evidence-based hypertension (HTN) management. To date, the precise components needed for effective HTN self-management programs have yet to be defined, and access to multicomponent targeted support for HTN management that include telemonitoring remain inaccessible and costly. Objective: The aim of this pilot study was to evaluate the impact of a digital HTN self-management program on blood pressure (BP) control among adults with excess body weight. Methods: A single-arm, nonrandomized trial was performed to evaluate a digital HTN self-management program that combines comprehensive lifestyle counseling with HTN education, guided HMBP, support for taking medications, and led by either a registered nurse or certified diabetes care and education specialist. A sample of 151 participants were recruited using a web-based research platform (Achievement Studies, Evidation Health Inc). The primary outcome was change in systolic BP from baseline to 3 months, and secondary outcomes included change in diastolic BP and medication adherence. Results: Participants' mean age was 44.0 (SD 9.3) years and mean BP was 139/85 mm Hg. At follow-up, systolic and diastolic BP decreased by 7 mm Hg (P<.001, 95{\%} CI --9.3 to --4.7) and 4.7 mm Hg (P<.001, 95{\%} CI --6.3 to --3.2), respectively. Participants who started with baseline BP at goal remained at goal. For participants with stage 1 HTN, systolic and diastolic BP decreased by 3.6 mm Hg (P=.09, 95{\%} CI --7.8 to 0.6) and 2.5 mm Hg (P=.03, 95{\%} CI --4.9 to --0.3). Systolic and diastolic BP decreased by 10.3 mm Hg (P<.001, 95{\%} CI --13.4 to --7.1) and 6.5 mm Hg (P<.001, 95{\%} CI --8.6 to --4.4), respectively, for participants with stage 2 HTN. Medication adherence significantly improved (P=.02). Conclusions: This pilot study provides initial evidence that a digital HTN self-management program improves BP and medication adherence. ",
issn="2561-326X",
doi="10.2196/33057",
url="https://formative.jmir.org/2022/3/e33057",
url="https://doi.org/10.2196/33057",
url="http://www.ncbi.nlm.nih.gov/pubmed/35353040"
}