Person-centredness in Hypertension Management using Information Technology (PERHIT): a Randomized Controlled Trial in Primary Care Passed
Wednesday May 15, 2024 14:30 - 15:13 Poster Arena
Presenter: Ulrika Andersson
Track: Posters, Evaluation of Interventions
Poster can be found in location 103.
Background: Despite the availability of effective hypertension treatments, fewer than half of the patients with hypertension in primary care reach target blood pressure (BP). With health care based on a person-centred approach, where the patient´s knowledge, capabilities and resources are recognized, more patients may find insight and motivation to adhere to treatment. IT-solutions has the potential to support patients’ self-management of chronic conditions, such as hypertension. Methods: We conducted the PERson-centredness in Hypertension management using Information Technology (PERHIT) randomized controlled trial across four Swedish primary care regions, enrolling over 900 patients with hypertension [1]. The intervention group received a home BP monitor and used an interactive web-based support system for eight weeks. They self-reported daily, via their own mobile phone; BP and pulse, and rated their wellbeing, physical activities, symptoms and side effects during the day. Patients had access to graphical feedback through a secure web portal and were offered to receive motivational messages. Follow-up consultations with the patient´s nurse or physician occurred after eight weeks and after twelve months. Results: Significantly more patients in the intervention group achieved BP < 140/90 mmHg after eight weeks compared to the control group, though the long-term effects remained uncertain [2]. Both patients and professionals found the system valuable for communication about BP and lifestyle. The patients became more actively engaged in their treatment and both patients and professionals described a more personalized and equal consultation based in the patient’s experiences and insights [3].
Seminar type
Poster
Conference
GCPCC
Authors
Ulrika Andersson, Ulrika Bengtsson, Karin Kjellgren, Patrik Midlöv
Lecturers
Ulrika Andersson Presenter
MD, PhD
Lunds universitet
Specialist in general medicine with a research interest in management of chronic conditions and digital health in primary care.