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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].   

Language

English

Seminar type

Poster

Conference

GCPCC

Authors

Ulrika Andersson, Ulrika Bengtsson, Karin Kjellgren, Patrik Midlöv

Lecturers

Profile image for Ulrika Andersson

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.