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PERson-centredness in hypertension management using information technology (PERHIT): a protocol for a randomised controlled trial in primary health care
Lund Univ, Sweden.
Lund Univ, Sweden.
Univ Gothenburg, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences.
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2020 (English)In: Blood Pressure, ISSN 0803-7051, E-ISSN 1651-1999Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: For primary health care (PHC), hypertension is the number one diagnosis for planned health care visits. The treatment of high blood pressure (BP) and its consequences constitutes a substantial economic burden. In spite of efficient antihypertensive medications, a low percentage of patients reach a well-controlled BP. The PERson-centredness in Hypertension management using Information Technology (PERHIT) Study is a multicentre randomised controlled trial. PERHIT is designed to evaluate the effect of supporting self-management on systolic blood pressure by the use of information technology in Swedish primary health care. Materials and Methods: After inclusion, 900 patients from 36 PHC centres are randomised to two groups. In the intervention group, patients are provided with a self-management support system including a home-BP monitor and further requested to perform self-reports and measure BP every evening for eight consecutive weeks. In the control group, patients receive treatment as usual. Results: The primary outcome will be the change in systolic blood pressure in patients with hypertension. In addition, person-centredness, daily life activities, awareness of risk and health care costs will also be evaluated. Conclusion: The results of this randomised controlled trial with assessment of blood pressure and same-day self-reports will provide patients a tool to understand the interplay between blood pressure and lifestyle applicable to primary health care. The self-management support system may be of importance for improved adherence to treatment and persistence to treatment recommendations.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2020.
Keywords [en]
Blood pressure; information technology; mobile phone; person-centred care; self monitoring
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:liu:diva-162949DOI: 10.1080/08037051.2019.1697177ISI: 000501433200001PubMedID: 31814476OAI: oai:DiVA.org:liu-162949DiVA, id: diva2:1382357
Note

Funding Agencies|Kamprad Foundation [20170102]; Heart- and Lung FoundationSwedish Heart-Lung Foundation [20170251]; Swedish Research CouncilSwedish Research Council [2018-02648]; Gothenburg Centre for Person-Centred Care (GPCC)

Available from: 2020-01-02 Created: 2020-01-02 Last updated: 2020-03-09

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