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Moving toward community based telehealth services using mhealth for hypertensive patients

Published online by Cambridge University Press:  24 September 2019

Sahar Zare ,
Rita Rezaee Open the ORCID record for Rita Rezaee [Opens in a new window] ,
Azam Aslani ,
Mohammad Shirdeli  and
Javad Kojuri
Sahar Zare
Affiliation:
Health Information Management, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
Rita Rezaee*
Affiliation:
Department of Health Information Technology, Clinical Education Research Center, Human Resources Development Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Azam Aslani
Affiliation:
Department of Health Information Management, Human Resources Development Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Mohammad Shirdeli
Affiliation:
Health Information Management, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
Javad Kojuri
Affiliation:
Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
*
Author for correspondence: Rita Rezaee, E-mail: [email protected]
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Abstract

Background

Although self-care can control and prevent complications in hypertensive patients, self-care adherence is relatively low among these patients. Community-based telehealth services through mhealth can be an effective solution.

Objective

This study aimed to evaluate the effect and acceptance of an mhealth application as a community-based telehealth intervention on self-care behavior adherence.

Method

This clinical trial included sixty hypertensive patients and their matched controls from two heart clinics affiliated to Shiraz University of Medical Sciences (SUMS). Self-care behaviors were assessed using Hill-Bone questionnaire before and after the intervention. Acceptability was evaluated in the intervention group at the end of the study period. The data were analyzed via SPSS 18 software using descriptive and inferential statistics.

Result

The results showed a significant difference between the intervention and control groups regarding the mean score of self-care behaviors (4.13 ± 0.23 versus 3.18 ± 0.27, p < .001). Additionally, a significant difference was observed between the two groups concerning the mean scores of the two subscales of self-care behaviors, including “medication taking” and “proper diet”. However, no significant difference was observed between the two groups regarding the mean score of “appointment keeping” (p = .075). Overall, the intervention group participants were satisfied (4.27 ± 0.34) with this approach for managing hypertension.

Conclusion

Community-based telehealth services through mhealth had the potential to improve self-care behaviors in hypertensive patients and seemed to be accepted by the patients in the intervention group.

Keywords

Community healthSelf-careMobile healthHypertension
Type
Assessment
Information
International Journal of Technology Assessment in Health Care , Volume 35 , Issue 5 , 2019 , pp. 379 - 383
Copyright
Copyright © Cambridge University Press 2019 

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