Abstract 12057: Improving Hypertension Control and Patient Engagement Using Digital Tools
Introduction: Hypertension (HTN) is present in 30% of the adult US population and is a major contributor to heart and vascular disease. The current office-based approach yields only 50% control rates and low levels of patient activation. Current home technology now provides accurate, reliable data that can be transmitted to the electronic medical record (EMR).
Purpose: To evaluate the feasibility and impact of a home blood pressure (BP) monitoring program on BP control and patient activation in patients with uncontrolled HTN (unHTN).
Methods: We enrolled 125 patients with unHTN (last 3 readings > 140/90) into a home-based digital monitoring program (digital) and compared them to 400 patients (matched to age, gender, BMI and BP) with unHTN in a usual care (UC) group after 6 months. Digital patients completed questionnaires on-line, were asked to submit ≥1 BP reading/week, and received medication management and lifestyle recommendations via a clinical pharmacist and a health coach. BP units were commercially available, that transmitted data to the EMR (Epic).
Results: There were no significant differences at baseline between Digital and UC patients. Digital patients averaged 4.2 BP readings per week. At 6-months 67% of Digital patients versus 32% of UC patients had achieved BP control. Mean drop in systolic/diastolic BP was 15/6 mmHg in Digital versus 7/3 mmHg in UC. Excess sodium consumption decreased from 54% to 41% in the Digital group. Mean patient activation increased from 42.3 to 44.0 (p<0.05) and the percentage of patients with low patient activation decreased from 15.8% to 10.7% (p<0.05). Limitations • Non-randomized trial • Single site
Conclusions: A digital HTN program is feasible and associated with significant improvement in BP control rates and lifestyle change. Utilization of a virtual health intervention using connected devices improves patient activation and is well accepted by patients.
Author Disclosures: R.V. Milani: None. C.J. Lavie: None. R.M. Bober: None. A.R. Milani: None. H.O. Ventura: None.
- © 2016 by American Heart Association, Inc.