Senecal Conor, Widmer R Jay, Johnson Matthew P, Lerman Lilach O, Lerman Amir
Division of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic and College of Medicine, Rochester, MN, USA.
Division of Biomedical Statistics and Informatics, Mayo Clinic and College of Medicine, Rochester, MN, USA.
J Am Soc Hypertens. 2018 Oct;12(10):695-702. doi: 10.1016/j.jash.2018.05.006. Epub 2018 May 30.
Hypertension is a common and difficult-to-treat condition; digital health tools may serve as adjuncts to traditional pharmaceutical and lifestyle-based interventions. Using a retrospective observational study we sought to evaluate the effect of a desktop and mobile digital health intervention (DHI) as an adjunct to a workplace health program in those previously diagnosed with hypertension.
As part of a workplace health program, 3330 patients were identified as previously diagnosed with hypertension. A DHI was made available to participants providing motivational and educational materials assisting in the management of hypertension. We evaluated changes in blood pressure, weight, and body mass index (BMI) between users and nonusers based on login frequency to the DHI using multivariate regression through the five visits over the course of 1 year.
One thousand six hundred twenty-two (49%) participants logged into the application at least once. DHI users had significant greater improvements in systolic blood pressure (SBP; -2.79 mm Hg), diastolic blood pressure (-2.12 mm Hg), and BMI (-0.23 kg/m) at 1 year. Increased login frequency was significantly correlated with reductions in SBP, diastolic blood pressure, weight, and BMI (P ≤ .014).
This large, observational study provides evidence that a DHI as an adjunct to a workplace health program is associated with greater improvement in blood pressure and BMI at 1 year. This study adds to the growing body of evidence that DHIs may be useful in augmenting the treatment of hypertension in addition to traditional management with pharmaceuticals and lifestyle changes.
高血压是一种常见且难以治疗的疾病；数字健康工具可作为传统药物和生活方式干预的辅助手段。我们通过一项回顾性观察研究，旨在评估桌面和移动数字健康干预（DHI）作为工作场所健康计划辅助手段对先前被诊断为高血压患者的效果。
作为工作场所健康计划的一部分，3330名患者被确定为先前被诊断患有高血压。向参与者提供了DHI，其中包含有助于高血压管理的激励和教育材料。我们通过对1年内五次就诊时DHI登录频率的多变量回归分析，评估了使用者和非使用者之间血压、体重和体重指数（BMI）的变化。
1622名（49%）参与者至少登录过一次该应用程序。1年后，DHI使用者的收缩压（SBP；-2.79mmHg）、舒张压（-2.12mmHg）和BMI（-0.23kg/m²）有显著更大的改善。登录频率增加与SBP、舒张压、体重和BMI的降低显著相关（P≤0.014）。
这项大型观察性研究提供了证据，表明DHI作为工作场所健康计划的辅助手段，在1年后与血压和BMI的更大改善相关。这项研究进一步补充了越来越多的证据，即除了传统的药物治疗和生活方式改变外，DHI可能有助于增强高血压的治疗效果。
