Eze Chinwe E, Dorsch Michael P, Coe Antoinette B, Lester Corey A, Buis Lorraine R, Farris Karen B
College of Pharmacy, University of Michigan, Ann Arbor, MI, USA.
Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
Digit Health. 2023 Jul 25;9:20552076231187585. doi: 10.1177/20552076231187585. eCollection 2023 Jan-Dec.
Telemonitoring of blood pressure (BP) may improve BP control. However, many patients are not using BP telemonitoring due to personal, technological, and health system barriers. Individuals are required to have electronic health literacy (e-HL), defined as knowledge and skills to use technology services effectively, such as BP telemonitoring.
The objective was to determine the facilitators and barriers experienced by patients with hypertension in telemonitoring of BP using the e-HL framework (e-HLF).
This study was a prospective mixed-methods study using a convergent design. We recruited a convenience sample of 21 patients with hypertension. The qualitative section was online or phone individual in-depth interviews based on the e-HLF, which has seven domains. The quantitative section was an online survey consisting of demographics, an e-HL questionnaire, and patient-provider communication preferences. A joint display was used in the mixed-methods analysis.
Five themes including knowledge, motivation, skills, systems, and behaviors along with 28 subthemes comprising facilitators or barriers of BP telemonitoring were identified. The mixed-methods results showed concordance between the participants' e-HL status and their experiences in the ability to actively engage with BP monitoring and managing digital services (domain 3) of the e-HLF. Other e-HL domains showed discordance.
Patients may engage with BP telemonitoring when they feel the usefulness of concurrent access to telemonitoring services that suit their needs.
血压远程监测可能会改善血压控制情况。然而，由于个人、技术和卫生系统等方面的障碍，许多患者并未使用血压远程监测。个人需要具备电子健康素养（e-HL），即有效使用技术服务（如血压远程监测）的知识和技能。
目的是使用电子健康素养框架（e-HLF）确定高血压患者在血压远程监测中所经历的促进因素和障碍。
本研究是一项采用聚合设计的前瞻性混合方法研究。我们招募了21名高血压患者的便利样本。定性部分是基于具有七个领域的e-HLF进行的在线或电话个人深度访谈。定量部分是一项在线调查，包括人口统计学、电子健康素养问卷以及患者与提供者的沟通偏好。在混合方法分析中使用了联合展示。
确定了五个主题，包括知识、动机、技能、系统和行为，以及28个子主题，涵盖血压远程监测的促进因素或障碍。混合方法结果显示，参与者的电子健康素养状况与他们在积极参与血压监测和管理e-HLF数字服务（领域3）的能力方面的经历之间存在一致性。其他电子健康素养领域则存在不一致。
当患者认为同时使用符合其需求的远程监测服务有用时，他们可能会参与血压远程监测。
