MedStar Health Research Institute, Hyattsville, MD 20782, USA.
Milken Institute School of Public Health, George Washington University, Washington, DC 20037, USA.
Int J Environ Res Public Health. 2024 May 8;21(5):603. doi: 10.3390/ijerph21050603.
Cardiovascular disease is the leading cause of maternal death among Black women in the United States. A large, urban hospital adopted remote patient blood pressure monitoring (RBPM) to increase blood pressure monitoring and improve the management of hypertensive disorders of pregnancy (HDP) by reducing the time to diagnosis of HDP. The digital platform integrates with the electronic health record (EHR), automatically inputting RBPM readings to the patients' chart; communicating elevated blood pressure values to the healthcare team; and offers a partial offset of the cost through insurance plans. It also allows for customization of the blood pressure values that prompt follow-up to the patient's risk category. This paper describes a protocol for evaluating its impact. Objective 1 is to measure the effect of the digitally supported RBPM on the time to diagnosis of HDP. Objective 2 is to test the effect of cultural tailoring to Black participants. The ability to tailor digital content provides the opportunity to test the added value of promoting social identification with the intervention, which may help achieve equity in severe maternal morbidity events related to HDP. Evaluation of this intervention will contribute to the growing literature on digital health interventions to improve maternity care in the United States.
心血管疾病是美国黑人女性死亡的主要原因。一家大型城市医院采用远程患者血压监测（RBPM）来增加血压监测，并通过减少 HDP 的诊断时间来改善妊娠高血压疾病（HDP）的管理。该数字平台与电子健康记录（EHR）集成，自动将 RBPM 读数输入患者图表；将升高的血压值传达给医疗保健团队；并通过保险计划部分抵消成本。它还允许根据患者的风险类别定制提示跟进的血压值。本文介绍了评估其影响的方案。目标 1 是衡量数字支持的 RBPM 对 HDP 诊断时间的影响。目标 2 是测试对黑人参与者的文化调整的效果。定制数字内容的能力为测试干预措施促进社会认同的附加值提供了机会，这可能有助于实现与 HDP 相关的严重产妇发病率事件的公平性。对该干预措施的评估将有助于丰富关于改善美国产妇保健的数字健康干预措施的文献。
