Clapham Eleanor, Picone Dean, Carmichael Samuel, Bonner Carissa, Chapman Niamh
School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia.
JMIR Infodemiology. 2025 Apr 3;5:e55248. doi: 10.2196/55248.
High blood pressure (≥140/90 mm Hg) is the most prominent mortality risk factor worldwide. Home blood pressure measurement (HBPM) is recommended for blood pressure (BP) management. HBPM is most effective to improve BP management when delivered with patient education. It is unknown whether web-based resources are appropriate for patient education for HBPM. Patient education should provide accurate, evidence-based information, communicate at an eighth grade reading level, and involve end users in development to meet the needs of adults of all health literacy levels. Using these criteria, this study aimed to determine the appropriateness of web-based HBPM resources.
This study aimed to determine whether web-based resources are appropriate for HBPM education based on three research questions: (1) Do web-based resources provide evidence-based information that aligns with guideline recommendations? (2) Do they communicate at an appropriate reading level? (3) Do they involve end users in their development?
An environmental scan of web-based resources for HBPM was conducted on Google (October 2022) using search terms developed with consumers (n=6). Resources were included if they were identified on the first page of the search findings, not paywalled, and in English. Resource appropriateness was appraised based on three criteria: (1) alignment of resource content to 23 recommendations for HBPM from 6 international guidelines, (2) being at an appropriate grade reading level as determined by a health literacy assessment software, and (3) having evidence of end user involvement in resource development.
None of the identified resources (n=24) aligned with all 23 of the guideline recommendations. All resources aligned with the recommendation to measure BP when seated, while few aligned with the recommendation to use a validated BP device (n=9, 38%). All resources exceeded the recommended eighth grade reading level (mean 11.8, range 8.8-17.0) and none reported evidence of patient end user involvement in development.
None of the web-based resources met the criteria for appropriate education to support adults to measure BP at home. Resources should be developed with end users using health literacy tools and multimodal communication methods to ensure they are appropriate to meet the needs of patients.
高血压（≥140/90毫米汞柱）是全球最突出的死亡风险因素。家庭血压测量（HBPM）被推荐用于血压管理。当与患者教育相结合时，HBPM对改善血压管理最为有效。基于网络的资源是否适用于HBPM患者教育尚不清楚。患者教育应提供准确、基于证据的信息，以八年级阅读水平进行沟通，并让最终用户参与开发，以满足所有健康素养水平成年人的需求。本研究旨在根据这些标准确定基于网络的HBPM资源的适用性。
本研究旨在基于三个研究问题确定基于网络的资源是否适用于HBPM教育：（1）基于网络的资源是否提供与指南建议一致的循证信息？（2）它们是否以适当的阅读水平进行沟通？（3）它们是否让最终用户参与其开发？
2022年10月在谷歌上使用与消费者共同制定的搜索词（n = 6）对基于网络的HBPM资源进行了环境扫描。如果资源在搜索结果的第一页被识别、无付费墙且为英文，则将其纳入。根据三个标准评估资源的适用性：（1）资源内容与6项国际指南中关于HBPM的23项建议的一致性；（2）由健康素养评估软件确定的适当年级阅读水平；（3）有证据表明最终用户参与了资源开发。
所识别的资源（n = 24）均未与所有23项指南建议一致。所有资源均符合坐着测量血压的建议，而很少有资源符合使用经过验证的血压设备的建议（n = 9，38%）。所有资源均超过了建议的八年级阅读水平（平均11.8，范围8.8 - 17.0），且均未报告有患者最终用户参与开发的证据。
没有基于网络的资源符合支持成年人在家测量血压的适当教育标准。应与最终用户一起使用健康素养工具和多模式沟通方法来开发资源，以确保它们适合满足患者的需求。
