Features Facilitating Patients’ Acceptance of Collaboration Oriented Application for Controlling High Blood Pressure (COACH)
Year: 2023
Type: conference-paper
Abstract: Context: Hypertension is one of the most common health conditions among adults in the U.S. and can lead to serious complications like heart attack and stroke. Implementing hypertension interventions that successfully promote patient engagement as partners and involving them early in developing clinical decision support (CDS) tools for use alongside their care teams is critical. Objective: Meet information needs of patients with hypertension and facilitate seamless adoption and integration of COACH into 2 electronic health records systems through pre-implementation patient evaluation of the COACH app and planned intervention. Study Design: Among the 3 participating locations, we used a multipronged approach in response to each site’s preferred data collection method -a community engagement studio, an in-person and an online focus group-responsive to recommendations from each site’s primary investigator. Patient responses from the focus groups were analyzed using thematic analysis with Dedoose qualitative analysis software. Setting: Online and in-person engagement with patients of family and general internal medicine clinics at academic health centers located in Missouri, Tennessee, and Oregon. Population Studied: Adults primary care patients with hypertension. Intervention: COACH is a patient-centered portal application that captures home and office BP readings to help patients selfmanage their blood pressure at home. Outcome Measures: Patient-identified facilitators, barriers, and needs in the pre-implementation phase to ensure patient engagement in the pragmatic trial of COACH. Results: 3 focus groups, one at each site, total n=17 patients. Identified themes that can facilitate patients’ engagement in, and acceptance of COACH are relative advantage (compatibility with portal, reduce documenting home blood pressure readings, communication with healthcare team), customization and guidance (goal settings, tutorial), motivational aspects (messages, emoji), user friendliness (easy to navigate), and look and feel (simple, higher contrast color, bigger fonts). Conclusions: By using patients’ perspective to refine COACH design, these results will facilitate the implementation of COACH and promote long-term adoption by adult patients for self-management of hypertension.
Source: Hypertension
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4388735990