Experiences of patients and professionals participating in the HITS home blood pressure telemonitoring trial: a qualitative study: Table 1

Ure, Jenny; Hanley, Janet; Ure, Jenny P; Pagliari, Claudia; Sheikh, Aziz; McKinstry, Brian

Abstract

Objectives To explore the experiences of patients and professionals taking part in a randomised controlled trial (RCT) of remote blood pressure (BP) telemonitoring supported by primary care. To identify factors facilitating or hindering the effectiveness of the intervention and those likely to influence its potential translation to routine practice.


Design Qualitative study adopting a qualitative descriptive approach.


Participants 25 patients, 11 nurses and 9 doctors who were participating in an RCT of BP telemonitoring. A maximum variation sample of patients from within the trial based on age, sex and deprivation status of the practice was sought.


Setting 6 primary care practices in Scotland.


Method Data were collected via taped semistructured interviews. Initial thematic analysis was inductive. Multiple strategies were employed to ensure that the analysis was credible and trustworthy.


Results Prior to the trial, both patients and professionals were reluctant to increase the medication based on single BP measurements taken in the surgery. BP measurements based on multiple electronic readings were perceived as more accurate as a basis for action. Patients using telemonitoring became more engaged in the clinical management of their condition. Professionals reported that telemonitoring challenged existing roles and work practices and increased workload. Lack of integration of telemonitoring data with the electronic health record was perceived as a drawback.


Conclusions BP telemonitoring in a usual care setting can provide a trusted basis for medication management and improved BP control. It increases patients’ engagement in the management of their condition, but supporting telemetry and greater patient engagement can increase professional workloads and demand changes in service organisation. Successful service design in practice would have to take account of how additional roles and responsibilities could be realigned with existing work and data management practices. The embedded qualitative study was included in the protocol for the HITS trial registered with ISRCTN no. 72614272

Citation

Ure, J., Hanley, J., Ure, J. P., Pagliari, C., Sheikh, A., & McKinstry, B. (2013). Experiences of patients and professionals participating in the HITS home blood pressure telemonitoring trial: a qualitative study: Table 1. BMJ Open, 3(5), Article e002671. https://doi.org/10.1136/bmjopen-2013-002671

• Journal Article Type: Article
• Online Publication Date: May 23, 2013
• Publication Date: 2013-05
• Deposit Date: Mar 27, 2014
• Publicly Available Date: Mar 27, 2014
• Electronic ISSN: 2044-6055
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 3
• Issue: 5
• Article Number: e002671
• DOI: https://doi.org/10.1136/bmjopen-2013-002671
• Keywords: remote blood pressure (BP); telemonitoring; primary care; patient engagement
• Public URL: http://researchrepository.napier.ac.uk/id/eprint/6664
• Publisher URL: http://dx.doi.org/10.1136/bmjopen-2013-002671
• Contract Date: Mar 27, 2014