Next Article in Journal
The Experience of Caregivers Living with Cancer Patients: A Systematic Review and Meta-Synthesis
Next Article in Special Issue
Patients’ Online Access to Their Primary Care Electronic Health Records and Linked Online Services: Implications for Research and Practice
Previous Article in Journal
Complexities of Adherence and Post-Cancer Lymphedema Management
Article Menu

Export Article

Open AccessArticle
J. Pers. Med. 2015, 5(4), 389-405; doi:10.3390/jpm5040389

Evaluation of an mHealth Medication Regimen Self-Management Program for African American and Hispanic Uncontrolled Hypertensives

1
College of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA
2
College of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Maged N. Kamel Boulos
Received: 28 August 2015 / Revised: 3 November 2015 / Accepted: 6 November 2015 / Published: 17 November 2015
(This article belongs to the Special Issue Smart, Personalized Digital Health and Medicine)
View Full-Text   |   Download PDF [668 KB, uploaded 17 November 2015]   |  

Abstract

African Americans and Hispanics have disproportionate rates of uncontrolled essential hypertension (EH) compared to Non-Hispanic Whites. Medication non-adherence (MNA) is the leading modifiable behavior to improved blood pressure (BP) control. The Smartphone Medication Adherence Stops Hypertension (SMASH) program was developed using a patient-centered, theory-guided, iterative design process. Electronic medication trays provided reminder signals, and Short Message Service [SMS] messaging reminded subjects to monitor BP with Bluetooth-enabled monitors. Motivational and reinforcement text messages were sent to participants based upon levels of adherence. Thirty-eight African-American (18) and Hispanic (20) uncontrolled hypertensives completed clinic-based anthropometric and resting BP evaluations prior to randomization, and again at months 1, 3 and 6. Generalized linear mixed modeling (GLMM) revealed statistically significant time-by-treatment interactions (p < 0.0001) indicating significant reductions in resting systolic blood pressure (SBP) and diastolic blood pressure (DBP) for the SMASH group vs. the standard care (SC) control group across all time points. 70.6% of SMASH subjects vs. 15.8% of the SC group reached BP control (< 140/90 mmH) at month 1 (p < 0.001). At month 6, 94.4% of the SMASH vs. 41.2% of the SC group exhibited controlled BP (p < 0.003). Our findings provide encouraging evidence that efficacious mHealth, chronic disease, medical regimen, self-management programs can be developed following principles of patient-centered, theory-guided design. View Full-Text
Keywords: mHealth; iterative design; essential hypertension; patient centered mHealth; iterative design; essential hypertension; patient centered
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Davidson, T.M.; McGillicuddy, J.; Mueller, M.; Brunner-Jackson, B.; Favella, A.; Anderson, A.; Torres, M.; Ruggiero, K.J.; Treiber, F.A. Evaluation of an mHealth Medication Regimen Self-Management Program for African American and Hispanic Uncontrolled Hypertensives. J. Pers. Med. 2015, 5, 389-405.

Show more citation formats Show less citations formats

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
J. Pers. Med. EISSN 2075-4426 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top