Effects of an interactive web-based support system via mobile phone on preference-based patient participation in patients living with hypertension - a randomized controlled trial in primary care
Vestala, Hanna ; Bendtsen, Marcus ; Midlöv, Patrik LU
; Kjellgren, Karin
and Eldh, Ann Catrine
(2024)
In Scandinavian Journal of Primary Health Care
42(1).
p.225-233
- Abstract
OBJECTIVE: To estimate the effects of an interactive web-based support system
via mobile phone on preference-based patient participation in patients with hypertension treated in primary care (compared with standard hypertensive care only).
DESIGN: A parallel group, non-blinded, randomized controlled trial, conducted October 2018-February 2021. Besides standard hypertensive care, the intervention group received eight weeks of support
via mobile phone to facilitate self-monitoring and self-management, tentatively providing for augmented patient engagement.
SETTING: 31 primary healthcare centers in Sweden.
SUBJECTS: 949 patients treated for hypertension.
MAIN OUTCOME MEASURES: The effects on... (More)
OBJECTIVE: To estimate the effects of an interactive web-based support system
via mobile phone on preference-based patient participation in patients with hypertension treated in primary care (compared with standard hypertensive care only).
DESIGN: A parallel group, non-blinded, randomized controlled trial, conducted October 2018-February 2021. Besides standard hypertensive care, the intervention group received eight weeks of support
via mobile phone to facilitate self-monitoring and self-management, tentatively providing for augmented patient engagement.
SETTING: 31 primary healthcare centers in Sweden.
SUBJECTS: 949 patients treated for hypertension.
MAIN OUTCOME MEASURES: The effects on preference-based patient participation, that is, the match between a patient's preferences for and experiences of patient participation in their health and healthcare. This was measured with the 4Ps (Patient Preferences for Patient Participation) tool at baseline, after 8 weeks, and at 12 months. Data were registered electronically and analyzed with multilevel ordinal regression.
RESULTS: At baseline, 43-51% had a complete match between their preferences for and experiences of patient participation. There was an indication of a positive effect by a higher match for 'managing treatment myself' at 8-weeks in the intervention group. Such preference-based participation in their health and healthcare was reversed at 12 months, and no further effects of the intervention on preference-based patient participation persisted after 12 months.
CONCLUSION: The interactive web-based support system
(Less)
via mobile phone had a wavering effect on preference-based patient participation. There is a prevailing need to better understand how person-centered patient participation can be facilitated in primary care.
- author
- Vestala, Hanna
; Bendtsen, Marcus
; Midlöv, Patrik
LU
; Kjellgren, Karin
and Eldh, Ann Catrine
- organization
- publishing date
- 2024-01-12
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Journal of Primary Health Care
- volume
- 42
- issue
- 1
- pages
- 225 - 233
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:85182240495
- pmid:38214748
- ISSN
- 0281-3432
- DOI
- 10.1080/02813432.2023.2301567
- language
- English
- LU publication?
- yes
- id
- 088badd1-eab2-497a-a5be-c61e8520f75d
- date added to LUP
- 2024-01-14 08:10:03
- date last changed
- 2024-04-21 10:52:11
@article{088badd1-eab2-497a-a5be-c61e8520f75d,
abstract = {{<p>OBJECTIVE: To estimate the effects of an interactive web-based support system <br>
via mobile phone on preference-based patient participation in patients with hypertension treated in primary care (compared with standard hypertensive care only).<br>
</p><p>DESIGN: A parallel group, non-blinded, randomized controlled trial, conducted October 2018-February 2021. Besides standard hypertensive care, the intervention group received eight weeks of support<br>
via mobile phone to facilitate self-monitoring and self-management, tentatively providing for augmented patient engagement.<br>
</p><p>SETTING: 31 primary healthcare centers in Sweden.</p><p>SUBJECTS: 949 patients treated for hypertension.</p><p>MAIN OUTCOME MEASURES: The effects on preference-based patient participation, that is, the match between a patient's preferences for and experiences of patient participation in their health and healthcare. This was measured with the 4Ps (Patient Preferences for Patient Participation) tool at baseline, after 8 weeks, and at 12 months. Data were registered electronically and analyzed with multilevel ordinal regression.</p><p>RESULTS: At baseline, 43-51% had a complete match between their preferences for and experiences of patient participation. There was an indication of a positive effect by a higher match for 'managing treatment myself' at 8-weeks in the intervention group. Such preference-based participation in their health and healthcare was reversed at 12 months, and no further effects of the intervention on preference-based patient participation persisted after 12 months.</p><p>CONCLUSION: The interactive web-based support system <br>
via mobile phone had a wavering effect on preference-based patient participation. There is a prevailing need to better understand how person-centered patient participation can be facilitated in primary care.<br>
</p>}},
author = {{Vestala, Hanna and Bendtsen, Marcus and Midlöv, Patrik and Kjellgren, Karin and Eldh, Ann Catrine}},
issn = {{0281-3432}},
language = {{eng}},
month = {{01}},
number = {{1}},
pages = {{225--233}},
publisher = {{Taylor & Francis}},
series = {{Scandinavian Journal of Primary Health Care}},
title = {{Effects of an interactive web-based support system via mobile phone on preference-based patient participation in patients living with hypertension - a randomized controlled trial in primary care}},
url = {{http://dx.doi.org/10.1080/02813432.2023.2301567}},
doi = {{10.1080/02813432.2023.2301567}},
volume = {{42}},
year = {{2024}},
}