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How do patients experience and use home blood pressure monitoring? A qualitative analysis with UTAUT 2

Nymberg, Peter LU orcid ; Bandel, Ida LU ; Bolmsjö, Beata Borgström LU ; Wolff, Moa LU ; Calling, Susanna LU ; Leonardsen, Ann Chatrin Linqvist and MilosNymberg, Veronica LU (2024) In Scandinavian Journal of Primary Health Care
Abstract

Background: Hypertension is an important cardiovascular risk factor with potentially harmful consequences. Home blood pressure monitoring is a promising method for following the effect of hypertension treatment. The use of technology-enabled care and increased patient involvement might contribute to more effective treatment methods. However, more knowledge is needed to explain the motivations and consequences of patients engaging in what has been called ‘do-it-yourself healthcare’. Aim: This study aimed to investigate patients’ experiences of home blood pressure monitoring through the theoretical frame of the Unified Theory of Acceptance and Use of Technology (UTAUT 2). Methods: The study had a qualitative design, with focus group... (More)

Background: Hypertension is an important cardiovascular risk factor with potentially harmful consequences. Home blood pressure monitoring is a promising method for following the effect of hypertension treatment. The use of technology-enabled care and increased patient involvement might contribute to more effective treatment methods. However, more knowledge is needed to explain the motivations and consequences of patients engaging in what has been called ‘do-it-yourself healthcare’. Aim: This study aimed to investigate patients’ experiences of home blood pressure monitoring through the theoretical frame of the Unified Theory of Acceptance and Use of Technology (UTAUT 2). Methods: The study had a qualitative design, with focus group interviews using the web-based platform Zoom. The data were analysed using qualitative deductive content analysis, inspired by Graneheim and Lundman. Results: The results are presented using the seven theoretical constructs of UTAUT 2: Performance Expectancy, Effort Expectancy, Social Influence, Facilitating Conditions, Hedonistic Motivation, Price Value and Habit. We found one overarching theme ‒ ‘It’s all about the feeling of security’. The patients were influenced by relatives or healthcare personnel and experienced the home monitoring process as being easy to conduct. The patients emphasised that the quality of the blood pressure monitor was more important than the price. Patients reported home monitoring of blood pressure as a feasible method to follow-up care of their hypertension. Discussion: This study indicates that among motivated patients, home blood pressure measurement entails minimal effort, increases security, and leads to better communication about blood pressure between healthcare personnel and patients.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
Blood pressure, blood pressure monitoring, focus group interviews, hypertension, hypertension management, qualitative study, self-care
in
Scandinavian Journal of Primary Health Care
publisher
Taylor & Francis
external identifiers
  • scopus:85196547278
  • pmid:38900545
ISSN
0281-3432
DOI
10.1080/02813432.2024.2368849
language
English
LU publication?
yes
id
95bd4feb-7515-48f9-8c3f-c60ec8a5e3b8
date added to LUP
2024-08-28 13:57:40
date last changed
2024-08-29 03:00:12
@article{95bd4feb-7515-48f9-8c3f-c60ec8a5e3b8,
  abstract     = {{<p>Background: Hypertension is an important cardiovascular risk factor with potentially harmful consequences. Home blood pressure monitoring is a promising method for following the effect of hypertension treatment. The use of technology-enabled care and increased patient involvement might contribute to more effective treatment methods. However, more knowledge is needed to explain the motivations and consequences of patients engaging in what has been called ‘do-it-yourself healthcare’. Aim: This study aimed to investigate patients’ experiences of home blood pressure monitoring through the theoretical frame of the Unified Theory of Acceptance and Use of Technology (UTAUT 2). Methods: The study had a qualitative design, with focus group interviews using the web-based platform Zoom. The data were analysed using qualitative deductive content analysis, inspired by Graneheim and Lundman. Results: The results are presented using the seven theoretical constructs of UTAUT 2: Performance Expectancy, Effort Expectancy, Social Influence, Facilitating Conditions, Hedonistic Motivation, Price Value and Habit. We found one overarching theme ‒ ‘It’s all about the feeling of security’. The patients were influenced by relatives or healthcare personnel and experienced the home monitoring process as being easy to conduct. The patients emphasised that the quality of the blood pressure monitor was more important than the price. Patients reported home monitoring of blood pressure as a feasible method to follow-up care of their hypertension. Discussion: This study indicates that among motivated patients, home blood pressure measurement entails minimal effort, increases security, and leads to better communication about blood pressure between healthcare personnel and patients.</p>}},
  author       = {{Nymberg, Peter and Bandel, Ida and Bolmsjö, Beata Borgström and Wolff, Moa and Calling, Susanna and Leonardsen, Ann Chatrin Linqvist and MilosNymberg, Veronica}},
  issn         = {{0281-3432}},
  keywords     = {{Blood pressure; blood pressure monitoring; focus group interviews; hypertension; hypertension management; qualitative study; self-care}},
  language     = {{eng}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Primary Health Care}},
  title        = {{How do patients experience and use home blood pressure monitoring? A qualitative analysis with UTAUT 2}},
  url          = {{http://dx.doi.org/10.1080/02813432.2024.2368849}},
  doi          = {{10.1080/02813432.2024.2368849}},
  year         = {{2024}},
}