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PERson-centredness in hypertension management using information technology (PERHIT) : a protocol for a randomised controlled trial in primary health care

Midlöv, Patrik LU orcid ; Nilsson, Peter M LU ; Bengtsson, Ulrika ; Hoffmann, Mikael ; Wennersten, André LU ; Andersson, Ulrika LU orcid ; Malmqvist, Ulf LU ; Steen Carlsson, Katarina LU orcid ; Ranerup, Agneta and Kjellgren, Karin (2020) In Blood Pressure 29(3). p.149-156
Abstract

Purpose: For primary health care (PHC), hypertension is the number one diagnosis for planned health care visits. The treatment of high blood pressure (BP) and its consequences constitutes a substantial economic burden. In spite of efficient antihypertensive medications, a low percentage of patients reach a well-controlled BP. The PERson-centredness in Hypertension management using Information Technology (PERHIT) Study is a multicentre randomised controlled trial. PERHIT is designed to evaluate the effect of supporting self-management on systolic blood pressure by the use of information technology in Swedish primary health care.Materials and Methods: After inclusion, 900 patients from 36 PHC centres are randomised to two groups. In the... (More)

Purpose: For primary health care (PHC), hypertension is the number one diagnosis for planned health care visits. The treatment of high blood pressure (BP) and its consequences constitutes a substantial economic burden. In spite of efficient antihypertensive medications, a low percentage of patients reach a well-controlled BP. The PERson-centredness in Hypertension management using Information Technology (PERHIT) Study is a multicentre randomised controlled trial. PERHIT is designed to evaluate the effect of supporting self-management on systolic blood pressure by the use of information technology in Swedish primary health care.Materials and Methods: After inclusion, 900 patients from 36 PHC centres are randomised to two groups. In the intervention group, patients are provided with a self-management support system including a home-BP monitor and further requested to perform self-reports and measure BP every evening for eight consecutive weeks. In the control group, patients receive treatment as usual.Results: The primary outcome will be the change in systolic blood pressure in patients with hypertension. In addition, person-centredness, daily life activities, awareness of risk and health care costs will also be evaluated.Conclusion: The results of this randomised controlled trial with assessment of blood pressure and same-day self-reports will provide patients a tool to understand the interplay between blood pressure and lifestyle applicable to primary health care. The self-management support system may be of importance for improved adherence to treatment and persistence to treatment recommendations.

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; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Blood Pressure
volume
29
issue
3
pages
8 pages
publisher
Taylor & Francis
external identifiers
  • pmid:31814476
  • scopus:85076414361
ISSN
0803-7051
DOI
10.1080/08037051.2019.1697177
language
English
LU publication?
yes
id
d0087986-34da-4fb3-a89a-51cb808e8a3c
date added to LUP
2019-12-14 12:42:44
date last changed
2024-04-17 01:45:36
@article{d0087986-34da-4fb3-a89a-51cb808e8a3c,
  abstract     = {{<p>Purpose: For primary health care (PHC), hypertension is the number one diagnosis for planned health care visits. The treatment of high blood pressure (BP) and its consequences constitutes a substantial economic burden. In spite of efficient antihypertensive medications, a low percentage of patients reach a well-controlled BP. The PERson-centredness in Hypertension management using Information Technology (PERHIT) Study is a multicentre randomised controlled trial. PERHIT is designed to evaluate the effect of supporting self-management on systolic blood pressure by the use of information technology in Swedish primary health care.Materials and Methods: After inclusion, 900 patients from 36 PHC centres are randomised to two groups. In the intervention group, patients are provided with a self-management support system including a home-BP monitor and further requested to perform self-reports and measure BP every evening for eight consecutive weeks. In the control group, patients receive treatment as usual.Results: The primary outcome will be the change in systolic blood pressure in patients with hypertension. In addition, person-centredness, daily life activities, awareness of risk and health care costs will also be evaluated.Conclusion: The results of this randomised controlled trial with assessment of blood pressure and same-day self-reports will provide patients a tool to understand the interplay between blood pressure and lifestyle applicable to primary health care. The self-management support system may be of importance for improved adherence to treatment and persistence to treatment recommendations.</p>}},
  author       = {{Midlöv, Patrik and Nilsson, Peter M and Bengtsson, Ulrika and Hoffmann, Mikael and Wennersten, André and Andersson, Ulrika and Malmqvist, Ulf and Steen Carlsson, Katarina and Ranerup, Agneta and Kjellgren, Karin}},
  issn         = {{0803-7051}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{149--156}},
  publisher    = {{Taylor & Francis}},
  series       = {{Blood Pressure}},
  title        = {{PERson-centredness in hypertension management using information technology (PERHIT) : a protocol for a randomised controlled trial in primary health care}},
  url          = {{http://dx.doi.org/10.1080/08037051.2019.1697177}},
  doi          = {{10.1080/08037051.2019.1697177}},
  volume       = {{29}},
  year         = {{2020}},
}