scholarly journals Usability and Acceptability of a Home Blood Pressure Telemonitoring Device Among Community-Dwelling Senior Citizens With Hypertension: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Lauren Albrecht ◽  
Peter W Wood ◽  
Miriam Fradette ◽  
Finlay A. McAlister ◽  
Doreen Rabi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Qualitative Study ◽  
Senior Citizens ◽  
Target Population ◽  
Home Blood Pressure ◽  
Community Dwelling ◽  
Older Individuals ◽  
Care Providers ◽  
Qualitative Descriptive ◽  
Device Use

BACKGROUND Hypertension is a major cause of cardiovascular disease in older individuals. To ensure that blood pressure (BP) levels are within the optimal range, accurate BP monitoring is required. Contemporary hypertension clinical practice guidelines strongly endorse the use of home BP measurement as a preferred method of BP monitoring for individuals with hypertension. The benefits of home BP monitoring may be optimized when measurements are telemonitored to care providers; however, this may be challenging for older individuals with less technological capabilities. OBJECTIVE The objective of this qualitative study was to examine the usability and acceptability of a home BP telemonitoring device among senior citizens. METHODS We conducted a qualitative descriptive study. Following a 1-week period of device use, individual, semistructured interviews were conducted. Interview audio recordings were anonymized, de-identified, and transcribed verbatim. We performed thematic analysis on interview transcripts. RESULTS Seven senior citizens participated in the usability testing of the home BP telemonitoring device. Participants comprised females (n=4) and males (n=3) with a mean age of 86 years (range, 70-95 years). Overall, eight main themes were identified from the interviews: (1) positive features of the device; (2) difficulties or problems with the device; (3) device was simple to use; (4) comments about wireless capability and components; (5) would recommend device to someone else; (6) would use device in future; (7) suggestions for improving the device; and (8) assistance to use device. Additional subthemes were also identified. CONCLUSIONS Overall, the home BP telemonitoring device had very good usability and acceptability among community-dwelling senior citizens with hypertension. To enhance its long-term use, few improvements were noted that may mitigate some of the relatively minor challenges encountered by the target population.

scholarly journals Usability and Acceptability of a Home Blood Pressure Telemonitoring Device Among Community-Dwelling Senior Citizens With Hypertension: Qualitative Study

JMIR Aging ◽  
10.2196/10975 ◽  
2018 ◽  
Vol 1 (2) ◽  
pp. e10975 ◽  
Author(s):  
Lauren Albrecht ◽  
Peter W Wood ◽  
Miriam Fradette ◽  
Finlay A McAlister ◽  
Doreen Rabi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Qualitative Study ◽  
Senior Citizens ◽  
Home Blood Pressure ◽  
Community Dwelling

scholarly journals Stroke patients' perceptions of home blood pressure monitoring: a qualitative study

2011 ◽  
Vol 61 (590) ◽  
pp. e604-e610 ◽  
Author(s):  
Shazia Ovaisi ◽  
Judith Ibison ◽  
Miranda Leontowitsch ◽  
Geoff Cloud ◽  
Pippa Oakeshott ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Qualitative Study ◽  
Blood Pressure Monitoring ◽  
Home Blood Pressure ◽  
Home Blood Pressure Monitoring ◽  
Pressure Monitoring ◽  
Stroke Patients

scholarly journals Unmet Needs and Coping Mechanisms Among Community-Dwelling Senior Citizens in the Philippines: A Qualitative Study

2019 ◽  
Vol 16 (19) ◽  
pp. 3745 ◽  
Author(s):  
Carandang ◽  
Asis ◽  
Shibanuma ◽  
Kiriya ◽  
Murayama ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Social Services ◽  
Health Care Services ◽  
Unmet Needs ◽  
Senior Citizens ◽  
Coping Mechanisms ◽  
The Philippines ◽  
Community Dwelling ◽  
Health Providers ◽  
The Government

The Philippine government is facing a burden of improving health and social services for both the growing elderly and young population. The extent of discussion on aging issues and concerns, however, is minimal at best. Therefore, this study aimed to examine the perceptions of unmet needs and to explore the coping mechanisms of senior citizens across local stakeholders in an urban area in the Philippines. In this qualitative study, we collected data using focus group discussions among senior citizens (n = 4) and health providers (n = 4) as well as in-depth interviews among local administrators (n = 7). We analyzed the data through thematic analysis using the social determinants of health as the theoretical framework. We used qualitative research software NVivo10® to track the coding and manage the data. Four major themes related to unmet needs emerged in the analyses: (1) financial security, (2) health care services, (3) age-friendly environment, and (4) family support. Senior citizens responded either positively or negatively to cope with the challenges associated with aging. The government must then revisit existing national policies to address their unmet needs. Actions should be taken to strengthen positive coping and modifying the negative coping mechanisms, with a particular focus on community and family interventions.

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

BMJ Open ◽  
2013 ◽  
Vol 3 (5) ◽  
pp. e002671 ◽  
Author(s):  
Janet Hanley ◽  
Jenny Ure ◽  
Claudia Pagliari ◽  
Aziz Sheikh ◽  
Brian McKinstry
Keyword(s):  
Blood Pressure ◽  
Qualitative Study ◽  
Home Blood Pressure

scholarly journals Let’s talk numbers: a qualitative study of community-dwelling US adults to understand the role of numeracy in the management of heart failure

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e023073 ◽  
Author(s):  
Madeline R Sterling ◽  
Ariel F Silva ◽  
Laura Robbins ◽  
Savira K Dargar ◽  
Marilyn M Schapira ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Qualitative Study ◽  
Self Care ◽  
Community Dwelling ◽  
Care Practice ◽  
Caregiver Support ◽  
Health Numeracy ◽  
Wide Range ◽  
History Of

ObjectiveTo examine the perspectives of adults with heart failure (HF) about numerical concepts integral to HF self-care.SettingThis qualitative study took place at an urban academic primary care practice.ParticipantsThirty men and women aged 47–89 years with a history of HF were recruited to participate. Eligibility criteria included: a history of HF (≥1 year), seen at the clinic within the last year, and a HF hospitalisation within the last 6 months. Non-English speakers and those with severe cognitive impairment were excluded.MethodsIn-depth semistructured interviews were conducted. Participants were interviewed about numeracy across three domains of HF self-care: (1) monitoring weight,(2) maintaining a diet low in salt and (3) monitoring blood pressure. Interviews were audio-taped, transcribed verbatim and analysed using grounded theory and word cloud techniques.ResultsFive key themes reflecting participants’ attitudes towards numerical concepts pertaining to weight, diet and blood pressure were identified: (1) Communication between healthcare providers and patients is a complex, multistage process; (2) Patients possess a wide range of knowledge and understanding; (3) Social and caregiver support is critical for the application of numerical concepts; (4) Prior health experiences shape outlook towards numerical concepts and instructions and (5) Fear serves as a barrier and a facilitator to carrying out HF self-care tasks that involve numbers. The findings informed a theoretical framework of health numeracy in HF.ConclusionEffective communication of numerical concepts which pertain to HF self-care is highly variable. Many patients with HF lack basic understanding and numeracy skills required for adequate self-care. As such, patients rely on caregivers who may lack HF training. HF-specific training of caregivers and research that seeks to elucidate the intricacies of the patient–caregiver relationship in the context of health numeracy and HF self-care are warranted.

scholarly journals Older individuals’ views on their personal screening results for complex health problems: a qualitative study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Sophie C. E. van Blijswijk ◽  
Lisa S. van Tol ◽  
Jeanet W. Blom ◽  
Wendy P. J. den Elzen ◽  
Jacobijn Gussekloo
Keyword(s):  
Qualitative Study ◽  
Older Persons ◽  
Action Plan ◽  
Health Problems ◽  
Community Dwelling ◽  
Self Management ◽  
Older Individuals ◽  
Screening Questionnaire ◽  
Negative Results ◽  
Complex Health Problems

Abstract Background Providing older persons with information about their health status may increase their involvement in their own health and enhance self-management. However, we need a better understanding of how older persons view their personal results after completing a screening questionnaire on complex health, of their (lack of) motivation and their subsequent action. Methods In this qualitative study community-dwelling older persons (≥80 years, n = 13) who completed a screening questionnaire on complex health problems were interviewed regarding their perception of the results, the actions they considered taking and their personal motivations. Data were analysed thematically (qualitative content analyses). Results Participants expressed interest in feedback, as an objective questionnaire might substantiate their own views regarding their personal health. They were mostly unsurprised by the results and/or had already taken precautions and were therefore not inclined to undertake additional action. They admitted difficulty with and appreciated advice from a professional regarding preparation of an action plan. Unexpected negative results would lead them to discuss matters with family and/or their general practitioner, provided they had a good relationship with their GP. Conclusion Older people were interested in direct feedback regarding their screening questionnaire results and in subsequent advice on possible additional measures. General practices could consider inviting older persons to complete a screening questionnaire and discuss activities and personal goals. This information could serve to better shape future interventions aimed at increasing self-management amongst older persons.

Impact of home blood pressure monitoring on blood pressure control in older individuals

2017 ◽  
Vol 35 (3) ◽  
pp. 612-620 ◽  
Author(s):  
Christophe Tzourio ◽  
Olivier Hanon ◽  
Ophélia Godin ◽  
Aicha Soumaré ◽  
Carole Dufouil
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Blood Pressure Monitoring ◽  
Pressure Control ◽  
Home Blood Pressure ◽  
Home Blood Pressure Monitoring ◽  
Older Individuals ◽  
Pressure Monitoring
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