Home blood pressure management intervention in low- To middle-income countries: Protocol for a mixed methods study

Cheryl Anderson*, Sufia Dadabhai, Albertino Damasceno, Anastase Dzudie, Sheikh Mohammed Shariful Islam, Deepak Kamath, Namratha Kandula, Noel Kayange, Renato Quispe, Ambuj Roy, Syed Shah, Rafael Vidal-Perez

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background: Control of hypertension in low- and middle-income countries (LMICs) is poor, often less than 10%. A strong body of evidence demonstrates that home blood pressure management lowers blood pressure, and recent guidelines from the National Institute for Clinical Health and Excellence recommends home blood pressure monitoring. However, the preponderance of data on the benefits of home blood pressure management comes from studies in high-income countries. Objective: The objective of the study is to examine whether an intervention of home blood pressure management is feasible in LMICs. Home blood pressure management is defined as self-monitoring of blood pressure and self-titration of antihypertensive medications. We will identify barriers and facilitators of home blood pressure management and explore unique contextual factors in LMICs that influence implementation of home blood pressure management. Methods: Participants will be recruited from 6 sites from 2015 to 2018. Patients and health care workers will be included. We will use mixed methods including focus groups, interviews, and standardized checklists. When possible, we will adapt materials from prior successful studies so that they are culturally and contextually appropriate. Results: This ongoing study is funded by the World Heart Federation. The information that is obtained will be used to develop a randomized clinical trial of home blood pressure management in LMICs. Conclusions: The data generated from this qualitative study will provide much needed information from patients and health care workers about barriers and facilitators of home blood pressure management and unique contextual factors that might influence implementation of home blood pressure management in LMICs.

Original languageEnglish (US)
Article numbere188
JournalJMIR Research Protocols
Volume6
Issue number10
DOIs
StatePublished - Oct 2017

Keywords

  • Blood pressure
  • Home management
  • LMIC
  • Self-management

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint

Dive into the research topics of 'Home blood pressure management intervention in low- To middle-income countries: Protocol for a mixed methods study'. Together they form a unique fingerprint.

Cite this