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

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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; Nilsson, Peter M; Bengtsson, Ulrika; Hoffmann, Mikael; Wennersten, André; Andersson, Ulrika; Malmqvist, Ulf; Steen Carlsson, Katarina; Ranerup, Agneta; Kjellgren, Karin.

In: Blood Pressure, Vol. 29, No. 3, 2020, p. 149-156.

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TY - JOUR

T1 - PERson-centredness in hypertension management using information technology (PERHIT)

T2 - a protocol for a randomised controlled trial in primary health care

AU - Midlöv, Patrik

AU - Nilsson, Peter M

AU - Bengtsson, Ulrika

AU - Hoffmann, Mikael

AU - Wennersten, André

AU - Andersson, Ulrika

AU - Malmqvist, Ulf

AU - Steen Carlsson, Katarina

AU - Ranerup, Agneta

AU - Kjellgren, Karin

PY - 2020

Y1 - 2020

N2 - 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.

AB - 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.

U2 - 10.1080/08037051.2019.1697177

DO - 10.1080/08037051.2019.1697177

M3 - Article

C2 - 31814476

VL - 29

SP - 149

EP - 156

JO - Blood Pressure

JF - Blood Pressure

SN - 0803-7051

IS - 3

ER -