GGM

Journal of Gerontology

and Geriatric MedicineISSNISSN 2697-4509 (Online)

GGM

Journal of Gerontology

and Geriatric MedicineISSN 2697-4509 (Online)

Article

ปีที่ 23 ฉบับที่ 2 กรกฎาคม-ธันวาคม 2024 (24042301)

E01 : Facilitators of Regular Home Blood Pressure Monitoring: Perspectives from Older Thai Patients with Hypertension

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Thanyaporn Hengpongthorn1, Bhornake Manasvanich1,2, Aisawan Petchlorlian1,3, Kearkiat Praditpornsilpa1,4

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1Geriatric Excellence Centre, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society
2Department of Family Medicine, Faculty of Medicine, Chulalongkorn University Division of Geriatric
3Medicine, Department of Medicine, Faculty of Medicine, Chulalongkorn University
4Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University

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Abstract

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Background: Hypertension management among older patients in Thailand presents ongoing challenges, highlighting the need for effective disease management strategies. Home Blood Pressure Monitoring is recommended for accurate diagnosis and improved treatment adherence but faces limited adoption in Thailand. This study aimed to explore older Thai patients' perspectives on Home Blood Pressure Monitoring facilitators to inform healthcare plans and promote its adoption. Methods: Ten participants were selected from the Comprehensive Geriatric Clinic at King Chulalongkorn Memorial Hospital in Bangkok, Thailand. Semi-structured interviews were conducted, and data were analyzed using a codebook thematic analysis method. Results: Three main themes emerged as key facilitators: (1) Increased disease awareness: participants reported that heightened awareness of their hypertension prompted more proactive self-care behaviours; (2) Enhanced health management: personalized blood pressure monitoring was seen as instrumental in improving disease outcomes and fostering healthier lifestyle choices; and (3) strong support from healthcare providers: the guidance and encouragement from healthcare professionals, particularly doctors, played a crucial role in participants' adherence to home blood pressure monitoring practices, significantly influencing their commitment to regular monitoring. Conclusions: The findings highlight the critical importance of healthcare strategies that prioritize patient education and engagement, as well as the essential role of healthcare professionals in managing hypertension effectively through home blood pressure monitoring. Integrating home blood pressure monitoring recommendations into routine clinical care could lead to significantly improved hypertension management outcomes in older adults.

Keyword

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Facilitator, Home blood pressure monitoring, Hypertension, Older People

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References

  1. United Nations, Department of Economic and Social Affairs, Division. P. Data Portal, custom data acquired via website New York2024 [Available from: https://population.un.org/DataPortal/
  2. Zhou B, Carrillo-Larco RM, Danaei G, Riley LM, Paciorek CJ, Stevens GA, et al. Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. The Lancet. 2021;398(10304):957-80.
  3. Vasan RS, Beiser A, Seshadri S, Larson MG, Kannel WB, D'Agostino RB, et al. Residual lifetime risk for developing hypertension in middle-aged women and men: The Framingham Heart Study. Jama. 2002;287(8):1003-10.
  4. Malhotra R, Chan A, Malhotra C, Østbye T. Prevalence, awareness, treatment and control of hypertension in the elderly population of Singapore. Hypertension Research. 2010;33(12):1223-31.
  5. Muli S, Meisinger C, Heier M, Thorand B, Peters A, Amann U. Prevalence, awareness, treatment, and control of hypertension in older people: results from the population-based KORA-age 1 study. BMC Public Health. 2020;20:1-10.
  6. Quasem I, Shetye MS, Alex SC, Nag AK, Sarma P, Thankappan K, et al. Prevalence, awareness, treatment and control of hypertension among the elderly in Bangladesh and India: a multicentre study. Bulletin of the World health Organization. 2001;79(6):490-500.
  7. Yang F, Qian D, Hu D. Prevalence, awareness, treatment, and control of hypertension in the older population: results from the multiple national studies on ageing. Journal of the American Society of Hypertension. 2016;10(2):140-8.
  8. Health Data Centre, Ministry of Public Health. Standard Reporting of Major Non-communicable diseases 2023 [Available from: https://hdcservice.moph.go.th/hdc/reports/page.php?cat_id=6a1fdf282fd28180eed7d1cfe0155e11.
  9. World Health Organisation. Deaths by Cause, Age, Sex, by Country and by Region, 2000-2019 Geneva2020 [Available from: https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-leading-causes-of-death
  10. Aekplakorn W, Puckcharern H, Satheannoppakao W. The 6th Survey of Thai Public Health by Physical Examination 2019-2020 2021 [Available from: https://kb.hsri.or.th/dspace/handle/11228/5425.
  11. Mancia G, Kreutz R, Brunström M, Burnier M, Grassi G, Januszewicz A, et al. 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). Journal of hypertension. 2023;41(12):1874-2071.
  12. National Institute for Health and Care Excellence. Hypertension in adults: diagnosis and management 2019 [Available from: https://www.nice.org.uk/guidance/ng136/resources/hypertension-in-adults-diagnosis-and-management-pdf-66141722710213
  13. Thai Hypertension Society. 2019 Thai Guidelines on The Treatment of Hypertension. Chiang Mai: Trick Think; 2019.
  14. Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, et al. 2020 International Society of Hypertension global hypertension practice guidelines. Hypertension. 2020;75(6):1334-57.
  15. Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology. 2018;71(19):e127-e248.
  16. Arrieta A, Woods JR, Qiao N, Jay SJ. Cost–benefit analysis of home blood pressure monitoring in hypertension diagnosis and treatment: an insurer perspective. Hypertension. 2014;64(4):891-6.
  17. Pickering TG, Miller NH, Ogedegbe G, Krakoff LR, Artinian NT, Goff D. Call to action on use and reimbursement for home blood pressure monitoring: a joint scientific statement from the American Heart Association, American Society of Hypertension, and Preventive Cardiovascular Nurses Association. Hypertension. 2008;52(1):10-29.
  18. Buranakitjaroen P, Wanthong S, Sukonthasarn A. Asian management of hypertension: current status, home blood pressure, and specific concerns in Thailand. The Journal of Clinical Hypertension. 2020;22(3):515-8.
  19. Clarke V, Braun V. Thematic analysis: a practical guide. London: SAGE Publications; 2021.
  20. Clarke V, Braun V. Thematic analysis: a practical guide. Thematic Analysis. 2021:1-100.
  21. Office of the National Economic and Social Development Council, Poverty Statistics and Income Distribution.
  22. Rickerby J, Woodward J. Patients' experiences and opinions of home blood pressure measurement. Journal of human hypertension. 2003;17(7):495-503.
  23. Rosenstock IM. Historical origins of the health belief model. Health education monographs. 1974;2(4):328-35.
  24. Knodel J, Kespichayawattana J, Wiwatwanich S, Saengtienchai C. The future of family support for Thai elderly: Views of the populace. 2013.
  25. Abdullah A, Othman S. The influence of self-owned home blood pressure monitoring (HBPM) on primary care patients with hypertension: a qualitative study. BMC family practice. 2011;12:1-8.
  26. Fletcher BR, Hinton L, Hartmann-Boyce J, Roberts NW, Bobrovitz N, McManus RJ. Self-monitoring blood pressure in hypertension, patient and provider perspectives: a systematic review and thematic synthesis. Patient education and counseling. 2016;99(2):210-9.
  27. Natale P, Ni JY, Martinez-Martin D, Kelly A, Chow CK, Thiagalingam A, et al. Perspectives and experiences of self-monitoring of blood pressure among patients with hypertension: a systematic review of qualitative studies. American Journal of Hypertension. 2023;36(7):372-84.
  28. Roy D, Meador M, Sasu N, Whelihan K, Lewis JH. Are Community Health Center Patients Interested in Self-Measured Blood Pressure Monitoring (SMBP)–And Can They Do It? Integrated Blood Pressure Control. 2021:19-29.
  29. Tompson AC, Schwartz CL, Fleming S, Ward AM, Greenfield SM, Grant S, et al. Patient experience of home and waiting room blood pressure measurement: a qualitative study of patients with recently diagnosed hypertension. British Journal of General Practice. 2018;68(677):e835-e43.
  30. Logan AG, Dunai A, McIsaac WJ, Irvine MJ, Tisler A. Attitudes of primary care physicians and their patients about home blood pressure monitoring in Ontario. Journal of hypertension. 2008;26(3):446-52.
  31. Chantakeeree C, Sormunen M, Jullamate P, Turunen H. Understanding perspectives on health-promoting behaviours among older adults with hypertension. International journal of qualitative studies on health and well-being. 2022;17(1):2103943.
  32. Carter EJ, Moise N, Alcántara C, Sullivan AM, Kronish IM. Patient barriers and facilitators to ambulatory and home blood pressure monitoring: a qualitative study. American journal of hypertension. 2018;31(8):919-27.
  33. Liyanage-Don N, Fung D, Phillips E, Kronish IM. Implementing home blood pressure monitoring into clinical practice. Current Hypertension Reports. 2019;21:1-14.
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