Abstract
IntroductionWearable blood pressure (BP) monitor devices are increasingly adopted owing to the promotion of hypertension management program. However, little is known about the adherence and its associated factors in older adults (OAs) with hypertension.MethodsThe aim of this study was to determine factors associated with adherence to wearable BP monitor. In total, 212 OAs with hypertension in a remote rural area in China were asked to wear a BP monitor over 1‐month period. The following information on associated factors for adherence was collected, including demographic characteristics, cardiovascular health measurements, technology fluency, the Compliance of Hypertensive Patients' Scale, and the Health‐related Quality of Life Survey. As a result, the mean age of the 212 hypertension participants was 71.32 years (SD = 6.81).ResultsDuring the 30‐day survey, 50.94% of the participants with daily recoded BP wristband data were assigned as “BP device users.” The binary logistic regression model revealed that lower lifestyle compliance, lower medication compliance and higher total hypertension compliance were significant predictors for adherence. However, there were no differences concerning cardiovascular health factors, technology fluency, and health‐related quality of life between device users and nonusers.ConclusionIndividuals reporting a higher level of total compliance in hypertension management were more likely to wear a BP monitor device among OAs with hypertension. In addition, further research is needed to determine how wearable mHealth technology can be used to develop better hypertension self‐management education programs for this population.
Highlights
| INTRODUCTIONHypertension, a primary contributor to cardiovascular disease (CVD), is more prevalent among older adults (OAs) than young adults (Chen, Hu, Mccoy, Letvak, & Ivanov, 2018)
Wearable blood pressure (BP) monitor devices are increasingly adopted owing to the promotion of hypertension management program
Our results revealed that individuals reporting lower compliance with healthy lifestyle and medication use, but higher total hypertension compliance, were more likely to use Mobile health (mHealth) BP monitor over the 30-day period
Summary
Hypertension, a primary contributor to cardiovascular disease (CVD), is more prevalent among older adults (OAs) than young adults (Chen, Hu, Mccoy, Letvak, & Ivanov, 2018). The reported efficacy and effectiveness of healthcare interventions are challenged by multiple factors, how these mHealth devices are essential to acceptable and effective adherence for remote delivery (Morrison, Lucy, John, & Susan, 2012). To the best of our knowledge, studies have rarely focused on the influencing factors with the adherence with wearable BP monitor device in a remote rural area in China. Little information is available about the specific features contributing to adherent device users in the community-based elderly population. To this end, the present study was designed to evaluate the differences in sociodemographic characteristics, cardiovascular health factors, technological fluency, hypertension compliance, and health-related quality of life between device users and nonusers in the elderly. The ultimate goal of our study was to provide potential future directions for the mHealth technology in this field
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