Evaluation of a Video-Assisted Patient Education Program to Reduce Blood Pressure Delivered Through the Electronic Medical Record: Results of a Quality Improvement Project
| العنوان: | Evaluation of a Video-Assisted Patient Education Program to Reduce Blood Pressure Delivered Through the Electronic Medical Record: Results of a Quality Improvement Project |
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| المؤلفون: | Shahed Al Natour, Ahlam A Sarhan, Lawrence J. Appel, Edgar R. Miller, Ashwaq S Matroud, Haitham A Alzahrani, Elizabeth A Vrany, Tamara Sunbul, Sarah L Palmer, Wafa H Azmi, Selva N Rajanayagam, Sinéad Morrissey, Mohammed Ghamdi, Margaret Crockford, Anna R Miller, Arlene Dalcin, Daniel S Bregaglio, Kanaan A Kanaani, Jasintha D’almeida, Fawaz H Alsharif, Jon K Christensen |
| المصدر: | American Journal of Hypertension. 34:1328-1335 |
| بيانات النشر: | Oxford University Press (OUP), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Quality management, business.industry, Psychological intervention, Electronic medical record, Blood Pressure, Quality Improvement, law.invention, Blood pressure, Patient Education as Topic, Randomized controlled trial, law, Intervention (counseling), Hypertension, Internal Medicine, Physical therapy, Electronic Health Records, Humans, Medicine, Video assisted, business, Patient education |
| الوصف: | BACKGROUND Low-cost, automated interventions that increase knowledge and skills around diet and lifestyle modifications are recommended for cardiovascular disease risk reduction. METHODS We initiated a quality improvement program to assess the impact of a web-based diet and lifestyle intervention utilizing short animated videos in adults with high blood pressure (BP) at a primary care clinic in Saudi Arabia. We enrolled adults with elevated BP, not on BP medications, who were identified using the electronic medical record. We delivered a web-linked diet and lifestyle intervention using animated videos covering diet and lifestyle topics. Videos and reminders were sent weekly for 5 weeks. Outcomes were proportion who engaged in the program, returned for a repeat BP within 3 months, and change in BP. RESULTS We enrolled 269 adult participants, with a mean (SD) age of 41.6 (12.4) years; 77% were male. At the conclusion of the pilot, we demonstrated a high level of engagement: overall, 69% of materials were viewed and 67% of patients returned for BP. Patients who returned had a mean (SD) baseline systolic BP of 138.0 (7.2) mm Hg and a large mean reduction in systolic BP from baseline, −10.5 mm Hg (12.4; P < 0.001). CONCLUSIONS Overall, the feasibility of a video-assisted, web-based, diet and lifestyle intervention as a support tool for hypertension management demonstrated a high participation rate and a high return rate for reassessment of BP. These findings suggest that this low-cost, automated intervention may have a great potential as a scalable tool for blood pressure management. However, randomized trials to understanding the effectiveness of the support tools are needed. |
| تدمد: | 1941-7225 0895-7061 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::62e6c69b20038789564ebbf5392e9f86Test https://doi.org/10.1093/ajh/hpab135Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....62e6c69b20038789564ebbf5392e9f86 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19417225 08957061 |
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