eHealth BP Control Program

描述(申请人提供)：健康信息技术(HIT)可以通过使用电子交换从家里到医务室和回到家里的健康信息来实现以患者为中心的护理，目的是提高护理质量。高血压是测试这种以患者为中心的电子健康护理模式的理想条件，因为这种情况很常见，主要由初级保健医生护理，当不受控制时，会导致严重的发病率和死亡率。我们建议研究一个由四部分组成的电子健康血压控制计划的可行性和可接受性，其中包括：1)个人健康记录(PHR)；2)集成到PHR中的家庭血压监测(HBPM)设备；3)BP自我管理门户网站；4)使用训练有素的患者导航员(即社区卫生工作者)。我们假设，与单独使用HBPM相比，这个由四个部分组成的计划将增加患者的积极性、协作性自我管理护理活动和服药依从性；减少临床惰性；并改善血压控制。本项目的目标是获得必要的先导数据，以设计一项稳健的随机、实用的电子健康血压控制计划的临床试验，以便未来实施。

DESCRIPTION (provided by applicant): Health Information Technology (HIT) can enable patient-centered care through the use of electronic interchange of health information from home to the medical office and back to home, with the aim of improving the quality of care. Hypertension represents an ideal condition to test this model of patient centered e-health enabled care since this condition is common, largely cared for by primary care physicians, and when uncontrolled is associated with significant morbidity and mortality. We propose to study the feasibility and acceptability of a 4-component e-health blood pressure control program which includes: 1) a personal health record (PHR); 2) home blood pressure monitoring (HBPM) device integrated into the PHR; 3) a BP self management web portal and 4) use of a trained patient navigator (i.e., a community health worker). We hypothesize that, relative to HBPM alone, this 4-component program will increase patient activation, collaborative self-management care activities, and medication adherence; reduce clinical inertia; and improve BP control. The goal of this project is to obtain the necessary pilot data to design a robust randomized practical clinical trial of the e-health blood pressure control program for future implementation.