Federally qualified health center patients’ experiences with remote patient monitoring as part of telehealth services for self-measured blood pressure monitoring
Abstract Background Remote patient monitoring (RPM) for hypertension management has become increasingly popular, demonstrating benefits for both clinics and patients. However, patient engagement in self-measured blood pressure (SMBP) monitoring remains low despite healthcare providers’ efforts. This...
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BMC
2025-01-01
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| Online Access: | https://doi.org/10.1186/s12913-025-12253-3 |
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| author | Natalia I. Heredia Maria E. Fernandez Ella R. Garza Jabria Pittman Fernanda Velasco-Huerta Tracy L. Judd Jocelyn Hunyadi Elvis Longanga Diese Deevakar Rogith William B. Perkison Susan H. Fenton |
| author_facet | Natalia I. Heredia Maria E. Fernandez Ella R. Garza Jabria Pittman Fernanda Velasco-Huerta Tracy L. Judd Jocelyn Hunyadi Elvis Longanga Diese Deevakar Rogith William B. Perkison Susan H. Fenton |
| author_sort | Natalia I. Heredia |
| collection | DOAJ |
| description | Abstract Background Remote patient monitoring (RPM) for hypertension management has become increasingly popular, demonstrating benefits for both clinics and patients. However, patient engagement in self-measured blood pressure (SMBP) monitoring remains low despite healthcare providers’ efforts. This study aimed to assess adherence and acceptance of RPM for SMBP among Texas Federally Qualified Health Center patients. Methods Participants enrolled in the SMBP monitoring program were recruited at three health centers. Data was collected from patient health records, and a questionnaire assessed hypertension self-management, technology acceptance, intentions, and attitudes toward SMBP. Thematic analysis was conducted for open-ended responses that followed each item, and multivariate linear regression assessed associations between psychosocial factors and SMBP use. Results The sample (n = 47) was 64% female, 89% Hispanic/Latino, and 75% uninsured. Participants used RPM for SMBP an average of 46 days and 72 times within the first 120 days (~ 4 months). Age and behavioral intention were significantly positively associated with more days of SMBP use. Three themes emerged from open-ended data: perceived ease of learning and using mobile patient portal for SMBP, perceived benefits of using mobile patient portal for SMBP, and intentions to continue using the mobile patient portal for SMBP. Conclusions Participants found RPM for SMBP acceptable and easy to use. Use varied over time, with intention to use RPM for SMBP and older age linked to more days of use. RPM can enhance patient experience by providing additional information to the provider, prompting self-management discussions, and empowering patients to better control their BP. |
| format | Article |
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| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-55ac7618f0504638aaa613a9d09d66d92025-01-26T12:22:15ZengBMCBMC Health Services Research1472-69632025-01-0125111110.1186/s12913-025-12253-3Federally qualified health center patients’ experiences with remote patient monitoring as part of telehealth services for self-measured blood pressure monitoringNatalia I. Heredia0Maria E. Fernandez1Ella R. Garza2Jabria Pittman3Fernanda Velasco-Huerta4Tracy L. Judd5Jocelyn Hunyadi6Elvis Longanga Diese7Deevakar Rogith8William B. Perkison9Susan H. Fenton10Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at HoustonCenter for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at HoustonCenter for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at HoustonCenter for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at HoustonCenter for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at HoustonCenter for Quality Health IT Improvement (CQHII), McWilliams School of Biomedical Informatics, University of Texas Health Science Center at HoustonCenter for Spatial-Temporal Modeling of Applications in Population Sciences, School of Public Health, University of Texas Health Science Center at HoustonCenter for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at HoustonCenter for Quality Health IT Improvement (CQHII), McWilliams School of Biomedical Informatics, University of Texas Health Science Center at HoustonCenter for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at HoustonCenter for Quality Health IT Improvement (CQHII), McWilliams School of Biomedical Informatics, University of Texas Health Science Center at HoustonAbstract Background Remote patient monitoring (RPM) for hypertension management has become increasingly popular, demonstrating benefits for both clinics and patients. However, patient engagement in self-measured blood pressure (SMBP) monitoring remains low despite healthcare providers’ efforts. This study aimed to assess adherence and acceptance of RPM for SMBP among Texas Federally Qualified Health Center patients. Methods Participants enrolled in the SMBP monitoring program were recruited at three health centers. Data was collected from patient health records, and a questionnaire assessed hypertension self-management, technology acceptance, intentions, and attitudes toward SMBP. Thematic analysis was conducted for open-ended responses that followed each item, and multivariate linear regression assessed associations between psychosocial factors and SMBP use. Results The sample (n = 47) was 64% female, 89% Hispanic/Latino, and 75% uninsured. Participants used RPM for SMBP an average of 46 days and 72 times within the first 120 days (~ 4 months). Age and behavioral intention were significantly positively associated with more days of SMBP use. Three themes emerged from open-ended data: perceived ease of learning and using mobile patient portal for SMBP, perceived benefits of using mobile patient portal for SMBP, and intentions to continue using the mobile patient portal for SMBP. Conclusions Participants found RPM for SMBP acceptable and easy to use. Use varied over time, with intention to use RPM for SMBP and older age linked to more days of use. RPM can enhance patient experience by providing additional information to the provider, prompting self-management discussions, and empowering patients to better control their BP.https://doi.org/10.1186/s12913-025-12253-3Remote patient monitoringTelehealthTelemedicineTelecareSelf-measured blood pressureHypertension |
| spellingShingle | Natalia I. Heredia Maria E. Fernandez Ella R. Garza Jabria Pittman Fernanda Velasco-Huerta Tracy L. Judd Jocelyn Hunyadi Elvis Longanga Diese Deevakar Rogith William B. Perkison Susan H. Fenton Federally qualified health center patients’ experiences with remote patient monitoring as part of telehealth services for self-measured blood pressure monitoring BMC Health Services Research Remote patient monitoring Telehealth Telemedicine Telecare Self-measured blood pressure Hypertension |
| title | Federally qualified health center patients’ experiences with remote patient monitoring as part of telehealth services for self-measured blood pressure monitoring |
| title_full | Federally qualified health center patients’ experiences with remote patient monitoring as part of telehealth services for self-measured blood pressure monitoring |
| title_fullStr | Federally qualified health center patients’ experiences with remote patient monitoring as part of telehealth services for self-measured blood pressure monitoring |
| title_full_unstemmed | Federally qualified health center patients’ experiences with remote patient monitoring as part of telehealth services for self-measured blood pressure monitoring |
| title_short | Federally qualified health center patients’ experiences with remote patient monitoring as part of telehealth services for self-measured blood pressure monitoring |
| title_sort | federally qualified health center patients experiences with remote patient monitoring as part of telehealth services for self measured blood pressure monitoring |
| topic | Remote patient monitoring Telehealth Telemedicine Telecare Self-measured blood pressure Hypertension |
| url | https://doi.org/10.1186/s12913-025-12253-3 |
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