User engagement with home blood pressure monitoring: a multinational cohort using real-world data collected with a connected device.

IF 3.3 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE Journal of Hypertension Pub Date : 2024-09-19 DOI:10.1097/HJH.0000000000003861
Jean-Simon Rech, Nicolas Postel-Vinay, Vincent Vercamer, Paul de Villèle, Olivier Steichen
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Abstract

Objective: Connected blood pressure (BP) monitors provide reliable data when used properly. Our objective was to analyse the engagement of real-world users with self-measurements.

Methods: We included adult first-time users of a connected BP monitor from July 2019 to March 2021. They were categorized as persistent users if they continued to use the device between 311 and 400 days after inclusion. We defined a criterion to analyse the timing of self-measurements: at least 12 measurements performed within three consecutive days, at least once every 90 days. Persistent users were clustered by state sequence analysis according to the consistency of their BP monitor measurement timing with this criterion during 1 year of follow-up.

Results: Among the 22 177 included users, 11 869 (54%) were persistent during the first year. Their use was consistent with the timing criterion 25% (median) of this time (first and third quartiles: 0%, 50%) and four patterns of use were identified by clustering: 5215 persistent users (44%) only performed occasional sparse measurements, 4054 (34%) complied at the start of follow-up up to eight cumulated months, 1113 (9%) complied at least once during later follow-up up to eight cumulated months, and the remaining 1487 (13%) complied nine or more cumulated months of follow-up.

Conclusion: Although connected BP monitors can collect a high volume of data, the real-life timing of self-measurements is far from recommended schedules. We must promote the use of BP monitors as recommended by guidelines and/or learn to analyse more occasional and sparse measurements.

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用户参与家庭血压监测:使用联网设备收集真实世界数据的跨国队列。
目标:如果使用得当,联网血压计可提供可靠的数据。我们的目标是分析真实世界用户参与自我测量的情况:我们纳入了 2019 年 7 月至 2021 年 3 月期间首次使用联网血压计的成人用户。如果他们在纳入后的 311 至 400 天内继续使用该设备,则被归类为持续用户。我们定义了一个分析自我测量时间的标准:连续三天内至少进行 12 次测量,每 90 天至少一次。根据随访 1 年期间血压计测量时间与该标准的一致性,通过状态序列分析对持续使用者进行分组:在 22 177 名使用者中,有 11 869 人(54%)在第一年内持续使用血压计。他们使用血压计的时间有 25%(中位数)符合测量时间标准(第一和第三四分位数:0%、50%),通过聚类确定了四种使用模式:5215名长期使用者(44%)仅偶尔进行少量测量,4054名使用者(34%)在随访开始时至累计8个月内遵从标准,1113名使用者(9%)在随访后期至累计8个月内至少遵从标准一次,其余1487名使用者(13%)在随访的累计9个月或更长时间内遵从标准:结论:尽管连接的血压计可以收集大量数据,但实际生活中自我测量的时间与建议的时间表相差甚远。我们必须按照指南的建议推广使用血压计,并/或学会分析更多偶尔进行的稀疏测量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Hypertension
Journal of Hypertension 医学-外周血管病
CiteScore
7.90
自引率
6.10%
发文量
1389
审稿时长
3 months
期刊介绍: The Journal of Hypertension publishes papers reporting original clinical and experimental research which are of a high standard and which contribute to the advancement of knowledge in the field of hypertension. The Journal publishes full papers, reviews or editorials (normally by invitation), and correspondence.
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