Mawulorm KI Denu , Cassie Shao , Katherine Tak , Sanjna Iyengar , Kelton Do , Nouran Y. Nagy , Ganeev Singh , Katherine Anais Sadaniantz , Sravya Shankara , Lara C. Kovell
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Abstract
Objectives
To examine training in and current home blood pressure monitoring (HBPM) practices in pregnancies with hypertensive disorders of pregnancy (HDP) or risk factors for HDP; and to explore interest in using mHealth applications for communicating with healthcare providers.
Study design
A cross-sectional survey was conducted on HBPM practices/training and interest in using mobile health (mHealth) applications among pregnant persons at an academic medical center.
Outcome measures
The main outcomes measured were the proportion of participants who received training for HBPM, and the proportion interested in using mHealth applications for communication with providers related to managing HDP.
Results
Of the 103 participants, 41 (39.8%) used HBPM. Of those who did HBPM, 36.6% received training from their healthcare providers. Training more often included instructions on positioning and how to perform HBPM, and rarely included advice on validated HBPM devices. Nearly all participants (98.1%) owned a smartphone, and 19.4% had a smartwatch. A significant majority expressed interest in using a secure mobile app for communication with providers (78.6%), and 88.3% were interested in wearing a smartwatch for remote monitoring. There were no significant differences in interest levels based on race, age, residence, or education, while there was higher interest (100% vs. 67%) in mobile apps for communication among those with HDP vs. risk factors for HDP.
Conclusions
Despite a low level of training for HBPM, there was high interest in using mHealth applications. Leveraging mHealth technology could help overcome the challenges of providing training for HBPM.
期刊介绍：
Pregnancy Hypertension: An International Journal of Women''s Cardiovascular Health aims to stimulate research in the field of hypertension in pregnancy, disseminate the useful results of such research, and advance education in the field.
We publish articles pertaining to human and animal blood pressure during gestation, hypertension during gestation including physiology of circulatory control, pathophysiology, methodology, therapy or any other material relevant to the relationship between elevated blood pressure and pregnancy. The subtitle reflects the wider aspects of studying hypertension in pregnancy thus we also publish articles on in utero programming, nutrition, long term effects of hypertension in pregnancy on cardiovascular health and other research that helps our understanding of the etiology or consequences of hypertension in pregnancy. Case reports are not published unless of exceptional/outstanding importance to the field.
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