Patients' experience in the development of an app for self-management of hypertension: a qualitative study

Abstract

Background Patients with hypertension in the community frequently fail to meet treatment goals. The powerful on-board computing capacity of mobile devices, along with the unique relationship individuals have with newer technologies, suggests that they have the potential to influence behaviour. However, little is known regarding the views and experiences of patients using such technology to self-manage their hypertension and associated lifestyle behaviours. The aim of this study was to explore patients’ views and experiences of using technology based self-management tools for the treatment of hypertension in the community. Methods Fifty hypertensive patients were recruited from a community setting. Semi-structured interviews were conducted in focus groups and were taped and transcribed. Framework analysis was utilized to analyse the data. Results Four key inter-related themes emerged from the analysis: Personalisation; trust; motivation; and communication. Patients favoured a solution that was personalised to their particular needs. The source of app 'prescription' is another issue, with trust a key factor in impacting on engagement. Apps recommended by their healthcare providers were more likely to increase engagement. The potential ability of technology to facilitate a personalised flow of communication between patient and healthcare provider was highlighted. Conclusions Newer technologies such as mobile devices and the internet have been embraced across the globe despite technological challenges and concerns regarding privacy and security. In the design and development of technology based self-management tools for the treatment of hypertension, flexibility and security are vital to allow and encourage patients to customise, personalise and engage with their devices