The investigators has developed a blood pressure telemonitoring system. It is hypothesized that, when optimal control of BP is confirmed on the telemonitoring system, the index physician's consultation can be safely deferred, and medications can still be prescribed without such face-to-face consultation. Despite potentially resource-saving for doctors and time-saving for patients, the feasibility and patients' acceptability of the use of the telemonitoring system to replace face-to-face physician consultation remains unclear. For primary outcome, the investigators hypothesize that this telemonitoring system will be feasible and acceptable to patients and can replace physicians' face-to-face consultations. For secondary outcomes, the investigators hypothesize that patients receiving care through telemonitoring have non-inferior BP control when compared with patients receiving usual care. Furthermore, the patients receiving telemonitoring may also have enhanced self-efficacy and compliance to drugs and lifestyle interventions
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
50
a mobile app and telemedicine platform to confirm good blood pressure control and may save doctor face-to-face consultation
These patients have unrestricted access to healthcare resources such as general outpatient clinics and emergency departments
Lek Yuen Clinic and Fanling clinic
Hong Kong, Hong Kong
rate of recruitment
number of patients recruited per month during the recruitment period
Time frame: baseline
rate of retention
number of dropouts during the 6-month study period
Time frame: baseline, 6-month
acceptability
interview of around 20 patients in the intervention group
Time frame: at 6-month
blood pressure levels on 24-hour ambulatory blood pressure
daytime, nighttime, and 24-hour systolic and diastolic blood pressure
Time frame: baseline, 6-month
healthcare utilization
number of visits to general outpatient clinic, specialist clinic(s) and hospitalization during study period
Time frame: 6-month
self-efficacy scale
5-item self-efficacy scale specific to hypertension; a mean score from the items of a 9 or above were classified as having good self-efficacy
Time frame: baseline, 6-month
medication and diet adherence
Treatment Adherence Questionnaire for Patients with Hypertension (TAQPH); Score was summed to give a total range, higher score represented better adherence
Time frame: baseline, 6-month
exercise level
Godin-Shephard Leisure-Time Physical Activity Questionnaire (GSLTPAQ); higher scores represented higher exercise level
Time frame: baseline, 6-month
eHealth literacy
Chinese 8-item eHealth literacy scale; higher scores represented higher eHealth literacy
Time frame: baseline, 6-month
health literacy
3-item Brief Health Literacy; higher scores represented higher health literacy
Time frame: baseline, 6-month
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