Enabling Scale And Spread Of Technologyenabled Remote Monitoring Of Blood Pressure At Home Frances Wu by Frances Wu, Saoirse Moriarty, Hampton Toole, Joseph Wherton, Damon Mohebbi, James P Sheppard, Sara E Shaw, Sonja Marjanovic 103310/NIHROPENRES140081 instant download after payment.

High blood pressure (BP) is a leading cause of morbidity and mortality. Blood pressure home monitoring improves blood pressure control, but there is limited evidence about the implementation of specifically ‘technology-enabled’ remote monitoring of blood pressure (TERM ) at home. This evaluation aims to improve the evidence base on what constitutes TERM BP services, how they work, and what influences their implementation, impacts, spread, and scale.
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A multi-method, rapid qualitative evaluation involved four sites that implemented TERM BP. Across sites, we conducted interviews with staff (n=35) and patients (n=15) and analyzed key service documents. Three workshops with site staff, patients, and regional and national stakeholders helped refine the learning process. Thematic analysis and synthesis, and triangulation against existing literature, helped inform recommendations and was guided by the Non-adoption, Abandonment, and challenges to Scale-up, Spread and Sustainability of the technology framework. The patients and public voices informed the evaluation design and conduct.