MPS 02-08 HOME BLOOD PRESSURE TELE-MONITORING IN MALAYSIA: ARE PATIENTS READY?

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Abstract

Objective:

To study hypertensive patients’ readiness to use Home Blood Pressure Tele-monitoring (HBPT).

Design and Method:

This was a cross-sectional study on adult hypertensive patients who attended the primary care clinic in a teaching hospital from 1st to 30th September 2014. Systematic sampling was used. Eligible patients were given explanation regarding the study and written consents were obtained. Brief education regarding HBPT was provided before the self-administrated questionnaires were filled up. Data was analysed using the Statistical Package for Social Sciences (SPSS) version 22.0. Ethical approval was obtained.

Results:

A total of 486 participants were sampled. The response rate was 87.1% and 406 questionnaires were analysed. The mean age was 65.8 ± 10.7 years, of which majority were Chinese (43.6%) and female (59.1%). A total of 38.2% of participants had uncontrolled BP and 76.8% had other co-morbidities. The availability of home computer devices and internet service were 76.4% and 70.9% respectively. Less than half of the participants were able to carry out simple computer skills. A total of 56.9% of participants responded that they were ready for HBPT. Readiness was higher among participants who had computer devices (OR: 1.80; 95% CI: 1.13 to 2.85) and internet service (OR: 2.30, 95% CI 1.49 to 3.56). The readiness was lower among Chinese (OR: 0.65, 95% CI 0.43 to 0.96). Internet availability (OR: 4.52; 95% CI: 1.50 to 13.62; p < 0.01), gender (OR: 2.04; 95% CI: 1.29 to 3.23; p < 0.01), and Chinese ethnicity (OR: 0.445; 95% CI: 0.28 to 0.70; p < 0.01) were significantly associated in logistic regression model.

Conclusions:

Hypertensive patients showed potential capability for HBPT, in terms of resource availability and interest to carry out the task, although computer literacy was low. Availability of ICT infrastructure, gender, and ethnicity were important determinants on patients’ readiness for implementation of HBPT.

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