Funding: We are grateful for the specific-topic research project funding provided by the National Taipei University of Nursing and Health Sciences, Taiwan (project number: 107EH12-406-002).

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ABSTRACT

Background

Hypertension is a chronic disease that consumes considerable medical resources.

Aim

The aim of this study is to evaluate a model able to develop and assess the effectiveness of a mobile application disease self-management programme regarding mental health and self-management for patients with hypertension.

Methods

A randomised controlled trial and single-blind random assignment was employed to group the participants. A total of 100 patients were collected from the cardiology clinic of a teaching hospital in Taiwan. There were 50 participants in each group: the mobile application group (experimental group) and the routine care (control group). The primary outcome measures were mental health and self-management.

Results

This study discovered that the intervention improved the mental health and self-management of the experimental group. The results for the experimental group revealed significantly improved effects and outcomes superior to those of the control group.

Conclusions

The study results verified that a mobile application disease self-management programme could improve the mental health and disease self-management of patients with hypertension.

Summary Statement

What is already known about this topic?

Hypertension is a chronic disease that consumes considerable medical resources.
Disease self-management programmes have been successfully applied for many patients with chronic diseases and have been verified to provide benefits, such as effectively changing and maintaining the health behaviours of patients, reducing medical costs and increasing quality of life.

What this paper adds?

The mobile application disease self-management programme is verified to improve the mental health of patients with hypertension.
The mobile application disease self-management programme can effectively improve the disease self-management of patients with hypertension, and this improvement is superior to that achievable with usual care.

The implications of this paper:

This study may serve as a reference for nursing personnel for developing unconventional health education programmes.
A mobile application disease self-management programme improved the mental health and disease self-management of patients with hypertension.

Conflicts of Interest

The authors declare no conflicts of interest.

Open Research

Data Availability Statement

Research data are not shared.

Supporting Information

References

Alotaibi, M., and M. Ammad uddin. 2022. “Effectiveness of E-Health Systems in Improving Hypertension Management and Awareness: A Systematic Review.” KSII Transactions on Internet and Information Systems 16, no. 1: 173–187. https://doi.org/10.3837/tiis.2022.01.010.
10.3837/tiis.2022.01.010
Web of Science® Google Scholar
Alpay, L., R. Doms, and H. Bijwaard. 2019. “Embedding Persuasive Design for Self-Health Management Systems in Dutch Healthcare Informatics Education: Application of a Theory-Based Method.” Health Informatics Journal 25, no. 4: 1631–1646. https://doi.org/10.1177/1460458218796642.
10.1177/1460458218796642
PubMed Web of Science® Google Scholar
Battersby, M. W., A. Ask, M. M. Reece, M. J. Markwick, and J. P. Collins. 2003. “The Partners in Health Scale: The Development and Psychometric Properties of a Generic Assessment Scale for Chronic Condition Self-Management.” Australian Journal of Primary Health 9, no. 3: 41–52. https://doi.org/10.1071/PY03022.
10.1071/PY03022
Google Scholar
Bolmsj, B. B., M. Wolff, V. M. Nymberga, M. Sandberg, P. Midlov, and S. Callinga. 2020. “Text Message-Based Lifestyle Intervention in Primary Care Patients With Hypertension: A Randomized Controlled Pilot Trial.” Scandinavian Journal of Primary Health Care 38, no. 3: 300–307. https://doi.org/10.1080/02813432.2020.1794392.
10.1080/02813432.2020.1794392
PubMed Google Scholar
Bozorgi, A., H. Hosseini, H. Eftekhar, et al. 2021. “The Effect of the Mobile “Blood Pressure Management Application” on Hypertension Self-Management Enhancement: A Randomized Controlled Trial.” Trials 22, no. 1: 413–522. https://doi.org/10.1186/s13063-021-05270-0.
10.1186/s13063-021-05270-0
PubMed Web of Science® Google Scholar
Chan, S. W. 2021. “Chronic Disease Management, Self-Efficacy and Quality of Life.” The Journal of Nursing Research 29, no. 1: e129. https://doi.org/10.1097/JNR.0000000000000422.
10.1097/JNR.0000000000000422
PubMed Web of Science® Google Scholar
Chen, Y. Y., M. C. Lee, S. F. V. Wu, Y. M. Liu, and H. M. Chen. 2022. “Disease Knowledge, Self-Efficacy and Quality of Life in Patient With Hypertensive Nephropathy.” Clinical Nursing Research 31, no. 6: 1179–1188. https://doi.org/10.1177/10547738211073396.
10.1177/10547738211073396
PubMed Web of Science® Google Scholar
Falah, F., S. A. Sajadi, and A. H. Pishgooie. 2020. “Effect of a Mobile-Based Educational App on Blood Pressure of Patients With Hypertension.” BMJ Military Health 169, no. 2: e001577. https://doi.org/10.1136/bmjmilitary-2020-001577.
10.1136/bmjmilitary?2020?001577
PubMed Google Scholar
Fattouh, N., S. Hallit, P. Salameh, G. Choueiry, F. Kazour, and R. Hallit. 2019. “Prevalence and Factors Affecting the Level of Depression, Anxiety, and Stress in Hospitalized Patients With a Chronic Disease.” Perspectives in Psychiatric Care 55, no. 4: 592–599. https://doi.org/10.1111/ppc.12369.
10.1111/ppc.12369
PubMed Web of Science® Google Scholar
Faul, F., E. Erdfelder, A. Buchner, and A. G. Lang. 2009. “Statistical Power Analysis Using G*Power 3.1: Tests for Correlation and Regression Analysis.” Behavior Research Methods 41, no. 4: 1149–1160. https://doi.org/10.3759/BRM.41.4.1149.
10.3758/BRM.41.4.1149
PubMed Google Scholar
Khah, K. M., Z. Farsi, and S. A. Sajadi. 2023. “Comparing the Effects of mHealth Application Based on Micro-Learning Method and Face-To-Face Training on Treatment Adherence and Perception in Haemodialysis Patients: A Randomised Clinical Trial.” BMJ Open 13: e071982. https://doi.org/10.1136/bmjopen-2023-071982.
10.1136/bmjopen?2023?071982
PubMed Web of Science® Google Scholar
Klímová, B. 2018. “Mobile Learning in Medical Education.” Journal of Medical Systems 42, no. 10: 194. https://doi.org/10.1007/s10916-018-1056-9.
10.1007/s10916-018-1056-9
PubMed Web of Science® Google Scholar
Lee, M. C., S. F. V. Wu, K. C. Lu, W. H. Wang, Y. Y. Chen, and H. M. Chen. 2021. “Effect of Patient-Centred Self-Management Programme on Mental Health, Self-Efficacy and Self-Management of Patients With Hypertensive Nephropathy: A Randomised Controlled Trial.” Journal of Clinical Nursing 30, no. 21–22: 3205–3217. https://doi.org/10.1111/jocn.15825.
10.1111/jocn.15825
PubMed Web of Science® Google Scholar
Liu, F., T. Song, P. Yu, et al. 2023. “Efficacy of an mHealth App to Support Patients' Self-Management of Hypertension: Randomized Controlled Trial.” Journal of Medical Internet Research 25: e43809. https://doi.org/10.2196/43809.
10.2196/43809
PubMed Web of Science® Google Scholar
Lynn, M. R. 1986. “Determination and Quantification of Content Validity.” Nursing Research 35, no. 6: 382–385.
10.1097/00006199-198611000-00017
CAS PubMed Web of Science® Google Scholar
Ma, Y., H. Y. Cheng, J. W. H. Sit, and W. T. Chien. 2022. “The Effects of a Smartphone-Enhanced Nurse-Facilitated Self-Care Intervention for Chinese Hypertensive Patients: A Randomised Controlled Trial.” International Journal of Nursing Studies 134: 104313. https://doi.org/10.1016/j.ijnurstu.2022.104313.
10.1016/j.ijnurstu.2022.104313
PubMed Web of Science® Google Scholar
O'Connell, S., V. J. C. Mc Carthy, and E. Savage. 2018. “Frameworks for Self-Management Support for Chronic Disease: A Cross-Country Comparative Document Analysis.” BioMed Central Health Services Research 18, no. 1: 1–10. https://doi.org/10.1186/s12913-018-3387-0.
10.1186/s12913?018?3387?0
PubMed Google Scholar
Petkov, J., P. Harvey, and M. Battersby. 2010. “The Internal Consistency and Construct Validity of the Partners in Health Scale: Validation of a Patient Rated Chronic Condition Self-Management Measure.” Quality of Life Research 19: 1079–1085. https://doi.org/10.1007/s11136-010-9661-1.
10.1007/s11136-010-9661-1
PubMed Web of Science® Google Scholar
Rantanen, A. T., J. J. A. Korkeila, E. S. Löyttyniemi, U. K. M. Saxén, and P. E. Korhonen. 2018. “Awareness of Hypertension and Depressive Symptoms: A Cross-Sectional Study in a Primary Care Population.” Scandinavian Journal of Primary Health Care 36, no. 3: 323–328. https://doi.org/10.1080/02813432.2018.1499588.
10.1080/02813432.2018.1499588
PubMed Web of Science® Google Scholar
Rezayi, S., A. Amanollahi, L. Shahmoradi, et al. 2022. “Effects of Technology-Based Educational Tools on Nursing Learning Outcomes in Intensive Care Units: A Systematic Review and Meta-Analysis.” BMC Medical Education 22, no. 1: 835. https://doi.org/10.1186/s12909-022-03810-z.
10.1186/s12909-022-03810-z
PubMed Web of Science® Google Scholar
Taiwan Ministry of Health and Welfare. 2020. Statistics on the Top 10 Causes of Death in Taiwan. (In Chinese). https://www.mohw.gov.tw/cp-5017-61533-1.html.
Google Scholar
Topp, C. W., S. D. Østergaard, S. Søndergaard, and P. Bech. 2015. “The WHO-5 Well-Being Index: A Systematic Review of the Literature.” Psychotherapy and Psychosomatics 84: 167–176. https://doi.org/10.1159/000376585.
10.1159/000376585
PubMed Web of Science® Google Scholar
World Hypertension League. 2016. The Global Burden of Hypertension. https://www.whleague.org/whl-resources/hypertension-globally/the-global-burden-of-hypertension.
Google Scholar
World Hypertension League. 2022. A Non-Profit Organization Dedicated to the Prevention and Control of Hypertension Globally. https://www.whleague.org/whl-resources/accuracy-in-bp-measurement.
Google Scholar

Volume30, Issue6

December 2024

e13312

Effectiveness of Mobile Application Disease Self-Management Programme on Mental Health and Self-Management of Patients With Hypertension: A Randomised Controlled Trial

ABSTRACT

Background

Aim

Methods

Results

Conclusions

Summary Statement

Conflicts of Interest

Open Research

Data Availability Statement

Supporting Information

References

References

Information

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Effectiveness of Mobile Application Disease Self-Management Programme on Mental Health and Self-Management of Patients With Hypertension: A Randomised Controlled Trial

ABSTRACT

Background

Aim

Methods

Results

Conclusions

Summary Statement

Conflicts of Interest

Open Research

Data Availability Statement

Supporting Information

References

References

Related

Information