Protocol for Evaluating Remote Patient Blood Pressure Monitoring Adapted to Black Women and Birthing Persons

Cardiovascular disease is the leading cause of maternal death among Black women in the United States. A large, urban hospital adopted remote patient blood pressure monitoring (RBPM) to increase blood pressure monitoring and improve the management of hypertensive disorders of pregnancy (HDP) by reduc...

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Bibliographic Details
Published in:International journal of environmental research and public health 2024-05, Vol.21 (5), p.603
Main Authors: Patchen, Loral, McCullers, Asli, Budd, Serenity G, Blumenthal, H Joseph, Evans, W Douglas
Format: Article
Language:English
Subjects:
Adult
Black or African American
Black people
Blood pressure
Blood Pressure Determination - methods
Cardiovascular disease
Digital technology
Electronic health records
Female
Health disparities
Humans
Hypertension
Hypertension, Pregnancy-Induced - diagnosis
Intervention
Maternal mortality
Midwifery
Morbidity
Patients
Pregnancy
Smartphones
Telemedicine
Theory of planned behavior
Trends
Womens health
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Summary:Cardiovascular disease is the leading cause of maternal death among Black women in the United States. A large, urban hospital adopted remote patient blood pressure monitoring (RBPM) to increase blood pressure monitoring and improve the management of hypertensive disorders of pregnancy (HDP) by reducing the time to diagnosis of HDP. The digital platform integrates with the electronic health record (EHR), automatically inputting RBPM readings to the patients' chart; communicating elevated blood pressure values to the healthcare team; and offers a partial offset of the cost through insurance plans. It also allows for customization of the blood pressure values that prompt follow-up to the patient's risk category. This paper describes a protocol for evaluating its impact. Objective 1 is to measure the effect of the digitally supported RBPM on the time to diagnosis of HDP. Objective 2 is to test the effect of cultural tailoring to Black participants. The ability to tailor digital content provides the opportunity to test the added value of promoting social identification with the intervention, which may help achieve equity in severe maternal morbidity events related to HDP. Evaluation of this intervention will contribute to the growing literature on digital health interventions to improve maternity care in the United States.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph21050603