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Qualitative process study to explore the perceived burdens and benefits of a digital intervention for self-managing high blood pressure in Primary Care in the UK

Katherine Morton Orcid Logo, Laura Dennison, Katherine Bradbury, Becky Band Orcid Logo, Carl May, James Raftery, Paul Little, Richard J McManus Orcid Logo, Lucy Yardley

BMJ Open, Volume: 8, Issue: 5, Start page: e020843

Swansea University Author: Becky Band Orcid Logo

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DOI (Published version): 10.1136/bmjopen-2017-020843

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AbstractObjectives Digital interventions can change patients’ experiences of managing their health, either creating additional burden or improving their experience of healthcare. This qualitative study aimed to explore perceived burdens and benefits for patients using a digital self-management inter...

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Published in: BMJ Open
ISSN: 2044-6055 2044-6055
Published: BMJ 2018
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URI: https://cronfa.swan.ac.uk/Record/cronfa67035
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This qualitative study aimed to explore perceived burdens and benefits for patients using a digital self-management intervention for reducing high blood pressure. A secondary aim was to further our understanding of how best to capture burdens and benefits when evaluating health interventions.Design Inductive qualitative process study nested in a randomised controlled trial.Setting Primary Care in the UK.Participants 35 participants taking antihypertensive medication and with uncontrolled blood pressure at baseline participated in semistructured telephone interviews.Intervention Digital self-management intervention to support blood pressure self-monitoring and medication change when recommended by the healthcare professional.Analysis Data were analysed using inductive thematic analysis with techniques from grounded theory.Results Seven themes were developed which reflected perceived burdens and benefits of using the intervention, including worry about health, uncertainty about self-monitoring and reassurance. The analysis showed how beliefs about their condition and treatment appeared to influence participants’ appraisal of the value of the intervention. This suggested that considering illness and treatment perceptions in Burden of Treatment theory could further our understanding of how individuals appraise the personal costs and benefits of self-managing their health.Conclusions Patients’ appraisal of the burden or benefit of using a complex self-management intervention seemed to be influenced by experiences within the intervention (such as perceived availability of support) and beliefs about their condition and treatment (such as perceived control and risk of side effects). Developing our ability to adequately capture these salient burdens and benefits for patients could help enhance evaluation of self-management interventions in the future. 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spelling v2 67035 2024-07-09 Qualitative process study to explore the perceived burdens and benefits of a digital intervention for self-managing high blood pressure in Primary Care in the UK 06b53a31f254b004de8649a376ce2fbd 0000-0001-5403-1708 Becky Band Becky Band true false 2024-07-09 HSOC AbstractObjectives Digital interventions can change patients’ experiences of managing their health, either creating additional burden or improving their experience of healthcare. This qualitative study aimed to explore perceived burdens and benefits for patients using a digital self-management intervention for reducing high blood pressure. A secondary aim was to further our understanding of how best to capture burdens and benefits when evaluating health interventions.Design Inductive qualitative process study nested in a randomised controlled trial.Setting Primary Care in the UK.Participants 35 participants taking antihypertensive medication and with uncontrolled blood pressure at baseline participated in semistructured telephone interviews.Intervention Digital self-management intervention to support blood pressure self-monitoring and medication change when recommended by the healthcare professional.Analysis Data were analysed using inductive thematic analysis with techniques from grounded theory.Results Seven themes were developed which reflected perceived burdens and benefits of using the intervention, including worry about health, uncertainty about self-monitoring and reassurance. The analysis showed how beliefs about their condition and treatment appeared to influence participants’ appraisal of the value of the intervention. This suggested that considering illness and treatment perceptions in Burden of Treatment theory could further our understanding of how individuals appraise the personal costs and benefits of self-managing their health.Conclusions Patients’ appraisal of the burden or benefit of using a complex self-management intervention seemed to be influenced by experiences within the intervention (such as perceived availability of support) and beliefs about their condition and treatment (such as perceived control and risk of side effects). Developing our ability to adequately capture these salient burdens and benefits for patients could help enhance evaluation of self-management interventions in the future. Many participants perceived important benefits from using the intervention, highlighting the need for theory to recognise that engaging in self-management can include positive as well as negative aspects. Journal Article BMJ Open 8 5 e020843 BMJ 2044-6055 2044-6055 8 5 2018 2018-05-08 10.1136/bmjopen-2017-020843 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University This independent research was funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research Programme (grant reference number RP-PG-1211-20001). RJM is funded by an NIHR Professorship (NIHR-RP-R2-12-015) and the NIHR Oxford CLAHRC. 2024-09-02T14:02:05.2567169 2024-07-09T15:24:47.0342840 Faculty of Medicine, Health and Life Sciences School of Psychology Katherine Morton 0000-0002-6674-0314 1 Laura Dennison 2 Katherine Bradbury 3 Becky Band 0000-0001-5403-1708 4 Carl May 5 James Raftery 6 Paul Little 7 Richard J McManus 0000-0003-3638-028x 8 Lucy Yardley 9 67035__31219__dd13c6c499b843ef902d3edb1f5f0f39.pdf 67035.VoR.pdf 2024-09-02T14:00:23.9179473 Output 1058519 application/pdf Version of Record true This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license. true eng http://creativecommons.org/licenses/by/4.0/
title Qualitative process study to explore the perceived burdens and benefits of a digital intervention for self-managing high blood pressure in Primary Care in the UK
spellingShingle Qualitative process study to explore the perceived burdens and benefits of a digital intervention for self-managing high blood pressure in Primary Care in the UK
Becky Band
title_short Qualitative process study to explore the perceived burdens and benefits of a digital intervention for self-managing high blood pressure in Primary Care in the UK
title_full Qualitative process study to explore the perceived burdens and benefits of a digital intervention for self-managing high blood pressure in Primary Care in the UK
title_fullStr Qualitative process study to explore the perceived burdens and benefits of a digital intervention for self-managing high blood pressure in Primary Care in the UK
title_full_unstemmed Qualitative process study to explore the perceived burdens and benefits of a digital intervention for self-managing high blood pressure in Primary Care in the UK
title_sort Qualitative process study to explore the perceived burdens and benefits of a digital intervention for self-managing high blood pressure in Primary Care in the UK
author_id_str_mv 06b53a31f254b004de8649a376ce2fbd
author_id_fullname_str_mv 06b53a31f254b004de8649a376ce2fbd_***_Becky Band
author Becky Band
author2 Katherine Morton
Laura Dennison
Katherine Bradbury
Becky Band
Carl May
James Raftery
Paul Little
Richard J McManus
Lucy Yardley
format Journal article
container_title BMJ Open
container_volume 8
container_issue 5
container_start_page e020843
publishDate 2018
institution Swansea University
issn 2044-6055
2044-6055
doi_str_mv 10.1136/bmjopen-2017-020843
publisher BMJ
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 1
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description AbstractObjectives Digital interventions can change patients’ experiences of managing their health, either creating additional burden or improving their experience of healthcare. This qualitative study aimed to explore perceived burdens and benefits for patients using a digital self-management intervention for reducing high blood pressure. A secondary aim was to further our understanding of how best to capture burdens and benefits when evaluating health interventions.Design Inductive qualitative process study nested in a randomised controlled trial.Setting Primary Care in the UK.Participants 35 participants taking antihypertensive medication and with uncontrolled blood pressure at baseline participated in semistructured telephone interviews.Intervention Digital self-management intervention to support blood pressure self-monitoring and medication change when recommended by the healthcare professional.Analysis Data were analysed using inductive thematic analysis with techniques from grounded theory.Results Seven themes were developed which reflected perceived burdens and benefits of using the intervention, including worry about health, uncertainty about self-monitoring and reassurance. The analysis showed how beliefs about their condition and treatment appeared to influence participants’ appraisal of the value of the intervention. This suggested that considering illness and treatment perceptions in Burden of Treatment theory could further our understanding of how individuals appraise the personal costs and benefits of self-managing their health.Conclusions Patients’ appraisal of the burden or benefit of using a complex self-management intervention seemed to be influenced by experiences within the intervention (such as perceived availability of support) and beliefs about their condition and treatment (such as perceived control and risk of side effects). Developing our ability to adequately capture these salient burdens and benefits for patients could help enhance evaluation of self-management interventions in the future. Many participants perceived important benefits from using the intervention, highlighting the need for theory to recognise that engaging in self-management can include positive as well as negative aspects.
published_date 2018-05-08T14:02:03Z
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