The Lived Experience of Adults with Hypertension Towards Using Self-Monitored Blood Pressure Incorporated with Telemonitoring Programmes: A Systematic Review of Qualitative Studies

Abstract

Abstract

Background: Telehealth, especially telemonitoring, has become an effective method for managing chronic diseases like hypertension within primary care settings. Self-monitored blood pressure (SMBP) telemonitoring programs have significantly improved blood pressure management. However, there is a lack of qualitative research on adults' experiences with these programs.

Objectives: This review explores the experiences of adults with hypertension using self-monitoring combined with telemonitoring programs for blood pressure management in primary care, highlighting their benefits and challenges.

Methods: This qualitative systematic review adhered to 27 PRISMA guidelines and employed a comprehensive search across databases such as Medline, CINAHL, Embase, PsycINFO, and Scopus, along with grey literature sources like organisational reports and Google Scholar, between May and August 2024. It included qualitative studies assessing adults’ experiences with hypertension management through telemonitoring and self-monitoring in primary care, restricted to English language publications. Inclusion and exclusion criteria were applied to select relevant primary studies, which were then evaluated using CASP tools, and data were analysed through thematic synthesis to identify key findings.

Result: Out of an initial 1105 articles, 14 were suitable for the review, with most rated high quality and two rated moderate and low. The studies included 287 participants aged 18 to 95. The thematic analysis identified four benefits: a significant psychological impact with enhanced safety, increased motivation for autonomy, the importance of physical health, and perceived ease of using the telemonitoring system. However, challenges included technical difficulties, particularly among older adults, and trust issues regarding system reliability, which negatively affected psychological well-being.

Conclusion: The findings indicate that combining telemonitoring with self-monitoring is promising for managing hypertension. Future research should aim to create tailored tech solutions for older adults while considering younger adults' views. Integrating these programs into public healthcare requires careful attention to technological infrastructure, educational support for providers, and raising public awareness of their benefits.