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

Author

Listed:
  • Loral Patchen

    (MedStar Health Research Institute, Hyattsville, MD 20782, USA)

  • Asli McCullers

    (MedStar Health Research Institute, Hyattsville, MD 20782, USA)

  • Serenity G. Budd

    (MedStar Health Research Institute, Hyattsville, MD 20782, USA)

  • H. Joseph Blumenthal

    (MedStar Health Research Institute, Hyattsville, MD 20782, USA)

  • W. Douglas Evans

    (Milken Institute School of Public Health, George Washington University, Washington, DC 20037, USA)

Abstract

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.

Suggested Citation

  • Loral Patchen & Asli McCullers & Serenity G. Budd & H. Joseph Blumenthal & W. Douglas Evans, 2024. "Protocol for Evaluating Remote Patient Blood Pressure Monitoring Adapted to Black Women and Birthing Persons," IJERPH, MDPI, vol. 21(5), pages 1-12, May.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:5:p:603-:d:1390788
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    References listed on IDEAS

    as
    1. Melissa A. Napolitano & Cherise B. Harrington & Loral Patchen & Lindsey P. Ellis & Tony Ma & Katie Chang & Azar Gaminian & Caitlin P. Bailey & W. Douglas Evans, 2021. "Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women," IJERPH, MDPI, vol. 18(4), pages 1-15, February.
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