Hypertension is one of the greatest epidemics threatening the health of people in low and middle-income countries.
For patients struggling with high blood pressure in countries with limited access to health care, the key to improving health may be as simple as a phone call.
New University of Michigan research evaluated the impact of automated calls from a U.S.-based server to the mobile phones of patients with hypertension (high blood pressure) in Honduras and Mexico. The program was designed to be a low-cost way of providing long distance checkups and self-management education.
Patients were provided with home blood pressure monitors and reported information about their blood pressure, medication use and symptoms during the weekly automated calls. During the calls, they received tailored health information from U-M via a cloud computing system.
Compared to patients receiving usual care, those who received the weekly 12-minute calls for six weeks were more likely to say that they understood how to take their medication, experienced fewer depressive symptoms and were more satisfied with care. Blood pressures decreased significantly, especially among patients with the greatest need for education about their hypertension management.
"What some people may not realize is that the biggest health threats in less-developed countries aren't just communicable diseases like HIV. Chronic disease and high blood pressure are the biggest killers," says lead author John D. Piette, Ph.D., professor of internal medicine at the U-M Medical School.
"Our work shows that mobile technology can be used to help people living in poor areas of the world that don't have the infrastructure for health services. It was gratifying to see how something based at U-M could give these patients in remote areas information they needed to manage their hypertension."
The results were published in Telemedicine and e-Health.