Background

Pregnant patients of racial/ethnic minorities have higher preeclampsia rates. Home blood pressure monitoring (HBPM) has been investigated for disparity reduction. Smaller studies showed patients find HBPM to be a helpful intervention postpartum. Further investigation is needed to define the role of HPBM in an at-risk and diverse population antepartum.

Objective

To assess patient perception of HBPM among diverse patients at high risk of disease development.

Study Design

Prospective study conducted from April 2020-September 2021. HBPM kits were advertised and interested parties across the United States responded. Cuff Kits were then distributed to participating providers. Providers distributed the kits to patients meeting high-risk criteria for disease development, prioritizing those of racial/ethnic minorities. Surveys were distributed quarterly to providers and patients to assess HBPM perception.

Results

2910 Cuff Kits were distributed to patients at 179 sites in 14 states. Of those, 1160 were distributed to Black patients, 1045 to White patients, and 500 to Hispanic patients. 117 patients completed surveys, with most patients finding Cuff Kits “very valuable” or “valuable” (68.4% and 19.7%, respectively). Most providers (73.4%) felt the Cuff Kits influenced patient care.

Conclusions

Most patients receiving Cuff Kits reported a beneficial impact on disease understanding and most belonged to racial/ethnic groups at higher risk of adverse outcomes. Providers found HBPM had a beneficial impact on care. Though more research is needed to illustrate the impact of HBPM on outcomes, this study suggests that among racial/ethnic minorities and those at the high risk, HBPM is a well-received intervention.

中文翻译：

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患者和提供者对家庭血压监测套件的看法

背景

少数种族/族裔孕妇的先兆子痫发生率较高。家庭血压监测 (HBPM) 已被研究用于缩小差异。较小规模的研究表明，患者发现 HBPM 是一种有益的产后干预措施。需要进一步研究来确定 HPBM 在高危人群和多样化产前人群中的作用。

客观的

评估疾病发展高风险的不同患者对 HBPM 的认知。

学习规划

前瞻性研究于 2020 年 4 月至 2021 年 9 月进行。HBPM 试剂盒进行了广告宣传，美国各地感兴趣的各方做出了回应。然后将袖带套件分发给参与的提供者。提供者将试剂盒分发给符合疾病发展高风险标准的患者，并优先考虑少数种族/族裔患者。每季度向提供者和患者分发一次调查，以评估 HBPM 的认知。

结果

2910 个袖带套件已分发给 14 个州 179 个地点的患者。其中，1160 份分发给黑人患者，1045 份分发给白人患者，500 份分发给西班牙裔患者。117 名患者完成了调查，大多数患者认为袖带套件“非常有价值”或“有价值”（分别为 68.4% 和 19.7%）。大多数提供者 (73.4%) 认为袖带套件影响了患者护理。

结论

大多数接受袖带套件的患者报告对疾病理解产生了有益的影响，并且大多数属于不良结果风险较高的种族/族裔群体。提供者发现 HBPM 对护理有有益的影响。尽管需要更多的研究来说明 HBPM 对结果的影响，但这项研究表明，在少数种族/族裔和高危人群中，HBPM 是一种广受欢迎的干预措施。