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Improving Hypertension Self-Management through Mobile Health Digital Coaching

DescriptionIn 2023, 1.28 billion people globally had hypertension, with the United States spending reaching approximately $219 billion annually on hypertension management. Digital healthcare interventions, particularly mobile health (mHealth) solutions, have been proposed; yet, their effectiveness remains largely unexplored. Our research objective is to assess whether individuals with hypertension can enhance their self-management using autonomous mHealth tools that provide health coaching interventions over extended periods. A two-arm study was designed to evaluate the feasibility and clinical outcomes related to hypertension through an iOS platform called HyperCoach. Participants were randomly assigned to two conditions: the Intervention: received a 90-day health coaching plan, and the Control: did not receive coaching. Both groups tracked their health for an additional 180-days. We collected data on demographics, health literacy, self-measured blood pressure (systolic and diastolic), weight, heart rate, and health beliefs. Data analysis used a linear mixed-effects model to assess the effects of time, adherence, and condition on clinical outcomes. Participants with high adherence experienced a steady decline in systolic blood pressure, whereas those with lower adherence showed inconsistent changes, suggesting challenges in maintaining long-term benefits. This indicates improved clinical outcomes and highlights the importance of effective behavior change strategies to improve adherence.

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