Implementing self-management: a mixed methods study of women's experiences of a postpartum hypertension intervention (SNAP-HT).

Trials
Alexandra E CairnsJohn Powell

Abstract

Self-management strategies are effective in a number of medical conditions; however, implementation studies have demonstrated adoption into clinical practice can be problematic. The process of implementation was explored during a pilot randomised controlled trial evaluating postpartum blood pressure self-management in women with medicated hypertensive disorders of pregnancy. A mixed methods study using semi-structured interviews with a qualitative and a scored (quantitative) component were undertaken as part of a pilot randomised controlled trial (SNAP-HT) in postnatal women with medicated gestational hypertension or pre-eclampsia. Women were randomised to usual care or blood pressure self-management. Self-management entailed daily home blood pressure monitoring and automated medication reduction via telemonitoring. Women from both groups optionally consented to participate in audio-recorded interviews at 4 weeks and 6 months postpartum. Interview questions were developed to explore the proposed benefits of self-management and the constructs of normalisation process theory. Participants provided a score (Likert scale 1-5) for each question and were encouraged to expand upon these answers through further discussion. The intervie...Continue Reading

References

Sep 18, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Allison TongJonathan Craig
Dec 11, 2007·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·L A MageeFor The Chips Pilot Trial Collaborative Group
Feb 28, 2008·Journal of Hypertension·Alexander G LoganAndras Tisler
Apr 24, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Miren I JonesRichard J McManus
Jul 24, 2012·Journal of General Internal Medicine·Barbara G BokhourNancy R Kressin
Nov 7, 2012·BMJ Open·Sally WoodRichard J McManus
Sep 21, 2013·BMC Medical Research Methodology·Nicola K GaleSabi Redwood
Jul 2, 2014·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Veronika WilliamsAndrew Farmer
Feb 14, 2016·European Heart Journal·Sanjeev P BhavnaniPartho P Sengupta
Jun 9, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sally WoodRichard J McManus
Jul 4, 2018·Hypertension·Alexandra E CairnsUNKNOWN SNAP-HT Investigators

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