Outcomes of the Use of Line Application for Drug Management in Patients with Uncontrolled Hypertension

Main Article Content

Phakakrong Phasuk
Wiwat Thavornwattanayong

Abstract

Objective: To develop and evaluate the Line application for managing drug use (Line application) in patients with uncontrolled hypertension. Method: This study is divided into two phases. In the first phase, the Line application was developed based on the Information, Motivation, and Behavioral Skills Model, and information from focus group discussions with healthcare professionals and interviews with patients. In the second phase, the Line application was evaluated. The subjects were randomly assigned to either the intervention group (n = 66) or the control group (n = 66). The intervention group received standard care along with the Line application, while the control group received only standard care. The study measured the subjects’ blood pressure levels and satisfaction at three months after participating in the study. Results: The Line application was presented to content and media experts for quality assessment in the first phase. Mean score of content quality was 4.54 ± 0.50 out of 5. The score for quality of information technology support systems for the Line application was 4.48 ± 0.68 out of 5. In the second phase, after participating in the study for three months, the intervention group had a significantly lower median (interquartile range) of systolic blood pressure than the control group (136 (5.25) and 144 (7) mmHg respectively; P <.001) and also had a significantly lower median (interquartile range) of diastolic blood pressures than the control group (77 (6.50) and 80 (7.25) mmHg respectively; P = 0.002). The intervention group had a mean score of satisfaction with the Line application at 4.44 ±0.55 out of 5. Conclusion: The Line application has been shown to be effective in significantly reducing blood pressure levels in patients with uncontrolled hypertension.

Article Details

Section
Research Articles

References

Chockalingam A, Campbell NR, Fodor JG. Worldwide epidemic of hypertension. Can J Cardiol 2006; 22: 553-5.

Divison of Non Commuicable Disease. Mortality rate of hypertension [online]. 2020 [cited Sept 5, 2021]. Available from: thaincd.com/2016/mission/document s-detail.php?id=13893&tid=32&gid=1-020.

Divison of Non Commuicable Disease. Key perform- ance indicator for monitoring the quality of non- communicable disease services [online]. 2022 [cited Feb 2, 2022]. Available from: ddc.moph.go.th/up loads/publish/1186620211006043036.pdf.

Puengdokmai P, Charoenkitkarn V, Pinyopasakul W, Sriprasong S, Dumavibhat C. Factors influencing medication adherence in hypertensive patients without complications. Princess of Naradhiwas University Journal 2016; 8: 16-26.

Lertwiriyanan R. The relevant factors for controlling blood sugar and blood pressure of diabetes mellitus and hypertension pateints in Mae phang sub-district, Sansai district, Chiang mai province. Lanna Public Health Journal 2013; 9: 216-38.

Wilson J, Heinsch M, Betts D, Booth D, Kay-Lambkin F. Barriers and facilitators to the use of ehealth by older adults: a scoping review. BMC Public Health 2021; 21: 1556. doi.org/10.1186/s12889-021-11623-w

Electronic Transaction Development Agency, Ministry of Digital Economy and Society. Thailand internet user behavior [online]. 2020 [cited Sept 10, 2021]. Available from: www.etda.or.th/getattachment/c583 5c06-e238-4cda-9816-814df31caca5/IUB_2020_ Web.pdf.aspx.

Nitipaiboon J. The improvement of the capability in social media and applications usage for elderly. Journal of Communication Arts Review 2021; 25: 77-89.

Fisher JD, Fisher WA. Changing AIDs-risk behavior. Psychol Bull1992; 111: 455-74.

Polhan B, Wattanakitkrileart D, Pongthavornkamol K. The effects of education and inhaler skills program through Line application on symptom control among asthmatic patient. Journal of the Royal Thai Army Nurses 2018; 20: 93-103.

Mahaviriyotai K, Wattanakitkrileart D, Poungkaew A. The effect of information provision, motivation and self-monitoring skill program through line application on self-care behaviors in patients with heart failure. Nursing Science Journal of Thailand 2021; 39: 47-63.

Chirawatkul A. Statistics for health science research. Bangkok: Wittayaphat Publishing; 2015.

Gong K, Yan Y-L, Li Y, Du J, Wang J, Han Y, et al. Mobile health applications for the management of primary hypertension: A multicenter, randomized, controlled trial. Medicine (Baltimore) 2020; 99: e19715. doi: 10.1097/MD.0000000000019715.

Schoenthaler A, Leon M, Butler M, Steinhaeuser K, Steinhaeuser K. Development and evaluation of a tailored mobile health intervention to improve medication adherence in black patients with uncontrolled hypertension and type 2 diabetes: Pilot randomized feasibility trial. JMIR Mhealth Uhealth 2020; 8: e17135. doi: 10.2196/17135.

Li X, Li T, Chen J, Xie Y, An X, Lv Y, et al. A wechat-based self-management intervention for community middle-aged and elderly adults with hypertension in Guangzhou, China: A cluster-randomized controlled trial. Int J Environ Res Public Health 2019; 16: 4058. doi: 10.3390/ijerph16214058.

Tahkola A, Korhonen P, Kautiainen H, Niiranen T, Mantyselka P. Personalized text message and checklist support for initiation of antihypertensive medication: the cluster randomized, controlled check and support trial. Scand J Prim Health Care 2020; 38: 201-9. doi: 10.1080/02813432.2020.1753380.

Detboon S, Kitsripisarn S, Muengtaweepongsa S. The effects of a motivational program using a mobile application for adherence behaviors in the prevention of recurrent stroke and blood pressure among stroke patients with hypertension. Nursing Journal CMU 2023; 50: 97-111.

Lertsinudom S, Mungmanitmongkol S, Prasertsuk S, Taratai K, Phenphinan S, Tuntapakul S, et al. System design of Tele pharmacy service in new normal of hospital and drugstore in Regional Health 7 [online]. 2022 [cited Jun 11, 2023]. Available from: kb.hsri.or.th/dspace/handle/11228/5496?locale-attribute=th.

Sakulsupsiri A, Chattranukulchai P, Siwamogsa tham S, Boonchayaanant P, Naeowong W, Ariyachai panich A, et al. Home blood pressure control and drug prescription patterns among Thai hypertensives : A 1-year analysis of telehealth assisted instrument in home blood pressure monitoring nationwide pilot project. Int J Hypertens. 2021; 2021: 8844727. doi: 10.1155/2021/8844727.

Thongkao S, Kimsungnoen N, Namjuntra R. Effects of educative-supportive program on self-care behaviors and blood pressure levels among young adult patients with uncontrolled hypertension. Thai Journal of Cardio-Thoracic Nursing 2021; 32: 73-88.

Kanchanapibulwong A, Khamwangsanga P, Kaew- tha S. NCDs report diabetes, hypertension and related risk factors [online]. 2019 [cited Mar 10,2022]. Available from: www.thaincd.com/2016/ media-detail.php?id=13865&tid=&gid=1-015-005.

Promrat S, Kapol P, Kapol N. Effects of a program to promote medication adherence using telephar- macy in pateints with hypertension. Thai Bulletin of Pharmaceutical Sciences 2022; 17: 31-41.

Charoenwongsa K, Wirojratana V, Wattanakitkrileart D. The effect of a medication adherence promotion program through the Line application on older persons with essential hypertension. Nursing Journal CMU 2022; 49: 313-25.

Nakhornriab S, Wattanakitkrileart D, Charoenkitkarn V, Chotikanuchit S, Vanijja V. The effectiveness of mobile application on medication adherence in patients with stroke. J Nurs Sci. 2017; 35: 58-69.

Mira JJ, Navarro I, Botella F, Borras F, Nuno-Solinis R, Orozco D, et al. A Spanish pillbox app for elderly patients taking multiple medications: randomized controlled trial. J Med Internet Res. 2014; 16: e99. doi: 10.2196/jmir.3269.

The Blood Pressure Lowering Treatment Trialists’ Collaboration. Pharmacological blood pressure lowering for primary and secondary prevention of cardiovascular disease across different levels of blood pressure: an individual participant-level data meta-analysis. Lancet 2021; 397: 1625-36. doi: 10.1016/S0140-6736(21)00590-0.