Background

Hypertension is a common and difficult-to-treat condition; digital health tools may serve as adjuncts to traditional pharmaceutical and lifestyle-based interventions. Using a retrospective observational study we sought to evaluate the effect of a desktop and mobile digital health intervention (DHI) as an adjunct to a workplace health program in those previously diagnosed with hypertension.

Methods

As part of a workplace health program, 3330 patients were identified as previously diagnosed with hypertension. A DHI was made available to participants providing motivational and educational materials assisting in the management of hypertension. We evaluated changes in blood pressure, weight, and body mass index (BMI) between users and nonusers based on login frequency to the DHI using multivariate regression through the five visits over the course of 1 year.

Results

One thousand six hundred twenty-two (49%) participants logged into the application at least once. DHI users had significant greater improvements in systolic blood pressure (SBP; −2.79 mm Hg), diastolic blood pressure (−2.12 mm Hg), and BMI (−0.23 kg/m²) at 1 year. Increased login frequency was significantly correlated with reductions in SBP, diastolic blood pressure, weight, and BMI (P ≤ .014).

Discussion

This large, observational study provides evidence that a DHI as an adjunct to a workplace health program is associated with greater improvement in blood pressure and BMI at 1 year. This study adds to the growing body of evidence that DHIs may be useful in augmenting the treatment of hypertension in addition to traditional management with pharmaceuticals and lifestyle changes.

中文翻译：

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数字健康干预作为高血压工作场所健康计划的辅助手段

背景

高血压是一种常见且难以治疗的疾病；数字健康工具可以作为传统药物和基于生活方式的干预措施的辅助手段。通过回顾性观察性研究，我们试图评估台式和移动数字健康干预（DHI）作为先前诊断为高血压的工作场所健康计划的辅助手段的效果。

方法

作为工作场所健康计划的一部分，确定了3330名先前被诊断出患有高血压的患者。为参与者提供了DHI，提供了有助于高血压管理的激励和教育材料。我们根据DHI的登录频率，通过在1年中的5次访问中进行的多元回归分析，评估了用户和非用户之间的血压，体重和体重指数（BMI）的变化。

结果

一百六十二名（49％）参与者至少登录了一次该应用程序。DHI使用者在1年时的收缩压（SBP; -2.79 mm Hg），舒张压（-2.12 mm Hg）和BMI（-0.23 kg / m ²）有了显着改善。增加登录频率与SBP降低，舒张压，体重被显著相关，和BMI（P  ≤0.014）。

讨论

这项大型的观察性研究提供了证据，表明DHI作为工作场所健康计划的辅助手段，与1年血压和BMI的更大改善有关。这项研究增加了越来越多的证据表明，除了传统的药物和生活方式改变之外，DHIs还可用于增强高血压的治疗。