Faculty, Staff and Student Publications
Language
English
Publication Date
1-1-2025
Journal
Frontiers in Public Health
DOI
10.3389/fpubh.2025.1485343
PMID
40746695
PMCID
PMC12310573
PubMedCentral® Posted Date
7-17-2025
PubMedCentral® Full Text Version
Post-print
Abstract
Objectives: Uncontrolled hypertension is a leading cause of cardiovascular disease, particularly among adults aged 45 years and older. Self-measured blood pressure (SMBP) is an evidence-based intervention that can help patients manage hypertension outside of the clinical setting. We conducted a needs and assets assessment to identify (1) health center adopters and implementers and (2) barriers and facilitators to SMBP adoption and implementation in six community health centers in Texas.
Methods: Data sources included: (1) needs and assets assessment surveys and semi-structured interviews; (2) site visits with participating health centers; and (3) detailed meeting notes and logs. Leaders and administrators from the participating health centers completed a self-administered 56-item survey. We computed descriptive statistics for survey data. For open-ended survey responses, interview data, and meeting notes, team members labeled the reported and observed barriers and facilitators to program implementation.
Results: Barriers to SMBP adoption and implementation included staffing shortages, limited funding to procure blood pressure devices, and perceived challenges reaching patients and maintaining engagement in an SMBP program. Facilitators included existing hypertension management guidelines, health center familiarity with SMBP programs, and the use of non-physician team members in hypertension management programs. Adopters included leadership professionals and administrators, and implementers included healthcare providers, and non-physician team members.
Conclusion: Findings inform our understanding of SMBP program adoption, implementation, and importantly, how to best allocate resources to incorporate SMBP programs into clinical workflows.
Keywords
Humans, Hypertension, Community Health Centers, Texas, Middle Aged, Female, Male, Blood Pressure Determination, Surveys and Questionnaires, Aged, Adult, implementation mapping, health promotion, hypertension, self-measured blood pressure, remote patient monitoring, program planning
Published Open-Access
yes
Recommended Citation
Rodriguez, Serena A; Velasco-Huerta, Fernanda; Sampson-Ansah, Mahalia; et al., "Factors Influencing Implementation of a Self-Measured Blood Pressure Program in Community Health Centers: An Implementation Mapping Approach" (2025). Faculty, Staff and Student Publications. 1152.
https://digitalcommons.library.tmc.edu/uthsph_docs/1152