Factors influencing implementation of a self-measured blood pressure program in community health centers: an implementation mapping approach
ObjectivesUncontrolled 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...
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1485343/full |
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| author | Serena A. Rodriguez Serena A. Rodriguez Serena A. Rodriguez Fernanda Velasco-Huerta Mahalia Sampson-Ansah Ella R. Garza Ella R. Garza William B. Perkison Patenne D. Mathews Patenne D. Mathews Catherine Pulicken Catherine Pulicken Maria E. Fernandez Maria E. Fernandez Maria E. Fernandez |
| author_facet | Serena A. Rodriguez Serena A. Rodriguez Serena A. Rodriguez Fernanda Velasco-Huerta Mahalia Sampson-Ansah Ella R. Garza Ella R. Garza William B. Perkison Patenne D. Mathews Patenne D. Mathews Catherine Pulicken Catherine Pulicken Maria E. Fernandez Maria E. Fernandez Maria E. Fernandez |
| author_sort | Serena A. Rodriguez |
| collection | DOAJ |
| description | ObjectivesUncontrolled 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.MethodsData 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.ResultsBarriers 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.ConclusionFindings inform our understanding of SMBP program adoption, implementation, and importantly, how to best allocate resources to incorporate SMBP programs into clinical workflows. |
| format | Article |
| id | doaj-art-03b4e46864a44e45907a622b9ac06775 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-03b4e46864a44e45907a622b9ac067752025-08-20T03:28:00ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.14853431485343Factors influencing implementation of a self-measured blood pressure program in community health centers: an implementation mapping approachSerena A. Rodriguez0Serena A. Rodriguez1Serena A. Rodriguez2Fernanda Velasco-Huerta3Mahalia Sampson-Ansah4Ella R. Garza5Ella R. Garza6William B. Perkison7Patenne D. Mathews8Patenne D. Mathews9Catherine Pulicken10Catherine Pulicken11Maria E. Fernandez12Maria E. Fernandez13Maria E. Fernandez14Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center (UTHealth) at Houston School of Public Health, Dallas, TX, United StatesCenter for Health Promotion and Prevention Research, UTHealth Houston, Houston, TX, United StatesInstitute for Implementation Science, UTHealth Houston, Dallas, TX, United StatesCenter for Health Promotion and Prevention Research, UTHealth Houston, Houston, TX, United StatesCenter for Health Promotion and Prevention Research, UTHealth Houston, Houston, TX, United StatesInstitute for Implementation Science, UTHealth Houston, Dallas, TX, United StatesDepartment of Health Promotion and Behavioral Sciences, UTHealth Houston School of Public Health, Houston, TX, United StatesDepartment of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth Houston School of Public Health, Houston, TX, United StatesCenter for Health Promotion and Prevention Research, UTHealth Houston, Houston, TX, United StatesDepartment of Health Promotion and Behavioral Sciences, UTHealth Houston School of Public Health, Houston, TX, United StatesCenter for Health Promotion and Prevention Research, UTHealth Houston, Houston, TX, United StatesDepartment of Health Promotion and Behavioral Sciences, UTHealth Houston School of Public Health, Houston, TX, United StatesCenter for Health Promotion and Prevention Research, UTHealth Houston, Houston, TX, United StatesInstitute for Implementation Science, UTHealth Houston, Dallas, TX, United StatesDepartment of Health Promotion and Behavioral Sciences, UTHealth Houston School of Public Health, Houston, TX, United StatesObjectivesUncontrolled 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.MethodsData 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.ResultsBarriers 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.ConclusionFindings inform our understanding of SMBP program adoption, implementation, and importantly, how to best allocate resources to incorporate SMBP programs into clinical workflows.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1485343/fullimplementation mappinghealth promotionhypertensionself-measured blood pressureremote patient monitoringprogram planning |
| spellingShingle | Serena A. Rodriguez Serena A. Rodriguez Serena A. Rodriguez Fernanda Velasco-Huerta Mahalia Sampson-Ansah Ella R. Garza Ella R. Garza William B. Perkison Patenne D. Mathews Patenne D. Mathews Catherine Pulicken Catherine Pulicken Maria E. Fernandez Maria E. Fernandez Maria E. Fernandez Factors influencing implementation of a self-measured blood pressure program in community health centers: an implementation mapping approach Frontiers in Public Health implementation mapping health promotion hypertension self-measured blood pressure remote patient monitoring program planning |
| title | Factors influencing implementation of a self-measured blood pressure program in community health centers: an implementation mapping approach |
| title_full | Factors influencing implementation of a self-measured blood pressure program in community health centers: an implementation mapping approach |
| title_fullStr | Factors influencing implementation of a self-measured blood pressure program in community health centers: an implementation mapping approach |
| title_full_unstemmed | Factors influencing implementation of a self-measured blood pressure program in community health centers: an implementation mapping approach |
| title_short | Factors influencing implementation of a self-measured blood pressure program in community health centers: an implementation mapping approach |
| title_sort | factors influencing implementation of a self measured blood pressure program in community health centers an implementation mapping approach |
| topic | implementation mapping health promotion hypertension self-measured blood pressure remote patient monitoring program planning |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1485343/full |
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