Given the ongoing prevalence and challenges in managing hypertension among older patients in Thailand, the need for effective disease management is crucial. Home Blood Pressure Monitoring (HBPM), advised by clinical guidelines for accurate diagnosis, enhanced disease control, and improved treatment adherence, encounters limited adoption in the Thai context. This study aims to explore the perspectives of older Thai patients with hypertension regarding the facilitators and barriers to using HBPM to enhance existing policies and promote its wider adoption. Ten participants were selected via purposive and convenience sampling from the Comprehensive Geriatric Clinic at King Chulalongkorn Memorial Hospital in Bangkok, Thailand. Data was gathered through semi-structured interviews. Facilitators and barriers were identified and analysed using a codebook thematic analysis method. Four facilitator themes were created, including heightened health awareness driven by concerns about hypertension's consequences, integrating self-care strategies, support from medical professionals and healthcare providers, and the perception of HBPM devices as user-friendly, convenient, and accurate. In contrast, four barrier themes were identified, encompassing misconceptions and knowledge gaps that could prompt concern and uncertainty, reduced engagement with healthcare providers, challenges in daily integration, and financial considerations of device acquisition. Promoting HBPM adoption among older Thai hypertensive patients requires a comprehensive approach. This includes raising awareness about hypertension and HBPM benefits, engaging healthcare professionals to support seamless integration, and implementing policies for convenient device access. This holistic strategy offers the potential to enhance disease management and improve well-being for older patients with hypertension.

Authors:
Thanyaporn Hengpongthorn, King Chulalongkorn Memorial Hospital, Thailand
Keatkiat Praditpornsilpa, King Chulalongkorn Memorial Hospital, Thailand

About the Presenter(s)
Thanyaporn Hengpongthorn, MD, is a Family Physician specialising in geriatric care. She is affiliated with the Excellence Geriatric Centre at King Chulalongkorn Memorial Hospital in Bangkok, Thailand.

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http://www.linkedin.com/in/thanyaporn-hengpongthorn-55a02b166

See this presentation on the full schedule – Tuesday Schedule

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