Outline of Study:

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12 Νοε 2013 (πριν από 3 χρόνια και 7 μήνες)

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Outline of Study:

Title:

Relationship between remote medical management of hypertension using
internet and mobile software technology and compliance to medication intake,
diagnostics and optimal control of blood pressure.

Research question:

Do medical
management of hypertension by remotely located qualified
physicians using internet and mobile technology result in improved compliance
of medication intake, diagnostics and achieving optimal control of blood
pressure from baseline.

Significance:

1:
Several epidemiological studies have shown that hypertension is an independent risk
factor for stroke and coronary heart disease.




2:

Hypertension continues to be a leading contributor to cardiovascular morbidity and
mortality both in developed and devel
oping countries.



3: In Pakistan, the prevalence of HTN is as follows. Study 1, study 2 study 3


4: With advancement in technology the world has become a global village.
Internet and mobile phone technology has brought the world closer. The use of
this t
echnology to provide remote access to best medical care is a possibility
now.

Study Design:

Prospective cohort analytic study

Subjects:

Adults 18 years and older, diagnosed with JNC 7 criteria of having Hypertension.
These patients or someone in their hou
sehold should have access to internet
and/or smart phone using android technology.

Technology used:

Remotely Updated Medical Informatics System (RUMI System)


Sampling design:

Convenience sampling

Sample Size:

Total 2500+, with at least 1000 males and 10
00 females

Predictor Variables:

1:

Use of technology


2:

Remote treatment by qualified physicians

Outcome Variables:

1:

Compliance of medication intake


2:

Compliance with getting diagnostic testing on time


3:

Optimal control of blood pressure


4:

Patie
nt satisfaction


Primary Hypothesis:

Null Hypothesis:

There is no association between remote medical management of hypertension
by qualified physicians using internet and mobile software technology and
optimal control of blood pressure.

Alternate
Hypothesis:

There is an association between remote medical management of hypertension
by qualified physicians using internet and mobile software technology and
optimal control of blood pressure.

Secondary Hypothesis # 1:

Null Hypothesis:

There is no associ
ation between remote medical management of hypertension
by qualified physicians using internet and mobile software technology and
compliance to medication intake.

Alternate Hypothesis:

There is an association between remote medical management of hypertensi
on
by qualified physicians using internet and mobile software technology and
compliance to medication intake.

Secondary Hypothesis #2:

Null Hypothesis:

There is no association between remote medical management of hypertension
by qualified physicians using
internet and mobile software technology and
Compliance with getting diagnostic testing on time


Alternate Hypothesis:

There is an association between remote medical management of hypertension
by qualified physicians using internet and mobile software techn
ology and
Compliance with getting diagnostic testing on time


Secondary Hypothesis #3:

Null Hypothesis:

There is no association between remote medical management of hypertension
by qualified physicians using internet and mobile software technology and
pati
ent satisfaction of the process.

Alternate Hypothesis:

There is an association between remote medical management of hypertension
by qualified physicians using internet and mobile software technology and
patient satisfaction of the process.