Improving Adherence to Remote Patient Monitoring (RPM) for Patients with Hypertension

Abstract

Practice Problem: Hypertension is a leading contributor to cardiovascular disease, and suboptimal adherence to remote patient monitoring (RPM) limits opportunities for timely intervention and effective blood pressure management in outpatient primary care. PICOT: The PICOT question that guided this project was: Among outpatient clinic nursing staff responsible for remote patient monitoring (RPM) in adults with hypertension (P), how does implementation of a structured nurse-led education and reminder protocol (I), compared to standard RPM practices consisting of routine onboarding and passive reminder processes (C), influence patient adherence to RPM protocols (O) over a 10-week period (T)? Evidence: Evidence supports nurse-led education, structured follow-up, and standardized clinical workflows as effective strategies for improving patient adherence to remote patient monitoring and hypertension management. The project was guided by the Johns Hopkins Evidence-Based Practice Model and Lewin's Change Theory. Intervention: Fifteen adults enrolled in an outpatient RPM program received standardized onboarding education and weekly reminder contacts. Outcome: RPM adherence improved from 33% at baseline to 67% by Week 10, exceeding the 60% benchmark. Blood pressure reading counts increased significantly (t(14) = −3.16, p = .007), with 100% onboarding completion, 93% reminder completion, 87% workflow compliance, and 100% participant retention. Conclusion: The intervention improved RPM adherence and implementation outcomes, supporting standardized nurse-led education and structured follow-up as sustainable strategies to strengthen hypertension management in outpatient primary care.