{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T08:08:00Z","timestamp":1789546080874,"version":"build-2803163510"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["K23HL163450"],"award-info":[{"award-number":["K23HL163450"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hypertensive disorders of pregnancy (HDPs) are leading causes of maternal and fetal morbidity; yet uptake of home blood pressure monitoring (HBPM) for perinatal detection and management of hypertension remains limited by workflow and integration barriers. We designed and evaluated a clinician-facing HBPM report that integrates blood pressure trends, medication adherence, and pregnancy symptoms to support clinical adoption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between March 2023 and October 2024, we designed and refined HBPM report prototypes through a mixed-method study that included interviews with 16 obstetric providers, using iterative input from a multidisciplinary Clinician Advisory Group. Data on preferences for report features, usability, and workflow integration drawn from provider interviews were compiled and synthesized via convergent quantitative and qualitative methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen providers (37.5% nurses, 25% residents, 25% attendings, 12.5% APPs) were interviewed. Providers identified the blood pressure graph, abnormal-value highlights, medication adherence tracker, and symptom log as the most useful features (n\u2009=\u200915-16, \u226590%), while the prenatal vitamin tracker was least useful (n\u2009=\u20099, 56%). Most providers preferred to review the report themselves (n\u2009=\u200911, 73%) and to receive it at a frequency based on clinical need (n\u2009=\u200912, 80%). While most clinicians were willing to integrate the report into their practice, they raised concerns about workflow burden, triage of abnormal readings, and EMR integration as barriers to successful integration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Providers found most elements of the HBPM tool useful for HDP management, but identified workflow and implementation challenges as key barriers, highlighting the need for strategies to support clinical integration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ajh\/hpag055","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T15:49:32Z","timestamp":1781538572000},"page":"1174-1179","source":"Crossref","is-referenced-by-count":0,"title":["Designing a usable clinician report for home blood pressure monitoring in pregnancy: a mixed methods study"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2374-5931","authenticated-orcid":false,"given":"Cassie","family":"Shao","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Massachusetts Chan Medical School , Worcester, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine A","family":"Tak","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Massachusetts Chan Medical School , Worcester, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritika","family":"Revoori","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Massachusetts Chan Medical School , Worcester, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjna","family":"Iyengar","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Massachusetts Chan Medical School , Worcester, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mawulorm","family":"Denu","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Chan Medical School , Worcester, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Arthur","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Chan Medical School , Worcester, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Halloran","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Massachusetts Chan Medical School , Worcester, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathy","family":"Violette","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Massachusetts Chan Medical School , Worcester, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Leftwich","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Massachusetts Chan Medical School , Worcester, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Fraielli","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Chan Medical School , Worcester, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara C","family":"Kovell","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Chan Medical School , Worcester, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"2026091603521344800_hpag055-B1","doi-asserted-by":"publisher","first-page":"550","DOI":"10.1186\/s12884-023-05663-w","article-title":"An evaluation of the efficacy and the safety of home blood pressure monitoring in the control of hypertensive disorders of pregnancy in both pre and postpartum periods: a systematic review and meta-analysis","volume":"23","author":"Albadrani","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"2026091603521344800_hpag055-B2","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1097\/AOG.0000000000005270","article-title":"Postpartum home blood pressure monitoring: a systematic review","volume":"142","author":"Steele","year":"2023","journal-title":"Obstet Gynecol"},{"key":"2026091603521344800_hpag055-B3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2026.04.025","article-title":"A randomized controlled trial comparing remote blood pressure monitoring with office-based blood pressure monitoring for women at high risk of preeclampsia","author":"Rajkumar","year":"2026","journal-title":"Am J Obstet Gynecol"},{"key":"2026091603521344800_hpag055-B4","author":"Centers for Disease Control and Prevention","year":"2024"},{"key":"2026091603521344800_hpag055-B5","doi-asserted-by":"publisher","first-page":"1567","DOI":"10.1016\/j.jacc.2025.05.007","article-title":"2025 AHA\/ACC\/AANP\/AAPA\/ABC\/ACCP\/ACPM\/AGS\/AMA\/ASPC\/NMA\/PCNA\/SGIM guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"86","author":"Jones","year":"2025","journal-title":"J Am Coll Cardiol"},{"key":"2026091603521344800_hpag055-B6","doi-asserted-by":"publisher","first-page":"e0255578","DOI":"10.1371\/journal.pone.0255578","article-title":"Physician perceived barriers and facilitators for self-measured blood pressure monitoring\u2014a qualitative study","volume":"16","author":"Gondi","year":"2021","journal-title":"PLoS One"},{"key":"2026091603521344800_hpag055-B7","doi-asserted-by":"publisher","first-page":"e0220460","DOI":"10.1371\/journal.pone.0220460","article-title":"Implementation of home blood pressure monitoring among French GPs: a long and winding road","volume":"14","author":"Dugelay","year":"2019","journal-title":"PLoS One"},{"key":"2026091603521344800_hpag055-B8","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1016\/j.jash.2017.06.012","article-title":"Barriers to conducting ambulatory and home blood pressure monitoring during hypertension screening in the United States","volume":"11","author":"Kronish","year":"2017","journal-title":"J Am Soc Hypertens"},{"key":"2026091603521344800_hpag055-B9","doi-asserted-by":"publisher","first-page":"e378","DOI":"10.3399\/bjgp13X668168","article-title":"Patient self-monitoring of blood pressure and self-titration of medication in primary care: the TASMINH2 trial qualitative study of health professionals\u2019 experiences","volume":"63","author":"Jones","year":"2013","journal-title":"Br J Gen Pract"},{"key":"2026091603521344800_hpag055-B10","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1186\/s12911-021-01598-4","article-title":"Home blood pressure data visualization for the management of hypertension: using human factors and design principles","volume":"21","author":"Wegier","year":"2021","journal-title":"BMC Med Inform Decis Mak"},{"key":"2026091603521344800_hpag055-B11","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1186\/s12911-020-01194-y","article-title":"Home blood pressure data visualization for the management of hypertension: designing for patient and physician information needs","volume":"20","author":"Koopman","year":"2020","journal-title":"BMC Med Inform Decis Mak"},{"key":"2026091603521344800_hpag055-B12","volume-title":"Clinical Guidance for the Integration of the Findings of the Chronic Hypertension and Pregnancy (CHAP) Study","author":"American College of Obstetricians and Gynecologists"},{"key":"2026091603521344800_hpag055-B13","doi-asserted-by":"publisher","first-page":"e237","DOI":"10.1097\/AOG.0000000000003891","article-title":"Gestational hypertension and preeclampsia: ACOG Practice Bulletin, Number 222","volume":"135","year":"2020","journal-title":"Obstet Gynecol"},{"key":"2026091603521344800_hpag055-B14","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1097\/01.AOG.0000460762.59152.d7","article-title":"Committee Opinion No. 623: Emergent therapy for acute-onset, severe hypertension during pregnancy and the postpartum period","volume":"125","year":"2015","journal-title":"Obstet Gynecol"},{"key":"2026091603521344800_hpag055-B15","doi-asserted-by":"publisher","first-page":"e51316","DOI":"10.2196\/51316","article-title":"Automated messaging program to facilitate systematic home blood pressure monitoring: qualitative analysis of provider interviews","volume":"7","author":"Einhorn","year":"2023","journal-title":"JMIR Cardio"},{"key":"2026091603521344800_hpag055-B16","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1186\/s12884-025-07632-x","article-title":"Using RE-AIM to inform the adaptation of a clinical decision support application for hypertension disorders of pregnancy: a qualitative study of provider perspectives","volume":"25","author":"Canfield","year":"2025","journal-title":"BMC Pregnancy Childbirth"},{"key":"2026091603521344800_hpag055-B17","doi-asserted-by":"publisher","first-page":"e19882","DOI":"10.2196\/19882","article-title":"Understanding the feasibility, acceptability, and efficacy of a clinical pharmacist-led mobile approach (BPTrack) to hypertension management: mixed methods pilot study","volume":"22","author":"Buis","year":"2020","journal-title":"J Med Internet Res"}],"container-title":["American Journal of Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ajh\/advance-article-pdf\/doi\/10.1093\/ajh\/hpag055\/68528723\/hpag055.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajh\/article-pdf\/39\/10\/1174\/68528723\/hpag055.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajh\/article-pdf\/39\/10\/1174\/68528723\/hpag055.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T07:52:21Z","timestamp":1789545141000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ajh\/article\/39\/10\/1174\/8708199"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,15]]},"references-count":17,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,6,15]]},"published-print":{"date-parts":[[2026,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ajh\/hpag055","relation":{},"ISSN":["0895-7061","1941-7225"],"issn-type":[{"value":"0895-7061","type":"print"},{"value":"1941-7225","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,10]]},"published":{"date-parts":[[2026,6,15]]}}}