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PP.16.32: EFFECTIVENESS OF A PERSONALIZED DIGITAL LIFESTYLE PROGRAM HHE FOR BP REDUCTION COMBINED WITH CE-MEDICAL CERTIFIED BP MANAGEMENT APP

Objective: Hypertension can benefit from a behavioural change. Lifestyle counselling is often based on general guiding rules with a strong commitment of health professionals. We evaluated the effect on blood pressure level (BP) of a lifestyle change program based on actionable and effective personalised counselling based only on digital delivery and coupled with a BP recording, interpretation and trend evaluation App. Design and method: This is a pilot study on 181 consecutive subjects (134 M; 52 ± 12 years old) that voluntarily and unsolicited joined a blood pressure reduction program (SmartPressure, SP) through personalized lifestyle changes and downloaded the free AmicoMED BP management app. The app allows the collection of BP values and after consistency-checks feeds a proprietary CE medical device certified algorithm to provide both individual BP interpretation and BP trend assessment. Furthermore, the App provides an engagement tool to promote regular BP measurements. The SP collected detailed clinical and lifestyle info in order to provide a 3-month program that included personalized progressive counselling and a BP measurement frequency advice. Individual progress on counselling implementation, continuity of BP measurement and BP changes were monitored, and subsequent counselling was provided accordingly. Blood pressure changes were evaluated comparing BP values recorded at the beginning and at the end of the SP program. Results: During the study period a total 8744 BP values were collected, subjects with discontinuous BP measurements during the SP program were excluded from evaluation. We hence analysed the data of 129 subjects (mean SP persistence time 2.3 months). We observed a significant reduction of BP levels at the end of the SP program for both systolic and diastolic BP: -4.7 ± 1.2 mmHg and -3.1 ± 0.8 mmHg, p < 0.0001; respectively. Conclusions: This pilot study demonstrates that a personalized and actionable lifestyle counselling prepared, delivered and monitored only through electronic means and coupled with a medical CE certified App for BP interpretation and trend analysis provides a strong and effective adjunctive tool for BP reduction.