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Smart Home Blood Pressure Monitoring Devices (SHDs) could improve hypertension care, but adoption is limited. This qualitative study used semi-structured interviews with 20 minority adults aged 60+ to identify knowledge barriers affecting SHD use. Results showed limited prior awareness, knowledge gaps about device functions and data security, and psychological challenges, while guidance enabled sustained use and improved self-monitoring.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/identifying-knowledge-barriers-for-smart-home-blood-pressure-monitoring-device-usage-among-minority-older-adults/425603/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/identifying-knowledge-barriers-for-smart-home-blood-pressure-monitoring-device-usage-among-minority-older-adults/425603.png","ImageObject",300,407,{"name":92,"@type":93},"Margaret","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What knowledge barriers affect smart home blood pressure monitoring device (SHD) adoption?","Question",{"text":112,"@type":113},"Knowledge was a key predisposing factor. Many participants reported no prior awareness of SHDs, and knowledge gaps about device functionality and data security uncertainty contributed to inconsistent use.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the study conducted and who were the participants?",{"text":117,"@type":113},"The study used semi-structured interviews with 20 minority older adults aged 60+, primarily African American and Latinx, diagnosed with hypertension.",{"name":119,"@type":110,"acceptedAnswer":120},"What factors helped participants use SHDs more regularly after initial challenges?",{"text":121,"@type":113},"After receiving guidance, 90% reported regular use. The study highlights proactive, continuous patient education and culturally tailored interventions to improve self-efficacy and sustained device usage.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},425603,1790896235,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},137451207643,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","990 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.3342  \nIDENTIFYING KNOWLEDGE BARRIERS FOR SMART HOME BLOOD PRESSURE MONITORING DEVICE USAGE AMONG MINORITY OLDER ADULTS  \nYanjun Dong1, Jany Sun2, Jimmie Boliboun2, Katherine Koo3, Valeria Vazquez-Trejo2, Michael Cui2, Victoria RIzzo4, and Jeannine Rowe5, 1. SUNY at Albany, Albany, New York, United States, 2. Rush Medical College, Chicago, Illinois, United States, 3. Rush University Medical Center, Chicago, Illinois, United States, 4. University at Albany, SUNY, Albany, New York, United States, 5. University of WisconsinWhitewater, Whitewater, Wisconsin, United States  \nBackground Hypertension remains a critical health concern among minority older adults, with disparities in management and outcomes. Smart Home Blood Pressure Monitoring Devices (SHDs) offer a promising tool for improving hypertension management, yet adoption remains limited. This study examines knowledge barriers affecting SHD use and their impact on health outcomes and healthcare engagement. Method This qualitative study employed semi-structured interviews with 20 minority older adults (aged 60+), primarily African American and Latinx, diagnosed with hypertension. Participants were recruited from a health equity study at an academic medical center. Data were analyzed using thematic analysis through ATLAS.ti, guided by Andersen’s Expanded Behavioral Model of Health Services Use. Results Knowledge was identified as a key predisposing factor influencing SHD adoption. 60% of participants reported no prior awareness of SHDs before being prescribed the device, with healthcare providers serving as the primary information source. Knowledge gaps, including device functionality and data security uncertainty, contributed to inconsistent use. Among those unfamiliar with SHDs, 42% reported negative experiences, and 33% reported psychological barriers. Despite initial challenges, 90% reported regular use after receiving guidance, with self-monitoring and blood pressure management improvements. Discussion Healthcare providers can bridge knowledge gaps through proactive and continuous patient education. Culturally tailored  \nInnovation in Aging, 2025, Vol. 9, No. S2 991  \neducational interventions and digital literacy programs can improve self-efficacy and support sustained device usage.  \nIncorporating SHD education into chronic disease management programs and leveraging community networks may enhance adoption. Future research should explore the long-term effects of these interventions on SHD usage and health outcomes across diverse older adults.","cbCaihMJtBaD35mN","https://ap.wps.com/l/cbCaihMJtBaD35mN","pdf",52484,"English","# Abstract and Background\n## Methods and Results\n## Discussion and Implications","[{\"question\":\"What knowledge barriers affect smart home blood pressure monitoring device (SHD) adoption?\",\"answer\":\"Knowledge was a key predisposing factor. Many participants reported no prior awareness of SHDs, and knowledge gaps about device functionality and data security uncertainty contributed to inconsistent use.\"},{\"question\":\"How was the study conducted and who were the participants?\",\"answer\":\"The study used semi-structured interviews with 20 minority older adults aged 60+, primarily African American and Latinx, diagnosed with hypertension.\"},{\"question\":\"What factors helped participants use SHDs more regularly after initial challenges?\",\"answer\":\"After receiving guidance, 90% reported regular use. The study highlights proactive, continuous patient education and culturally tailored interventions to improve self-efficacy and sustained device usage.\"}]","IDENTIFYING KNOWLEDGE BARRIERS FOR SMART HOME BLOOD PRESSURE MONITORING DEVICE USAGE AMONG MINORITY OLDER ADULTS | PDF",1790637811]