Implementing Remote Blood Pressure Monitoring as a Tool for Advancing Maternal Health Equity

A Qualitative Exploration of Patient Experiences and Recommendations for Improvement

Bibliographic Data

ID24140763
AuthorsJasmine A Abrams (0000-0002-1464-9156, Yale University, corresponding author), Idalis A Chestnut (Boston University), T Nelson (0000-0002-8257-4141, Rutgers, the State University of New Jersey), Tamora Callands (University of Georgia), Joanne Gaillard (Boston University), Jaleah Rutledge (Yale University), Jaleah D Rutledge (0000-0001-7862-4786, Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, USA.), Thamarah Crevecoeur (Boston University), Christina D Yarrington (University of New Mexico), Samantha E Parker (0000-0002-7193-077X, Boston University)
Year2026
Volume10
Publication date2026-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Equity (JOURNAL)
Journal identifiersISSN: 2473-1242 • E-ISSN: 2473-1242
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/24731242261477640
OpenAlexW7203987270
LanguageEN
References cited35

Background: Hypertensive disorders of pregnancy (HDP) are leading contributors to maternal morbidity and mortality. Black and Latina birthing people are disproportionately impacted. Remote blood pressure monitoring (RBPM) has emerged as a promising strategy to address these inequities; however, limited research has explored patient perspectives on program experience and implementation, especially in diverse populations. Methods: We conducted a qualitative study of a postpartum RBPM program implemented at a large urban safety-net hospital. Forty-five postpartum individuals who identified as Black or Latina and spoke English, Spanish, or Haitian Creole were interviewed 6–12 weeks postpartum. Semistructured interviews were conducted remotely, transcribed, translated as needed, and analyzed using rapid qualitative analysis guided by the Practical, Robust Implementation and Sustainability Model framework. Results: Participants reported high satisfaction with RBPM, citing benefits such as convenience, peace of mind, reassurance of safety, and supportive accountability. Key challenges included difficulty remembering how to use the device after discharge, forgetting due to competing demands, and cultural misalignment between the U.S. postpartum expectations and traditional norms (particularly among Haitian participants). Participants offered concrete suggestions for program improvement, including expanded eligibility and structured program closure. Discussion: Postpartum RBPM is viewed as a highly acceptable and empowering model of care by Black and Latina participants. Findings underscore the need for culturally responsive, language-concordant implementation and expanded access. Patient-informed improvements to the RBPM design may enhance engagement, reduce inequities, and improve maternal health outcomes during a critical window of risk.

Culturally appropriate · Focus group · Health care · Maternal morbidity · Postpartum period · Pregnancy · Qualitative property · Qualitative research · Window of opportunity · Healthcare Technology and Patient Monitoring · Maternal and fetal healthcare · Pregnancy and preeclampsia studies