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“Is it Even Giving the Correct Reading or Not?”: How Trust and Relationships Mediate Blood Pressure Management in India

Published: 25 September 2023 Publication History

Abstract

While chronic disease afflicts a large Indian population, the technologies used to manage chronic diseases have largely been informed by studies conducted in other sociocultural contexts. To address this gap, we conducted qualitative interviews with 21 patients clinically diagnosed with abnormal blood pressure (BP) living in low-resourced communities of Haryana, Uttarakhand and Uttar Pradesh in India. We found that patients’ trust in the BP ecosystem and social ties plays a significant role in shaping their perceptions of technology and chronic care. Trust in one actor of the ecosystem fosters trust in another, e.g., trust in BP reading depended on the type of device and the person measuring the BP. We also observed nuanced sharing and intermediation of BP devices. Based on our findings, we recommend designs to boost patients’ trust, familiarity, and access to technologies used in BP management and improve their experience of care in low-resource settings in India.

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  1. “Is it Even Giving the Correct Reading or Not?”: How Trust and Relationships Mediate Blood Pressure Management in India

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    cover image ACM Transactions on Computer-Human Interaction
    ACM Transactions on Computer-Human Interaction  Volume 30, Issue 6
    December 2023
    424 pages
    ISSN:1073-0516
    EISSN:1557-7325
    DOI:10.1145/3623488
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    Association for Computing Machinery

    New York, NY, United States

    Publication History

    Published: 25 September 2023
    Online AM: 20 July 2023
    Accepted: 09 May 2023
    Revised: 11 February 2023
    Received: 21 April 2022
    Published in TOCHI Volume 30, Issue 6

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    1. Blood pressure
    2. hypertension
    3. qualitative study
    4. low-resource community
    5. healthcare

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    • (2024)Understanding the Technology-Mediated Home Phlebotomy Ecosystem in IndiaProceedings of the ACM on Human-Computer Interaction10.1145/36374218:CSCW1(1-26)Online publication date: 26-Apr-2024
    • (2024)"It's Sink or Swim": Exploring Patients' Challenges and Tool Needs for Self-Management of Postoperative Acute PainProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642916(1-11)Online publication date: 11-May-2024

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