• Chia-Fang Chung, Sean A Munson, Matthew J Thompson, Laura-Mae Baldwin, Jeffrey Kaplan, Randall Cline, and Beverly B Green.
• From the Department of Human Centered Design & Engineering, University of Washington, Seattle (C-FC, SAM); Department of Family Medicine, University of Washington, Seattle (MJT, L-MB); the Memorial Physicians/Yakima Valley Memorial Hospital, Yakima, WA (JK, RC); and the Group Health Research Institute, Seattle (BBG). cfchung@uw.edu.
• J Am Board Fam Med. 2016 Sep 1; 29 (5): 620629620-9.

BackgroundUsing a self-service kiosk to measure blood pressure (BP) has the potential to increase patients' awareness of their BP control and free up medical assistant (MA) time. The objective of this study was to evaluate BP kiosk acceptability and usability, as well as its effects on the workflow of patient BP self-measurement in a primary care clinic.MethodsWe used qualitative and quantitative assessments of kiosk implementation via meetings with clinic leaders, focus groups with clinic providers and staff, observations of kiosk users, and surveys of kiosk users at 2 and 8 months.ResultsMost patients were comfortable using the kiosk (82% at 2 months, 87% at 8 months). Initial provider concerns included accuracy, but most gained confidence after comparing it with other monitors and reviewing the literature supporting its accuracy. Patients and providers saw many benefits: easier BP checks, increased patient engagement, and saved MA time for other tasks. The clinic addressed early concerns (eg, infection control, confusing instructions, perceived loss of personal touch). Most patients (86%) supported the clinic continuing to use the kiosks.ConclusionsProviders, staff, and patients adapted to the use of BP kiosks, providing value by engaging patients in their own care and saving MA time. The clinic decided to keep the self-service kiosk after the pilot period.© Copyright 2016 by the American Board of Family Medicine.

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