Hypertension Treatment Adherence Improving Trial

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

148 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-06

Study Completion Date

2021-09-30

Brief Summary

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Persistent adherence to lifestyle modifications and blood pressure lowering medications were the best way to control blood pressure. But low adherence was noted in reviews and studies resulting those taking blood pressure lowering medications could not achieve a controlled blood pressure. In this study, a theory-guided educational program will be developed with an aim to improve the blood pressure, self-efficacy and adherence behaviors among those diagnosed with high blood pressure in the community. 148 participants will be recruited and divided into control group and intervention group randomly in a ratio of 1:1. The intervention group will receive the theory-guided educational program, while the control group will receive the usual care. The study will last for 12 weeks. Data will be collected at baseline, week 8 and week 12. SPSS and generalized estimating equations model will be employed for data analysis. The results will inform an effective way to conduct health promotion in community. The improved adherence to lifestyle modifications and medications will be beneficial to the clients' health.

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Detailed Description

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Persistent adherence to lifestyle modifications and anti-hypertensive medications were emphasized in hypertension guidelines to control blood pressure effectively. But low adherence to lifestyle modifications and medication were noted in reviews and studies. Low adherence would lead to those received hypertension treatment did not achieve a controlled blood pressure. In this study, an educational program guided by the Health Promotion Model will be conducted to examine the effect on blood pressure, self-efficacy and treatment adherence among hypertensive patients in the community. A 2-arm parallel randomized control trial will be conducted. 148 participants will be recruited and divided into control and intervention group in a ration of 1:1. The intervention group will receive the theory-guided educational program, while the control group will receive the usual care. The study will last for 12 weeks. Data will be collected at baseline, week 8 and week 12. SPSS and generalized estimating equations model will be employed for data analysis. The results will inform community healthcare professionals about the effective way for health promotion, to enhance the adherence to lifestyle modifications and medications among hypertensive clients resulting sustainable benefits to the clients' health.

Conditions

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Hypertension,Essential

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors

Outcomes assessors will not participate in group allocation or intervention delivery.

Study Groups

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Intervention

Participants will receive the newly developed theory-guided program for 12 weeks.

Group Type EXPERIMENTAL

Educational program for hypertensive patients

Intervention Type OTHER

The theory-guided program consisted of one session of health education, self-developed leaflet, and weekly text messaging for 12 weeks.

Control

Participants will receive the usual care and non-hypertension related text messaging for 12 weeks.

Group Type ACTIVE_COMPARATOR

Usual care

Intervention Type OTHER

One standardized health education and a leaflet developed by the Health Bureau. As similar as the intervention group, weekly text messaging will be delivered, but the content is not related to the blood pressure control.

Interventions

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Educational program for hypertensive patients

The theory-guided program consisted of one session of health education, self-developed leaflet, and weekly text messaging for 12 weeks.

Intervention Type OTHER

Usual care

One standardized health education and a leaflet developed by the Health Bureau. As similar as the intervention group, weekly text messaging will be delivered, but the content is not related to the blood pressure control.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Own a mobile phone and able to use
* Able to communicate with Cantonese and read Chinese
* Diagnosed with hypertension and taking at least one anti-hypertensive medication
* SBP = 131\~159 mmHg or DBP = 81\~99 mmHg