Using Nonpharmacological Approaches in Hypertension Prevention and Management

NCT ID: NCT06490575

Last Updated: 2024-07-08

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

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-18

Study Completion Date

2023-02-20

Brief Summary

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The goal of this randomized controlled trial is to test the effectiveness of a four-module nutrition education resource promoting nonpharmacological approaches to prevent and manage hypertension. The main questions it aims to answer are:

* Does the educational intervention increase the knowledge of using nonpharmacological approaches in preventing and managing hypertension among participants?
* Does the educational intervention improve participants' lifestyle behaviors to prevent and manage hypertension? Researchers will compare a four-module educational intervention with a control group (no educational information received until after the study) to see if the educational intervention works to improve knowledge and healthy lifestyle behaviors in preventing and managing hypertension.

Participants will:

* Attend a 30-minute workshop every week for 4 weeks or no workshop at all
* Complete a survey on demographic information, knowledge, lifestyle behaviors, and quality of life at baseline and end of the study
* Complete a dietary 24-hour food recall at baseline, two weeks into the study, and at the end of the study
* Monitor blood pressure levels two times a day for four weeks

Detailed Description

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Study Design:

This study is a randomized controlled trial with 30 participants randomly divided into control (n=15) and intervention (n=15) groups.

Pre- and post-survey Assessment:

All participants completed a comprehensive self-administered survey at baseline, which included:

* Knowledge related to hypertension and its management
* Lifestyle behaviors (diet, physical activity, alcohol intake, smoking status)
* Quality of life metrics
* Constructs from the Protection Motivation Theory (PMT), such as response efficacy, self-efficacy, perceived vulnerability, perceived severity, and intention

Dietary Assessment:

The Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24) was used to assess participants' intake of fruits, vegetables, dietary sodium, and dietary potassium at three points:

* Baseline
* Mid-program (two weeks into the intervention)
* Post-intervention

Intervention:

The intervention group attended four weekly workshops, each lasting 30 minutes. The workshops were designed and led by a public health nutrition doctoral student and a nutrition expert. Each session included:

* Presentations with PowerPoint slides and interactive activities
* Group discussions
* Questions and answers
* Distribution of educational pamphlets and booklets

The educational sessions focused on:

* Increasing knowledge about hypertension prevention and management
* Promoting nonpharmacological approaches to prevent and manage hypertension, such as dietary changes and lifestyle modifications
* Addressing PMT components to influence participants' beliefs and intentions regarding their health behaviors

Control Group:

Participants in the control group did not receive any educational or counseling sessions during the intervention period. After the post-intervention survey, they were provided with all the educational materials and a brief overview of the contents.

Data Analysis:

Data collected from the surveys and ASA24 dietary assessments were analyzed using the Statistical Package for the Social Sciences (SPSS). Analyses focused on comparing changes in knowledge, lifestyle behaviors, quality of life, and dietary intake between the control and intervention groups.

Conditions

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High Blood Pressure Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The educational intervention was a randomized controlled trial in which participants were randomly divided into control and intervention groups.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Control

Participants in the control group received no educational or counseling sessions until the final post-survey questionnaires were administered.

Group Type NO_INTERVENTION

No interventions assigned to this group

Nutrition Education

Participants in the intervention group attended four face-to-face educational workshops (one session per week).

Group Type EXPERIMENTAL

Educational Intervention Based on Protection Motivation Theory to Improve Knowledge and Promote Nonpharmacological Approaches to Prevent and Manage Hypertension among Adults

Intervention Type OTHER

Participants in the intervention group attended four face-to-face workshops (one session per week). Each session took about 30 minutes and consisted of lectures with PowerPoint presentations, discussion, questions and answers, and the distribution of educational pamphlets and booklets.

Interventions

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Educational Intervention Based on Protection Motivation Theory to Improve Knowledge and Promote Nonpharmacological Approaches to Prevent and Manage Hypertension among Adults

Participants in the intervention group attended four face-to-face workshops (one session per week). Each session took about 30 minutes and consisted of lectures with PowerPoint presentations, discussion, questions and answers, and the distribution of educational pamphlets and booklets.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 18 years old or older
* currently residing in Riley County, Kansas
* a US citizen or a permanent resident
* proficient in English

Exclusion Criteria

* younger than 18 years old
* neither a US citizen nor a permanent resident
* nonproficient in English
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Kansas State University

OTHER

Sponsor Role lead

Responsible Party

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Tandalayo Kidd

Professsor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tandalayo Kidd, PhD

Role: PRINCIPAL_INVESTIGATOR

Kansas State University

Locations

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Justin Hall

Manhattan, Kansas, United States

Site Status

Countries

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United States

References

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Chatzinikolaou A, Tzikas S, Lavdaniti M. Assessment of Quality of Life in Patients With Cardiovascular Disease Using the SF-36, MacNew, and EQ-5D-5L Questionnaires. Cureus. 2021 Sep 14;13(9):e17982. doi: 10.7759/cureus.17982. eCollection 2021 Sep.

Reference Type RESULT
PMID: 34667665 (View on PubMed)

Carey RM, Whelton PK. The 2017 American College of Cardiology/American Heart Association Hypertension Guideline: A Resource for Practicing Clinicians. Ann Intern Med. 2018 Mar 6;168(5):359-360. doi: 10.7326/M18-0025. Epub 2018 Jan 23. No abstract available.

Reference Type RESULT
PMID: 29357396 (View on PubMed)

Schapira MM, Fletcher KE, Hayes A, Eastwood D, Patterson L, Ertl K, Whittle J. The development and validation of the hypertension evaluation of lifestyle and management knowledge scale. J Clin Hypertens (Greenwich). 2012 Jul;14(7):461-6. doi: 10.1111/j.1751-7176.2012.00619.x. Epub 2012 Apr 9.

Reference Type RESULT
PMID: 22747619 (View on PubMed)

Tsao CW, Aday AW, Almarzooq ZI, Anderson CAM, Arora P, Avery CL, Baker-Smith CM, Beaton AZ, Boehme AK, Buxton AE, Commodore-Mensah Y, Elkind MSV, Evenson KR, Eze-Nliam C, Fugar S, Generoso G, Heard DG, Hiremath S, Ho JE, Kalani R, Kazi DS, Ko D, Levine DA, Liu J, Ma J, Magnani JW, Michos ED, Mussolino ME, Navaneethan SD, Parikh NI, Poudel R, Rezk-Hanna M, Roth GA, Shah NS, St-Onge MP, Thacker EL, Virani SS, Voeks JH, Wang NY, Wong ND, Wong SS, Yaffe K, Martin SS; American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association. Circulation. 2023 Feb 21;147(8):e93-e621. doi: 10.1161/CIR.0000000000001123. Epub 2023 Jan 25.

Reference Type RESULT
PMID: 36695182 (View on PubMed)

Carey RM, Whelton PK; 2017 ACC/AHA Hypertension Guideline Writing Committee. Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline. Ann Intern Med. 2018 Mar 6;168(5):351-358. doi: 10.7326/M17-3203. Epub 2018 Jan 23.

Reference Type RESULT
PMID: 29357392 (View on PubMed)

Other Identifiers

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10334

Identifier Type: -

Identifier Source: org_study_id

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