Effectiveness of Telenursing on Self-Care and Blood Pressure Control in Adults With Hypertension

NCT ID: NCT07056530

Last Updated: 2025-07-09

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

151 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-22

Study Completion Date

2025-06-01

Brief Summary

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This quasi-experimental study aims to evaluate the effectiveness of a structured telenursing program in improving self-care practices and blood pressure control among adults with chronic hypertension in Türkiye. Participants received weekly telephone-based nursing counseling for eight weeks, focusing on medication adherence, healthy nutrition, physical activity, stress management, and regular self-monitoring. The study compares changes in blood pressure and self-care scores between the intervention and control groups.

Detailed Description

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Hypertension remains one of the most prevalent chronic diseases worldwide, significantly contributing to cardiovascular morbidity and mortality. Despite advances in pharmacological treatment, non-pharmacological support and patient self-care play a crucial role in achieving optimal blood pressure control. This study was designed as a quasi-experimental pretest-posttest controlled trial to test whether a structured telenursing intervention improves self-care behaviors and blood pressure outcomes in adults with chronic hypertension.

The study was conducted at Ağrı Training and Research Hospital in Türkiye between March 2024 and March 2025. A total of 151 participants aged 30-75 years were recruited and assigned to an intervention group or a control group. The intervention group received weekly telephone-based nursing counseling sessions delivered by trained nurses for eight consecutive weeks. Counseling covered key self-care topics including medication adherence, dietary modifications, physical activity, stress reduction, and blood pressure self-monitoring. The control group received usual care.

Primary outcomes included changes in systolic blood pressure and mean arterial pressure. Secondary outcomes included changes in self-efficacy and self-care practices measured by the Hypertension Self-Care Profile (HTN-SCP). Ethical approval was obtained from Ağrı İbrahim Çeçen University Scientific Research Ethics Committee (Approval No: E102912). Official permission for implementation was provided by the Ağrı Provincial Directorate of Health (Approval No: E24156). The study was supported by TÜBİTAK (Project No: 919B012319310). Findings from this study aim to support the use of telenursing as a cost-effective digital health strategy for chronic disease management in resource-limited settings.

Conditions

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Hypertension Nursing Telenursing

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Quasi-experimental, non-randomized, parallel design comparing an 8-week telenursing intervention group to a control group.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Intervention Group

Participants in this group received a structured telenursing program consisting of weekly phone-based counseling sessions for 8 weeks, focusing on medication adherence, healthy nutrition, physical activity, stress management, and blood pressure self-monitoring.

Group Type EXPERIMENTAL

Telenursing Counseling

Intervention Type BEHAVIORAL

Structured weekly phone-based counseling sessions delivered by a trained nurse for 8 weeks, focusing on medication adherence, healthy lifestyle behaviors, stress management, and self-monitoring of blood pressure.

Control Group

Participants in this group received usual care provided by the hospital without any additional telenursing counseling.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Telenursing Counseling

Structured weekly phone-based counseling sessions delivered by a trained nurse for 8 weeks, focusing on medication adherence, healthy lifestyle behaviors, stress management, and self-monitoring of blood pressure.

Intervention Type BEHAVIORAL

Other Intervention Names

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Weekly Remote Nursing Counseling

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with chronic hypertension for at least 1 year.
* Aged between 30 and 75 years.
* Able to communicate via telephone.
* Provided informed consent to participate.

Exclusion Criteria

* Diagnosed with severe comorbid conditions (e.g., advanced heart failure, cancer).
* Cognitive impairment that prevents communication.
* Hearing impairment that prevents phone counseling.
* Participation in another hypertension intervention program within the last 6 months.
Minimum Eligible Age

30 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dursun Alper YILMAZ

OTHER

Sponsor Role lead

Responsible Party

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Dursun Alper YILMAZ

Research Assistant

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Dursun Alper Yılmaz, PhD

Role: STUDY_CHAIR

Ağrı İbrahim Çeçen Üniversitesi

Locations

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Ağrı İbrahim Çeçen University

Ağrı, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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919B012319310

Identifier Type: OTHER

Identifier Source: secondary_id

TELENURSING-HTN-2025-AICU

Identifier Type: -

Identifier Source: org_study_id

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