Effectiveness of Community Health Workers in Hypertension Adherence

N/ACompletedNCT05208320

Pham Ngoc Thach University of Medicine537 enrolled

Overview

A community intervention in elderly hypertension patients by Community Health Workers in order to improve patients adherence to treatment

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

537

Conditions

Hypertension

Interventions

AdherenceBEHAVIORAL

Patients received interventions as follow: * The health education syllabus included 4 chapters: (1) introduction to hypertension, (2) complications of high blood pressure, (3) lifestyle management, and (4) SCORE - European High-Risk Chart * Home health education by Community Health Workers every month for 6 months

Eligibility

Sex: ALLMin age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All patients aged 60 years and older who had been diagnosed with hypertension for more than 3 months at the time of the study were eligible for inclusion. Exclusion Criteria: * People who are not able to answer interviews or have mental illnesses. * Those who, after being interviewed, re-confirmed that they did not have a diagnosis of hypertension from a medical facility.

Locations (1)

Pham Ngoc Thach University of Medicine

Ho Chi Minh City, Vietnam

Outcomes

Primary Outcomes

Change Medication adherence

Medication adherence was assessed using The 8-item Morisky Medication Adherence Scale (MMAS-8). The scale is based on the patients' self-response and consists of eight questions, seven items with yes or no response, and one item with a 5-point Likert scale response option. The total score ranges from 1 to 8, the patient whose adherence score was six or more is considered adherent.

Time frame: Patients were assessed Medication adherence at 3 time points: baseline (at the start of the study), 7 months after baseline, and 13 months after baseline

Secondary Outcomes

Change Follow-up compliance

patients are considered Follow-up compliance when they have had a follow-up examination for hypertension in the past 3 months, according to the doctor's appointment, or early/delayed within 3 days

Time frame: Patients were assessed Follow-up compliance at 3 time points: baseline (at the start of the study), 7 months after baseline, and 13 months after baseline

Change Compliance with reducing salt intake

patients are said to comply with salt reduction when using \< 5g salt/day (corresponding to \< 1.9g Na/day). Daily sodium intake was calculated based on the Food Frequency Questionnaire (FFQ) on foods high in salt (preserved meat, salt, fish sauce, soy sauce, ketchup) according to the formula \[portion size in grams\] x \[reported consumption frequency (converted to times per day)\] x \[nutrient per gram\]

Time frame: Patients were assessed Compliance with reducing salt intake at 3 time points: baseline (at the start of the study), 7 months after baseline, and 13 months after baseline

Change Physical activity compliance

Physical activity compliance assessed by The International Physical Activity Questionnaire - Short Form (IPAQ-SF). The IPAQ-SF includes 4 questions, collects physical activity information for the previous 7 days regarding vigorous and moderate activity, walking and sedentary behaviors, units in MET-minutes/week. Patients were considered compliant with moderate and high levels of physical activity according to the IPAQ-SF assessment guidelines.

Data from ClinicalTrials.gov

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