Adaptive Intervention Model for Hypertension Self-Management in Rural Areas: A Doctor-Patient Interaction Approach

Yuju Wu320 enrolled

Overview

The aim of this project is to develop and validate an adaptive intervention model to improve self-management behavior in rural hypertensive patients. The primary question it seeks to answer is: Can a tailored, interaction-based intervention model, guided by key doctor-patient interaction elements, effectively enhance self-management behavior among rural hypertensive patients and improve long-term blood pressure control? Researchers will evaluate the impact of different intervention strategies on self-management behavior and identify the most effective combination to establish a sustainable intervention model for rural hypertension management.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

320

Conditions

Hypertension Self-management Hypertension

Interventions

The standard interactive intervention is a doctor-patient interaction intervention conducted by follow-up physicians using an intelligent outbound call system as part of follow-up management. It is implemented once a month and is designed based on the Health Behavior Interaction Model, covering four key aspects: health information (e.g., potential risks of poor self-management behavior), professional skills(e.g., blood pressure measurement, medication guidance), emotional support , and decision-making participation.

Intensified Interactive Intervention for Hypertension ManagementBEHAVIORAL

The enhanced interactive intervention builds upon the standard interactive intervention by increasing the frequency of interactions. In addition to the monthly intervention, patients receive an additional brief interactive intervention every two weeks via the intelligent outbound call system, reminding them to adhere to self-management behaviors for hypertension control.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Diagnosed hypertension patients who are permanent residents in rural areas. * No plans for long-term relocation within the next year. * Willing to participate in this study. * No cognitive impairment. * No other diseases that significantly affect self-management behavior, such as malignant tumors. Exclusion Criteria: * Age over 80 years. * Having conditions such as stroke, paralysis, or mental disorders that prevent the completion of self-management behaviors. * Severe hearing impairment or speech disorders that prevent participation in interviews. * Likely to relocate or be away from the local area for an extended period within one year.

Outcomes

Primary Outcomes

Hypertension self-management behavior

Hypertension self-management behavior includes six dimensions: medication management, condition monitoring, dietary management, exercise management, work and rest management, and emotional management. Each item is scored on a 1 to 5 scale, with a total score ranging from 33 to 165. A higher total score indicates a higher level of self-management in patients.

Time frame: From the start of the intervention to the 6-month and the end of the trial at 12 months.

Blood pressure