This study evaluates the effect of the BATHE therapeutic interview technique on treatment adherence and blood pressure control in primary care hypertension patients. Hypertension patients aged 18-80 years were randomly assigned to an intervention or control group. The intervention group received the structured BATHE communication technique during clinical visits, while the control group received standard primary care counseling on drug adherence and lifestyle changes. Patients were followed for 6 months (visits at baseline, 3 months, and 6 months). Primary outcomes assessed include treatment adherence scores, drug compliance, and blood pressure levels.
Study Design: A single-blind, randomized controlled intervention trial conducted in a primary care setting. Intervention \& Control: All visits were conducted by a single physician. Intervention Group: Received 5-7 minute BATHE technique consultations (Background, Affect, Troubling, Handling, Empathy) along with routine lifestyle and medication advice. Control Group: Received routine primary care advice on medication adherence and lifestyle changes. Follow-up \& Measurements: Visits occurred at baseline (face-to-face), 3 months (online video), and 6 months (face-to-face). Blood pressure, BMI, and waist circumference were measured at baseline and 6 months. Treatment adherence and medication compliance scales were administered at baseline and 6 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
86
A brief psychotherapeutic consultation tool consisting of 5 steps: Background, Affect, Troubling, Handling, and Empathy, applied during clinical visits to enhance treatment adherence and patient self-efficacy.
Dokuz Eylul University
Izmir, Turkey (Türkiye)
Change in Treatment Adherence Scores
Assessed using the Scale for Evaluating the Success of Treatment Compliance and Lifestyle Change in Hypertensive Individuals (18 items, total score ranging from 18 to 90, with scores \>= 68 indicating high treatment adherence).
Time frame: Baseline and 6th month
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