Health Belief Model-Based Telenursing for Hypertension

Marmara University78 enrolled

Overview

This randomized controlled trial evaluated the effects of a Health Belief Model-based telenursing intervention on self-efficacy, quality of life, blood pressure, body mass index, and health behaviors in individuals with hypertension. A total of 78 participants were randomly assigned to the intervention group (n=39) or control group (n=39). Participants in the intervention group received a 12-week telenursing intervention based on the Health Belief Model, including face-to-face education, training on home blood pressure monitoring, educational materials, weekly text messages, and telephone follow-up at weeks 2, 4, 8, and 12. The control group received usual care. Outcomes were assessed at baseline, 3 months, and 6 months.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Hypertension

Interventions

The intervention consisted of Health Belief Model-based education and a 12-week telenursing follow-up program. Participants received four telephone follow-up calls at weeks 2, 4, 8, and 12, each lasting approximately 10-15 minutes. Weekly text messages were sent for 12 weeks to remind participants about blood pressure monitoring and to provide information about hypertension management. Participants could also contact the researcher when they needed additional support.

Eligibility

Sex: ALLMin age: 30 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Aged 30-65 years * Diagnosed with hypertension by a physician * No cognitive or hearing impairments that could hinder communication * Literate * Using a mobile phone * Willing to participate in the study Exclusion Criteria: * Did not respond to scheduled telephone calls for at least two consecutive weeks * Transferred registration to another Family Health Center * Voluntarily withdrew from the study

Outcomes

Primary Outcomes

Hypertension Self-Efficacy

Hypertension self-efficacy was assessed using the Hypertension Self-Efficacy Scale (HSES). The scale consists of 20 items, with higher scores indicating higher hypertension self-efficacy.