Impact of Training of GPs on Adherence of Hypertensive Individuals to Antihypertensive Medication
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Aga Khan University
- Enrollment
- 178
- Locations
- 1
- Primary Endpoint
- adherence:% of days correct dose was taken
Study Overview
Brief Summary
This study aims to assess the impact of training General Practitioners (GPs) on adherence to antihypertensive medication among hypertensive individuals. It also aims to assess risk factors for non-adherence. Special training (in appropriate algorithms for management and patient involvement in therapeutic decision making) has been given to GPs. The study has been conducted in six middle or low income clusters of Karachi recruiting individuals randomized to specially trained or untrained GPs, with a follow-up period of 6 weeks. The medication event monitoring system (MEMS)has been used for assessing adherence. It is hypothesized that compliance levels of individuals going to specially trained GPs is higher compared to those going to GPs not having received special training.
Detailed Description
Background: Lack of medication compliance is reported as a major factor contributing to inadequate control over blood pressure. Data from well-structured and well-conducted researches in this field, specifically in the context of developing countries is lacking.
Rationale: Targeting factors associated with non-adherence identified in this study would lead to reduction of the burden of poorly controlled hypertension and its complications. The special training of GPs, taken as an intervention in this study, if found successful in improving compliance, would be advocated for inclusion in a nation-wide hypertension control program.
Aims:
- To assess difference in adherence to antihypertensive medication among hypertensive individuals visiting specially trained GPs, versus those visiting untrained GPs.
- To assess risk factors associated with non-adherence
Study Design: Randomised Controlled Trial
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Educational Counseling Training
- Masking
- None
Eligibility Criteria
- Ages
- 40 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Hypertensive individuals aged 40 years and above residing in selected clusters
- •Individuals prescribed with hypertensive medication by their general practitioners in related cluster
Exclusion Criteria
- •Pregnant women will be excluded
- •Mentally unstable or bed bound patients
Outcomes
Primary Outcomes
adherence:% of days correct dose was taken
Secondary Outcomes
- adherence: % prescribed doses taken