Effectiveness of Community Health Workers in Hypertension Adherence

Not Applicable

Completed

• Conditions: Hypertension
• Interventions: Behavioral: Adherence

• Registration Number: NCT05208320
• Lead Sponsor: Pham Ngoc Thach University of Medicine

Brief Summary

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

Detailed Description

Not available

Study Timeline

• Study Start: 2020-11-03
• Study First Submitted: 2021-12-23
• Study First Submitted QC: 2022-01-13
• Study First Posted: 2022-01-26
• Status Verified: 2022-02
• Last Update Submitted: 2022-02-17
• Primary Completion: 2022-02-18
• Study Completion: 2022-02-18
• Last Update Posted: 2022-02-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 537

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
intervention ward	Adherence	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

Primary Outcome Measures

Name	Time	Method
Change Medication adherence	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	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.

Secondary Outcome Measures

Name	Time	Method
Change Follow-up compliance	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	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
Change Compliance with reducing salt intake	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	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 \[nutrient per gram\]
Change Physical activity compliance	Patients were assessed Physical activity compliance at 3 time points: baseline (at the start of the study), 7 months after baseline, and 13 months after baseline	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.
Change Smoking compliance	Patients were assessed Smoking compliance at 3 time points: baseline (at the start of the study), 7 months after baseline, and 13 months after baseline	patients are considered Smoking compliance when they currently do not smoke or completely quit smoking (including e-cigarettes)
Change Compliance with alcohol consumption	Patients were assessed Compliance with alcohol consumption at 3 time points: baseline (at the start of the study), 7 months after baseline, and 13 months after baseline	patients are considered Compliance with alcohol consumption when minimizing alcohol consumption, if drinking, the amount should be ≤ 2 standard drinks/day (men) or ≤ 1 standard drinks/day (women), and the total must be ≤ 10 standard drinks/week (men) or ≤ 5 standard drinks/week (women)

Trial Locations

Locations (1)

Pham Ngoc Thach University of Medicine; 🇻🇳 Ho Chi Minh City, Vietnam