The approach in understanding the person aiming at a change in knowledge and behavior about the importance of lifestyle in patients with high blood pressure that is difficult to control: Randomized Clinical Trial
- Conditions
- Arterial hypertensionI51.6
- Registration Number
- RBR-8xk78pd
- Lead Sponsor
- Hospital Universitário Professor Edgard Santos
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- Not specified
50 healthy patients will be prospectively selected; men or women; aged 18 years or older; diagnosed with resistant systemic arterial hypertension; using three or more antihypertensive agents from the angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, calcium channel blockers, loop diuretics, thiazides or potassium-sparing diuretics; for at least 4 weeks prior to screening; with a blood pressure that remains above the desired level (140/90 mmHg); who have a smartphone with the WhatsApp application installed.
Exclusion criteria will be patients with creatinine clearance < 30mmol; hyperkalemia > 5.5 meq/l; patients who will not undergo the recommended laboratory evaluation for the biochemical, urinary determination of sodium, potassium and creatinine; people who don't want to receive daily motivational messages on WhatsApp; who have any kind of reading restriction; patients who are pregnant; who were receiving hospice; who had a documented life expectancy of less than 6 months; dementia sufferers diagnosed due to concerns of inability to complete all study activities.
Study & Design
- Study Type
- Intervention
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To evaluate the impact of a psychobehavioral intervention program (PBIP) encompassing lifestyle habits in patients with resistant arterial hypertension. To assess the effectiveness of lifestyle intervention on a cardiovascular disease risk and lifestyle score.
- Secondary Outcome Measures
Name Time Method 1.Evaluate adherence to the regular use of antihypertensive medications, to the diethyposodium, weight reduction, changes in sleep and wakefulness, self-care, practice ofphysical activity and reduction or cessation of smoking.;2.Check the percentage of change in blood pressure levels between groups comparing blood pressure deltas between the intervention group and the group control.;3. Evaluate changes in the intervention group in urinary sodium measurements andurinary potassium.