Impact of Training of GPs on Adherence of Hypertensive Individuals to Antihypertensive Medication
试验速览
- 阶段
- 不适用
- 入组人数
- 178
- 试验地点
- 1
- 主要终点
- adherence:% of days correct dose was taken
研究概览
简要总结
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.
详细描述
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Educational Counseling Training
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Hypertensive individuals aged 40 years and above residing in selected clusters
- •Individuals prescribed with hypertensive medication by their general practitioners in related cluster
排除标准
- •Pregnant women will be excluded
- •Mentally unstable or bed bound patients
结局指标
主要结局
adherence:% of days correct dose was taken
次要结局
- adherence: % prescribed doses taken