Automated Instant Message-guided Hypertension Management Intervention Among Stroke Survivors: a Pilot Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 7
- 主要终点
- Systolic blood pressure
研究概览
简要总结
This pilot and feasibility study aims to develop an automated instant message-delivered intervention (i.e., EMI) for hypertension management in stroke survivors, and to investigate the feasibility and effectiveness of the intervention.
详细描述
Intervention group:
Participants in intervention group will receive the EMI for 4 weeks. Based on the steps of mobile message development recommended by Abroms, et al., we will develop a message content library and protocol for EMI delivery.
- Message contents: The message content library will consist of two parts: 1. brief stroke and hypertension education messages (mandatory), and 2. lifestyle modification messages (optional).
- Message delivery
- Regular messages: The messages in the two parts will be sent regularly to each participant. As personalisation is a core process subject to behavioural changes, the content, frequency, and timing of the messages will be determined based on participants' preferences. To save labour and increase efficiency, we will develop a message 'scheduler' program. We will pre-set the message scheduler, which will then automatically send out content to participants according to their preferences. The development of the program is highly useful particularly in cases which participants prefer to receive messages during non-office hours.
- Nurse-led real-time support messages (chat-type): Chat-based nurse support will be given to the participants as an extension of the regular messages. However, the participants will be informed beforehand that the nurse will only play a supportive role and will not provide formal care. The number of the chat messages will not be limited, but the nurse-led real-time support messages will only be provided during working hours (i.e., 9am-6pm) on weekdays to limit the nurse RA's workload.
Control Group:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of stroke (ICD-10 codes: I60-I69)
- •Diagnosis of hypertension and antihypertension medication
- •Able to read and communicate in Chinese (Cantonese or Putonghua)
- •Able to use text messaging function on mobile phones
- •MoCA 5-minute Protocol (cognitive screen) ≥14 (Equivalence to MMSE ≥ 21)
排除标准
- •Currently receiving active stroke care in acute or post-acute inpatient settings
- •Has diagnosis of psychiatric disease or is currently taking psychotropic drug
结局指标
主要结局
Systolic blood pressure
时间窗: 4 weeks
A validated blood pressure monitor will be used to evaluate the participants' blood pressure. A higher systolic blood pressure number indicates higher blood pressure.
Diastolic blood pressure Diastolic blood pressure
时间窗: 4 weeks
A validated blood pressure monitor will be used to evaluate the participants' blood pressure. A higher diastolic blood pressure number indicates higher blood pressure.
次要结局
- Feedback on Instant Message-Guided Hypertension Management Intervention(4 weeks)
- Self-efficacy (Stroke Self-Efficacy Questionnaire)(4 weeks)
- Self-care of high blood pressure (SC-HI)(4 weeks)
- Quality of life (EuroQol 5-dimension 5-level questionnaire)(4 weeks)