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This study was a single-blinded, two-armed, randomized controlled trial comparing a medication self-management intervention to usual care for hypertensive elderly in the residential care facility.
To explore the effect of stage-matched tailored education on disease management for hypertensive elderly. Patient were randomly assigned to either a 6-month trans-theoretical model-based medication management intervention group or a treatment-as-usual group. we would like to improve its adherence to the medicine prescribed by their own physician through five sessions of face-to-face interview which focused on anti-hypertensive medication-related information, the importance of medication refills, motivation, self-management and self-check skills.
This study was a single-blinded, two-armed, randomized controlled trial comparing a medication self-management intervention to usual care for hypertensive elderly in the residential care facility. From October 2018 to November 2018, convenience sampling was used to recruit 120 participants from one of the most extensive facilities in Zhengzhou, China. Individuals aged 65 years of age or older diagnosed had stage I or stage II hypertension (140-159/90-99 mm Hg or 160-180/100-110 mm Hg, respectively), as confirmed by the professional physician and prescribed anti-hypertensive medication by the physician for at least six months and with an estimated life expectancy of no less than six months were included.The intervention included five educational sessions focused on anti-hypertensive medication-related information, the importance of medication refills, motivation, self-management and self-check skills.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| five sessions of educational interview | Experimental | The intervention included five educational sessions focused on anti-hypertensive medication-related information, the importance of medication refills, motivation, self-management and self-check skills. |
|
| treatment as usual | Other | usual care provided by facility,such as regular blood pressure checking and meals |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| behavior management for anti-hypertensive medication | Behavioral | five sessions of educational interview and home visiting to improve medication-related self-management skills |
|
| Measure | Description | Time Frame |
|---|---|---|
| Blood Pressure | Sphygmomanometers，assessing Change from Baseline Blood Pressure at 3 years | 0.3month.6month.3years |
| Measure | Description | Time Frame |
|---|---|---|
| medication adherence | Adherence to Refills and Medications Scale，The raw scores are changed from original metric to a 10-40 metric, in which lower scores means higher level of adherence | 0.3month.6month.3years |
| medication self-efficiency |
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Inclusion Criteria:
Exclusion Criteria
>=65y
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| Name | Affiliation | Role |
|---|---|---|
| Jing Chang, Master | The First Affiliated Hospital of Zhengzhou University，Zhengzhou,China. ZIP：450000 | Study Director |
| YiJing Chen, Master | Wuhan mental health center,Wuhan,China. ZIP：430000 | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Senior Residences of Henan Province | Zhengzhou | Henan | 450000 | China |
There is not a plan to make data available.
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| D055118 | Medication Adherence |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
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| placebo group | Other | treatment as usual |
|
Self-efficiency for appropriate medication use scale (SEAMS),It has 13 items and patients are asked about their level of confidence about taking medication correctly under a varied circumstance. Each item is evaluated by three-point Likert respond scale (1=not confident, 2=somewhat confident, 3=very confident), higher score means higher confidence
| 0.3month.6month.3years |
| patient activation | patient activation measure-10 (PAM-10) scale.The raw scores are changed from original metric to a 0-100 metric, in which higher scores means higher level of activation | 0.3month.6month.3years |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |