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This study aims to evaluate the effectiveness of a workplace-based, multicomponent hypertension management program for newly diagnosed patients. Investigators will recruit 512 participants (256 pairs) from the Kailuan Study in Tangshan, China. Participants will be randomly assigned to receive a Workplace-based Multicomponent Hypertension Management Program or Standard Workplace Health Management. The primary objective is to assess improvements in blood pressure control and hypertension-related health behaviors.
Hypertension is a major public health issue worldwide, and workplace settings represent a critical intervention opportunity for middle-aged populations. Nudge theory provides a cost-effective and behaviorally informed approach to promote sustainable health behaviors. This randomized controlled trial (RCT) will explore mechanisms of health behavior promotion, evaluate the effectiveness of a nudge-based workplace health management strategy, and contribute to evidence-based hypertension prevention and control in China.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Workplace Health Management | Active Comparator | Routine workplace health education and management according to current guidelines, including routine health education, standard hypertension counseling, and usual workplace health services. |
|
| Workplace-based Multicomponent Hypertension Management Program | Experimental | Multicomponent strategies, including default scheduling of BP monitoring and counseling sessions, personalized reminders via workplace digital systems, social comparison feedback using anonymized peer data, small incentives and commitment devices. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Workplace-based Multicomponent Hypertension Management Program | Behavioral | Multicomponent strategies, including default scheduling of BP monitoring and counseling sessions, personalized reminders via workplace digital systems, social comparison feedback using anonymized peer data, small incentives and commitment devices. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in systolic and diastolic blood pressure | Change in systolic and diastolic blood pressure from baseline to 12 months | up to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in hypertension-related health behaviors | Changes in hypertension-related health behaviors (dietary intake, physical activity, medication adherence) at 12 months | up to 12 months |
| Change in body mass index (BMI) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yan-Feng Zhou | Nanning | Guangxi | 530021 | China |
De-identified individual participant data will be available upon reasonable request after publication of main trial results.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Nov 28, 2025 | Dec 2, 2025 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| Routine workplace health education and management according to current guidelines. | Other | Routine workplace health education and management according to current guidelines, including routine health education, standard hypertension counseling, and usual workplace health services. |
|
Change in body mass index (BMI) at 12 months
| up to 12 months |
| Work productivity and quality of life scores | Work productivity and quality of life scores (e.g., the European Quality of Life-5 Dimensions) at 12 months | up to 12 months |