The Workplace-Based Hypertension Management Program

The Workplace-Based, Multicomponent Hypertension Management Program in Patients Aged 18-60 Years: A Randomized Controlled Trial

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.

Inclusion Criteria:

• Adults aged 18-60 years
• Newly diagnosed hypertension (per 2024 Chinese hypertension guideline criteria)
• Employed in Kailuan Group workplace settings
• Able to provide informed consent

Exclusion Criteria:

• Severe cardiovascular or renal disease at baseline
• Psychiatric disorders affecting compliance
• Pregnant or lactating women
• Participation in other intervention trials