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The goal of this clinical trial is to learn if knowing and understanding a patient's daily habits and then giving clear advice on what changes to make can help control blood pressure better than the routine way of advising people with high blood pressure. The main questions it aims to answer are:
Participants will be:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental | Patients in the intervention group will complete the Lifestyle Medicine Assessment (LMA) questionnaire, and structured counselling will be delivered according to their scores in each domain. To keep the counselling consistent and standardized throughout the study a checklist will be formulated according to the current guidelines on lifestyle modification for hypertensive patients, consisting of counselling items pertaining to each domain, and it will be followed for all patients in the intervention group. They will be required to keep, and bring with them at each visit, a home BP log comprising of two readings taken one minute apart, twice a day (total four readings daily) for a minimum of 3 to 7 (preferred) days before the consultation. At the end of the study they will complete a satisfaction questionnaire. |
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| Control Group | No Intervention | The patients in the control group will receive the usual routine care. They will be required to keep, and bring with them at each visit, a home BP log comprising of two readings taken one minute apart, twice a day (total four readings daily) for a minimum of 3 to 7 (preferred) days before the consultation. At the end of the study they will complete a satisfaction questionnaire. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lifestyle Intervention | Behavioral | The intervention includes using the lifestyle Medicine Assessment Tool (LMA), a 21-item questionnaire, to assess the patient's current lifestyle and deliver structured counselling according to their scores in each domain. To keep the counselling consistent and standardized throughout the study a checklist will be formulated according to the current guidelines on lifestyle modification for hypertensive patients, consisting of counselling items pertaining to each domain, and it will be followed for all patients in the intervention group. This will be repeated at every monthly follow-up visit for three months. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in systolic blood pressure | Change in systolic blood pressure (clinic BP main and home BP supportive) from baseline to the third month, measured at monthly intervals. The effect of the intervention will be evaluated as the difference in mean change between the intervention and control groups over time. | From enrolment to the end of follow-up at three months |
| Measure | Description | Time Frame |
|---|---|---|
| Patient satisfaction | Patient satisfaction measured at the three-month follow-up, using the "Short Assessment of Patient Satisfaction" questionnaire. It is a seven-item scale, with score ranging from 0 to 28,with a higher score indicating higher patient satisfaction | At the end of three-month follow-up |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hafiz Muhammad Abubaker Mahmood, MBBS | Contact | +923213169048 | muhammad.abubaker@tih.org.pk |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Indus Hospital Karachi | Karachi | Sindh | 07491 | Pakistan |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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