Effect of Counselling Using Lifestyle Medicine Assessment Tool on Hypertensive Patients

Effect of Counselling of Patients With Hypertension Presenting in Family Medicine Clinics Using Lifestyle Medicine Assessment Tool.

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:

• To learn if using the Lifestyle Medicine Assessment tool (A 21-item questionnaire) to understand the current lifestyle of people with hypertension and guide them accordingly, helps in lowering blood pressure more, as compared to routine advice?
• To see if this way of guiding patients is more satisfactory for them then routine advice? Researchers will compare two groups of people with hypertension. One will be guided after assessing their current lifestyle with the Lifestyle Medicine Assessment Tool and one will be given routine guidance. The researchers will then see which group had better blood pressure control.

Participants will be:

• Asked a few questions about their lifestyle and then they will be advised accordingly on ways to make it better.
• They will also be asked to measure their blood pressure at home and bring the record with them when they come for their doctor's visit.

Inclusion Criteria:

1. Adult patients aged 18-65 yrs with diagnosed primary/essential hypertension, defined as two or more clinic BP readings of ≥130/80 (ACC/AHA Guidelines).
2. If taking anti hypertensives, then on a stable regime i.e. no recent medication change for at least ≥4 weeks.
3. Willing and able to participate in the study.

Exclusion Criteria:

1. Diagnosed secondary hypertension.
2. Moderate to severe CKD (eGFR <60 ml/min/1.73m2).
3. Moderate to severe ischemic heart disease.
4. Diabetes Mellitus requiring insulin.
5. Major psychiatric disorder such as dementia or schizophrenia.
6. Pregnancy or Lactating mother.
7. Unable to participate in study/ Severe mobility limitation.